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treatments Flashcards

1
Q

Essential tremor treatments?

A

“Players play the girl behind closed doors”

Propranolol: B2, brady, lightheaded, impotant
Primidone: sedation
Topiramate: Na channel, Concentration difficult
Gabapentin: Ca channel not a GABA rx, gait problmes
Botulism: head/voice tremor
Clonazepam: dependancy

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2
Q

Huntington disease treatment? “ben hunts for Oro”

A

Benazine: Deplete monoamine (dopa) = depression
Haloperidol: reduce dopamine = schizo, chorea, and tourettes
Fluphenazine: ???
Olanzapine: 5HT receptor= Schizo, tourettes (aripiprazole), QT Prolong

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3
Q

Tourettes tx? “ Erin Howlers profanity, but rarely acts”

A 
Education
Pimozide: failed occular accomidation
Haloperidol: D2 decrease, extra-pyramidal = parkinson like
Botulism: focal motor, or voic
Risparidone/Aripaprazole (tourette like)
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4
Q

RLS tx? “Lovers blend role playing games outside”

A

Intermit: Levo and benzos
Persist: (dope agonist) pramipexole, Ropinorole, gabapentin
Refractory: opioids

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5
Q

Wilsons disease Tx? “D-pen’s ring is trimed with iron and copper but not zinc”

A

D-penicillinamine: sulfa ring, give extra pyridozine
Trientine: Pulls Fe and Cu, low Fe = renal dx, high Fe= liver dx
Oral zinc = GI upset

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6
Q

ALS tx? “ Pertissis killed Ryan’s gluts, Butts take dedication.

A 
Rilozule: inhibits glut, pertusis rxn
Edaravone: free radical antioxidant
Badofen: gaba agonist: sedation
Tizanidine: DAD = drowsi, asthenia (weak), dizzy
Diazepam
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7
Q

MG TX? “ MY GOD! SLUDGEy diahhrea sticks on mine”

A

Pyridostigmine, Neostigmine: anticholinesterases = SLUDGE: salivation, lacrimation, urine, diah, GI, emisis

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8
Q

CNS effects

A

Idiosyncratic.

Idk what this means but brubs harped about his for a while.

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9
Q

In general are mono or multi anti seizure meds preferred?

A

mono

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10
Q

GABA and barbiturates have the same of different binding sites?

A

Different, but do basically the same thing. Gabas are drug B = No coma or death. Barbs are drug A = coma or death.

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11
Q

Generalized abscence Tx? “Even Val Lost Consciousness Tonight”

A

Ethosuximide: only Generalized, block Ca T channel, Ade= blood issues
Valproate: GABA, Box = Hepato, terato, pancreato
Lamotrigene: Na chan block, BOX = skin and diplopia
Clonazepam: Only infantil, sedation
Topiramate: Na chan block, confusion, conc. diff

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12
Q

Tonic-clonic meds? “ Lame Tory Leven has Behavioral issue”

A

Lamotrigene, Topiramate,

Levetriacetem - SV2A Decrease GLUT, behavioral issues

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13
Q

Focal siezure tx? “Chris Pine Lost Videos of The Genovian Princess “

A

Carbamazepine: Na channel, BOX= serious skin rash, HLA allele in asians, alopecia, Trigeminal neuraglia
Lamotrigene = Na, Box: skin and apolecia
Phenytoin = Na, decrease GLUT, BOX: CVD w/ rapid infusion, Nystagmus, Hirsutism, Gingival hyperplasia
Phenobarbital: enhance Gaba, sedation, behavioral
Topiramate: Na channel, conc. difficult
Valproate: BOX: hepato, terato, pancreato. mimics GABA
Gabapentin: decrease GLUT, Ataxia, weight gain

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14
Q

refractory focal meds? “Perry took viagra for Pauline

A

Pregabalin: same as gabapentin
Tiagabin: decrease conc. increase appetite
Peramparel: Rampage! = BOX: pschy and behavior issues
Vigabatrin: Box: perminant eye lose = poked in the eye

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15
Q

Myotonic Meds? “Val tried zipplinging and levetating”

A

Valporate
Zonisamide: Ca and Na channel, Sulfa rxn, kidney stones
Topiramate: Na, conc. difficulty,
Levetriacetam: SV2A, decrease GLUT, behavrioal

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16
Q

Canniboids

A

Think Lennox Gausaut and dravet light up

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17
Q

Stiripentol

A

Dravet loves to strip

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18
Q

What is status epilepticus?

A

siezure >30 mins and no baseline mental status regained

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19
Q

Why care about status?

A

Kill you, sustained depolarization = neuronal death

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20
Q

Status tx with 30 mins? (BENZOs)

A 
Loraz = Preffered for CNS
Midaz = IM/ IN/ Buccal, preffered
Diaz = Rectal
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21
Q

Status tx 30-60 mins?

Hydrate! Phebes very loose and limber

A

1st line = Hydantoins (Posphytoins)
2nd line = Phenobartibal, valproate
3rd line = Lacosamide, levetiracetam

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22
Q

Status tx >120 mins?

“1st, Mix penta patrons, then keep hydrating and inhale keto foods vivacously!”

