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Pharm > Unit III Med Review > Flashcards

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
Q

Doxycycline Dose

A

UTI: 100mg PO BID for 7 days
Prostatitis: 100mg PO BID for 10 days

26
Q

Doxycycline AE

A

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
Q

Ciprofloxacin Trade Name

A

Cipro

28
Q

Ciprofloxacin Category

A

FQ

29
Q

Ciprofloxacin Use

A

UTI/Pyelonephritis

30
Q

Ciprofloxacin Dose

A

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
Q

Ciprofloxacin AE

A

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
Q

Darbepoetin Alfa Trade Name

A

Aranesp

33
Q

Darbepoetin Alfa Category

A

EPO Stimulator

34
Q

Darbepoetin Alfa Use

A

Anemia of CRF (Chronic Renal Failure)

35
Q

Darbepoetin Alfa AE

A

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
Q

TMP/SMX Trade Name

A

Septra; Bactrim

37
Q

TMP/SMX Category

A

Misc Abx

38
Q

TMP/SMX Use

A

UTI (Uncomp. Cystitis)

Acute Prostatitis

39
Q

TMP/SMX Dose

A

1 DS PO BID

Uncomplicated: 3 days
Complicated: 7-10 days
Pyelo: 14 days
Males: 10-14 days

40
Q

TMP/SMX AE

A

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
Q

Oxybutynin Trade Name

A

Ditropan XL; Oxytrol

42
Q

Oxybutynin Category

A

Anticholinergic/Antispasmodic

43
Q

Oxybutynin Use

A

Urge Urinary Incontinence

44
Q

Oxybutynin AE

A

AE: Dry mouth, constipation, vision impairment, confusion, tachycardia, orthostatic hypotension, sedation

Preg Cat: B

45
Q

Duloxetine Trade Name

A

Cymbalta

46
Q

Duloxetine Category

A

5HT/NE Reuptake Inhbibtor

47
Q

Duloxetine Use

A

Stress Urinary Incontinence

48
Q

Duloxetine AE

A

AE: nausea MC, dry mouth, constipation, decreased apetitie, fatigue, somnolence, increased sweating, sexual dysfunction, increased BP

Preg Cat: C

49
Q

Terazosin Trade Name

A

Hytrin

50
Q

Terazosin Category

A

Alpha 1 Blocker

51
Q

Terazosin Use

A

Moderate BPH

52
Q

Terazosin AE

A

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
Q

Finasteride Trade Name

A

Procar

54
Q

Finasteride Category

A

5 Alpha Reductase Inhibitor

55
Q

Finasteride Use

A

Moderate BPH

56
Q

Finasteride AE

A

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
Q

Sildenafil Trade Name

A

Viagra

58
Q

Sildenafil Category

A

PDE5 Inhibitor (Phosphodiesterase Inhibitor)

59
Q

Sildenafil Use

A

Erectile Dysfunction

60
Q

Sildenafil Dose

A

50mg PO 60min prior to sexual activity, not more than once daily (25-100mg range)

61
Q

Sildenafil AE

A

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

Pharm (9 decks)

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