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Unit III Med Review Flashcards

1
Q

Ferrous Sulfate Trade Name

A

Feosol; Fer-In-Sol; Fer-Iron

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2
Q

Ferrous Sulfate Category

A

Oral Iron Product; Iron Salt

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3
Q

Ferrous Sulfate Use

A

Iron Deficiency Anemia

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4
Q

Ferrous Sulfate Dose

A

200mg PO elemental iron qday (In 2-3 divided doses)

1-325mg tab PO tid

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5
Q

Ferrous Sulfate AE

A

AE: GI - Discolored feces (dark), abdominal pain, heartburn, constipation, N/V; Absence of AEs may indicate nonadherence

If intolerable : Take with meals, ↑ total daily dose to 110-120 mg

Preg Cat: ? Safe?

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6
Q

Cyanocobalamin Trade Name

A

Ener-B; Nascobal; Twelve Resin-K

Cobal
Cobolin-M
Depo-Cobolin
LA-12

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7
Q

Cyanocobalamin Category

A

Vitamin B12

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8
Q

Cyanocobalamin Use

A

Vitamin B12 Deficiency Anemia

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9
Q

Cyanocobalamin Dose

A

1000mcg qday for 1 week, then 1000mcg qweek until Hgb/Hct normalizes, then 1000mcg qmonth

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10
Q

Cyanocobalamin AE

A

AE: Hyperuricemia, hypokalemia, rebound thrombocytopenia, fluid retention (more likely in patients with compromised CV status), anaphylaxis with parenteral administration

Preg Cat: ? Safe?

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11
Q

Folic Acid Trade Name

A

Folacin-800; Apo-Folic

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12
Q

Folic Acid Category

A

Folate Vitamin

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13
Q

Folic Acid Use

A

Folate Deficiency Anemia

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14
Q

Folic Acid Dose

A

1-5mg PO qday x 4 months

AED Induced Anemia: 500mcg PO qday so don’t need to discontinue AEDs

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15
Q

Folic Acid AE

A

AE: Flushing, malaise, erythema, pruritis, rash, bronchospasm, allergic reaction

-Bad taste in mouth, large doses, loss of appetite, nausea, confusion, irritability, sleep pattern disturbances

Preg Cat: A

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16
Q

Folic Acid Notes

A

Pregnancy: 400mcg/day in non-pregnant females of child bearing age; 500mcg/day in lactating females; 600mcg/day in pregnant females

400-1000mcg/day prior to conception and during pregnancy to decrease the risk of neural tube defects; 4mg/day for high risk pregnancies

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17
Q

Ceftriaxone Trade Name

A

Rocephin

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18
Q

Ceftriaxone Category

A

3rd Generation Cephalosporin

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19
Q

Ceftriaxone Use

A

Pyelonephritis: Hospitalized Patient; Acute Prostatitis & Epididymitis

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20
Q

Ceftriaxone Dose

A

Pyelo: 1-2g IV qday
Prostatitis: 250 mg IM x 1

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21
Q

Ceftriaxone AE

A

AE: Generally well tolerated; diarrhea, neutropenia, thrombocytopenia, platelet dysfunction, SJS, TEN, ISR, cross reactivity with PCN 5-10%, Pseudomembranous enterocolitis, Hemolytic anemia, Erythema multiforme, Eosinophila

CI: Hypersensitivity to Cephs; Type I allergy to PCN; Neonates w/increased bilirubin due to kernicterus risk