A

1st - midazelam, pentobartibal, propofel

Then - Ketamine, hypothermia, anesthetic inhaled, keto diet and vagal stim

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23
Q 
What do you monitor with (status epi)
Diazepam
fosphenotoin (hillary)
Lorazepam
Pentobarbital (>120)
A 
Diazepam = vitals, EKG
fosphenotoin = vitals, EKG
Lorazepam = propylene dose
Pentobarbital  = vitals, EKG
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24
Q

How can you give midazolam? (status epi, >120)

A

buccal, IV, IN, IM

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25
What turns on REM sleep? | What turns off REM sleep?
``` on = cholinergic (parasymp) Off = norepi ```
26
Do teens have a hard time falling asleep and old people have a hard time staying asleep?
Yeah
27
What can cause short term insomnia? (Dirty jobs and college sucks)
Death, jobs, exams, separation
28
Sedation vs hypnotics?
``` Sedation = anxiolytic, relax you Hypnotics = sets the mood... to sleep ```
29
What are the fat soluable vitamins?
ADEK
30
What benzo is MC used for insomnia?
``` eszopiclone = lunesta, but flurazepam is a true hypnotic. (Her flow is hypnotic) Triazolam = homicide ideation (tried PA school) ```
31
Where are benzo recepters found? L*ck th* Cl**
Limbic, thalamus, cerebral cortex
32
What benzos have no metabolites? Lord OZark
Lorazepam, oxazepam, zolpidem
33
what is antegrade amnesia? think Ruffi-colata
Cant remember anything after the hit.
34
This is on the test | What is the antidote for all benzos? "Nil"
Flumazenil
35
Are Zolpidem, Zalephon, and eszopiclone Benzos?
No
36
What is a barbiTAL? tall glass
Like Liquor, drug class A (coma and death) that binds to GABA at a site DIFFERENT than Benzos
37
Barbiturates ADE? Think alcohol
porphyria = so much chemical (blood-alcohol) that your increase anticoagulation
38
Doxepin is used for what? think Duped
Duped the body into staying awake = sleep maintannatce insomnia
39
What are the 2 sleeping antidepressants?
Mitrazapine, trazodone (priapism)
40
What does suvorexant do? | OFF SIGNAL -
Turns off wake signal from Orexin (hypocretins) | cataplexy, narcolepsy like sxs
41
Melatonin, think Circadian rhythmic sleep
melanie's got circular rhythm
42
Valerian
herbal root that smells like gym socks
43
What are the 4 types of Narcolepsy. | What do Narcos do to pass the time? Play CHES
Cataplexy, Hallucinate, Excess daytime sleepiness, Sleep paralysis
44
What are the EDS Meds? Excessive daytime sleepiness = Much more asleep
Modafinil, Armodafinil, methylphenidate (only for EDS not cataplexy)
45
Modafinil and aRmodafinil are the R or L dimer
R dimer
46
Cataplexy meds? (Freak out when you cant move) TSSM
Tricyclic, SSRI, SNRI, MAOI
47
What causes hypersomnolance and cataplexy
Seregiline = decrease REM sleep and latency
48
What does Na oxybate do?
Makes you sleep Shitty, changes sleep architeture, never add to another sleep med
49
When do you give prophylatic IE drugs?
Gingival and gum bleeding procedures
50
What is the MC entorococcus isolate?
E. faecalis, fecal = entero
51
What does the sulbactam do in augmentin?
protects the beta ring
52
``` What do you monitor for Daptomycin Gentamicin Linezolid Rifampin vanco ```
Daptomycin - rhabdo = CPK Gentamicin - OTOtoxic, Nephro, NM block - Linezolid - Thrombo, optic, peri neurophy - plateles Rifampin - hepato - LFTs Vanco -Redman, nephro conc. 15
53
Prophylactic IE treat oral is? and when do you do it?
Amoxi | PV, Hx IE, unrepair congenital heart defect, transplant
54
Anticholinergic ADE for many disease is...
Metallic taste and the dry as a hat bs
55
What is the triple spray for COPD?
LABA + LAMA + ICS
56
What does Roflumilast do in COPD?
Stop Pulmonary Remodeling!! | PDE4
57
What are the 5 As of quitting smoking?
Ask, Advise, Assess, Assist, Arrange
58
What are normal Sa02 and Pa02 values
Sa02 >88% or Pa02 >55
59
Meds that trigger ASTHMA?
BANANAS ``` Benzalkonium ca Acetaminophen, Non- selective b blocker Asa NSAID Astham Sulfites ```
60
Astham triad?
NTI, narrow, tightness, inflammation
61
Beta 2 agonists are (ATM)?
Albuterol, terbutaline, metaproternol
62
What reverses CVD from theophylline?
Beta blockers
63
1st line therapy for moderate to severe Astham is?
Corticosteroids (Bel, bud, dex, flunis, fluti, mome)
64
Astham corticosteroids ADEs?
Fungal candica, adrenal suppresion, mild growth retardation in kids (not perminant)
65
Why is Zileuton good for athletes?
No excessive, ASA allergy induced asthma
66
Do you avoid cough suppressants and antibiotics for Acute bronchitis?
Yes - its a virus
67
kids get acute bronchitis from what virus?
paraflu
68
Bacterial Acute bronchitis is mostly due to?
Mycoplasma pneumonia
69
RSV in acute bronchiolitis is treated by
Palivizumab (kids = ribavirin)
70
Hallmark of Chronic bronchitis?
Cough, sputum, bacteria - Psuedomonas give aztrenam for 28 then torbimycin for 28
71
CAP meds healthy comorbid viral and bacterial Elderly
healthy = macro or tetracyline comorbid viral and bacterial =osel/tamivir, MB or F Elderly = Piper taco, or carb, cephalosporin or MB or F
72
CAP meds | Non-ICU (comorbid)
Non-ICU - MB or F

Pharmacology Exam 3 (4 decks)

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