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pharm 2 > Test 2 > Flashcards

Test 2 Flashcards

1
Q

Threr things that too much melitonin can cause

A

HA nightmare Mental impairment

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2
Q

5 indications for benzos

A

Anxiety, insomnia, antiseizure, Nausea, and alcohol withdrawal

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3
Q

2 side effects of Benzos

A

CNS depressant and paradoxal excitation

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4
Q

Pregnancy classes

A 
A human trials show no adverse effects 
B animal trials show no adverse effects 
C animal trials show adverse effects 
D human trials show adver effects 
X no reason to ever take med when pregnant
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5
Q

One AE and one CI of zolpidem and one thing to keep in mind

A

Sleep eating stuff and no breastfeeding

Women and elderly have increased chance of toxcicity

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6
Q

3 things about zolpidem

A

Short half life, one receptor, it is a seditive not a mm relaxor

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7
Q

What is different about alprazolam

A

No grapefruit juice

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8
Q

What is different about diazepam

A

Used in surg

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9
Q

What is different about midazdam

A

It is fast and amnesia is expected effect

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10
Q

Benzos and pregnancy?

A

D

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11
Q

7 CI for barbs

A

No alcohol, no birth control, no corticosteroids, or aniconvulsants because they will increase metan of barbs , no breast feeding, preg D not for panic dysorder

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12
Q

3 teaching for barbs

A

Do not stop rebound insomnia
Vit d and cal deficancy can happen
Watch for paradoxical excitation in adults and kids

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13
Q 
What do these do?
Seronotin
NorEp
GABA
Aceylcholine 
Dopamine
A 
S inhibitory help with sleep, pain emotions, and mood 
N-Excititaory or inhibitory 
GABA-Inhibits
A-both 
D excititory- movement and intention
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14
Q

You missed a drug what is it where does it belong?

A

Amitriptyline it is a TCA

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15
Q

IN for TCA 4

A

Depression, nocurnal enuresis, pain, insomnia

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16
Q

4 AE of TCAs

A

Cardiac dys, lower seizure threashold, orthoHypoTN, Anticholenergic effects

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17
Q

Cautions with TCA

A

Park, cardiac issues, hepatic, increase in intraocular pressure, or hypothyroidism

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18
Q

IN for SSRI 7

A

Depression, premenstral dysphoric dysorder, bulemia/anor obesity/alcohol dependency/PTSD/OCD

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19
Q

What are two things that we are worried about with SSRI

A

Serotonin syndrome and withdrawal

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20
Q

Serotonin syndrome s/s 9

A

Confusion, anxiety, agitation, rigidity, HTN, fever, sweat, ataxia, tremmors

21
Q

Serononin w/d s/s

A

Tremor anxiet sensory disturbances

22
Q

What are the two other atypical antidepressants just what the letters are

A

SNRI
And
NDRI

23
Q

Venlafaxine AE 2

A

Nausea, growth retardation,

24
Q

What are the indications of Bupropion 3

A

depression, nicotine withdrawal, neuropathic pain

25
Q

What are the the SE of bupropion 5

A

CNS excite, HA, GI upset, tremmors, increase in seizure risk,

26
Q

What are we worried about with MAIOs? 8

A

HYPERTN crisis, hypoglycemia, drowsiness, orthhypo, serotonin syndrome, HA, insomnia, Dia

27
Q

What are the 3 antiepileptics

A

Valporic acid, caramazepine, lamotrigine

28
Q

What drugs do you use to treat bipolar disorder? 4

A

mood stabelizers, antiepileptics, antipsychotics, benzos

29
Q

Onset of lithium and one thing about it

A

1-3 weeks short half life

30
Q

What are the adverse effects of Lithium 5

A

Mm weakness, lethergy, n/v, long term renal imapirment,

31
Q

Interactions with lithium 2

A

Thiazide diuretics and antithyroid meds they will increase hypothyroid effect

32
Q

AE of valporic acid 3

A

Thrombocytopenia, preancreatitis, liver fail

33
Q

What treats EP symptoms?

A

Benzos

34
Q

Akathesia, tardive dyskinesia, and acute dystonia

A

AK a feeling of mm quivering and restlessness
Tar facial repetitive involuntart movement
Acute-contractions

35
Q

What are the symptoms of Neuropathic malignaant syndrome and what causes this and how do we support

A

High fever, diaphoresis, mm rigidity, tachy, bp up or down, delerium and coma diaphoresis
From antipsychotics
Support-antipyretics, mm relax and electrolytes

36
Q

Chlorpromazine IN 2

A

Antiemetic, hiccups

37
Q

AE with chlorpromazine 4 and 2 interactions

A

Anticholenergic, weight gain, seizures, eps, CI for dementia rt psychosis and anticicholenergic meds

38
Q

Indications for Haloperidol and one thing to remember

A

Tourettes, hiccups, autism, delirium in emerg

Remember IV

39
Q

AR for haloperidol 2

A

Drowsines and EPS

40
Q

Haloperidol CI 4

A

Park, seizure, alcohol severe mental depression

41
Q

Risperidome routes

A

Po, IM oral disint tab

42
Q

Indications for risperidone 1 and 2 off label

A

Acute mania

Tourettes, irritated autism

43
Q

AE of risperisone 3

A

N and v orthohypo increase prolactin

44
Q

Colazapine 3

A

Last resort agranulocytes can decrease seizue thershold

45
Q

What else is quetiapine good for

A

OCD

46
Q

In for aripiprazole 4

A

Sch, bipolar, depression, tourettes

47
Q

AE of Airpiprazole

A

Drowz seizure ther

48
Q

Aripiprazole IN

A

SSRIs or grapefruit juice

pharm 2 (8 decks)

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