Preg Cat: B

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22
Q

Doxycycline Trade Name

A

Adoxa

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23
Q

Doxycycline Category

A

Tetracycline Abx

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24
Q

Doxycycline Use

A

UTI (If risk factors for STD); Acute Prostatitis & Epididymitis

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25
Doxycycline Dose
UTI: 100mg PO BID for 7 days Prostatitis: 100mg PO BID for 10 days
26
Doxycycline AE
AE: Discoloration of teeth, GI upset, photosensitivity, diarrhea, vertigo, rare hypersensitivity, nasopharyngitis, EM, SJS, TEN, C. diff diarrhea, hepatotoxicity CI: Hypersensitivity to any tetracycline, kids < 8 yo, pregnancy (D), lactation Pregnancy Cat: D
27
Ciprofloxacin Trade Name
Cipro
28
Ciprofloxacin Category
FQ
29
Ciprofloxacin Use
UTI/Pyelonephritis
30
Ciprofloxacin Dose
UTI: 250mg PO BID x 3 days or 500mg PO qday ER x 3 days Pyelo: 500mg PO BID x 7-14 days or 1000mg PO qday ER x 7-14 days
31
Ciprofloxacin AE
AE: GI problems (N/D), CNS: dizziness, lightheadedness, headache, insomnia, rash, restlessness, ARF Black box warning: prolonged QT interval, torsades de pointes, may exacerbate muscle weakness -CI: Hypersensitivity to fluoroquinolone, <18 years, pregnant women Preg Cat: C
32
Darbepoetin Alfa Trade Name
Aranesp
33
Darbepoetin Alfa Category
EPO Stimulator
34
Darbepoetin Alfa Use
Anemia of CRF (Chronic Renal Failure)
35
Darbepoetin Alfa AE
AE: DBP elevation (30-47% incidence; likely due to ↑ PVR), Fever, HA, fatigue, edema, chest pain, N/V/D, arthralgias, iron deficiency (prevent with ferrous sulfate 325 mg po qhs)- by giving them 1/3 of recommended CI: Uncontrolled HTN, black box warning increase risk for MI, stroke and other CVD
36
TMP/SMX Trade Name
Septra; Bactrim
37
TMP/SMX Category
Misc Abx
38
TMP/SMX Use
UTI (Uncomp. Cystitis) | Acute Prostatitis
39
TMP/SMX Dose
1 DS PO BID Uncomplicated: 3 days Complicated: 7-10 days Pyelo: 14 days Males: 10-14 days
40
TMP/SMX AE
AE: GI upset, rash, urticaria, photosensitivity, Stevens-Johnson, TEN, EM, C. diff diarrhea, blood dyscrasias, and hepatotoxic reactions are rare, aplastic anemia, anaphylaxis, rhabdomyolysis CI: Hypersensitivity to any sulfa drug or TMP; folate deficiency anemia, infants < 2 mo, marked hepatic or renal dysfunction, pregnancy at term, lactation Preg Cat: C
41
Oxybutynin Trade Name
Ditropan XL; Oxytrol
42
Oxybutynin Category
Anticholinergic/Antispasmodic
43
Oxybutynin Use
Urge Urinary Incontinence
44
Oxybutynin AE
AE: Dry mouth, constipation, vision impairment, confusion, tachycardia, orthostatic hypotension, sedation Preg Cat: B
45
Duloxetine Trade Name
Cymbalta
46
Duloxetine Category
5HT/NE Reuptake Inhbibtor
47
Duloxetine Use
Stress Urinary Incontinence
48
Duloxetine AE
AE: nausea MC, dry mouth, constipation, decreased apetitie, fatigue, somnolence, increased sweating, sexual dysfunction, increased BP Preg Cat: C
49
Terazosin Trade Name
Hytrin
50
Terazosin Category
Alpha 1 Blocker
51
Terazosin Use
Moderate BPH
52
Terazosin AE
AE: Orthostatic hypotension (must initiate at lowest dose and titrate at 2-7 day intervals to minimize HOTN), Floppy iris syndrome during cataract surgery Onset within 2-4 weeks Preg Cat: C
53
Finasteride Trade Name
Procar
54
Finasteride Category
5 Alpha Reductase Inhibitor
55
Finasteride Use
Moderate BPH
56
Finasteride AE
AE: May cause decreased libido, erectile dysfunction (may be permanent even after d/c drug in 1/1000 pts); lower risk of orthostatic hypotension Onset approx 6 months Preg Cat: X
57
Sildenafil Trade Name
Viagra
58
Sildenafil Category
PDE5 Inhibitor (Phosphodiesterase Inhibitor)
59
Sildenafil Use
Erectile Dysfunction
60
Sildenafil Dose
50mg PO 60min prior to sexual activity, not more than once daily (25-100mg range)
61
Sildenafil AE
AE: HA, facial flushing, dyspepsia, nasal congestion, dizziness, abnormal vision, prolonged erection (> 4 hrs), priapism (> 6 hrs), decreased BP (8-10 mmHg systolic, 5-6 mmHg diastolic) 1 hr after dose lasting 4hrs (S&V), nonarteric anterior ischemic optic neuropathy warning CI: concurrent nitrate use, alpha blocker use, pts w/high CV risk (See table in notes) Preg Cat: B

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