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Pharmacology Spring 2021 > Week 5 Quiz > Flashcards

Week 5 Quiz Flashcards

1
Q

Dilantin

A

phenytoin

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2
Q

Phenytoin

A

Dilantin

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3
Q

Phenytoin Dilantin Use

A

Controls seizure activity by an

unknown mechanism.

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4
Q

Phenytoin Dilantin Interventions

A
  1. Drowsiness
  2. Don’t stop abruptly-can cause seizure
  3. Oral adverse effects.
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5
Q

Phenytoin Dilantin Class

A

anticonvulsant, anticoagulant

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6
Q

Phenytoin Dilantin Hints

A
  1. therapeutic serum level 10 to 20 μg
  2. urine harmless pinkish/red/brown
  3. take at same time every day
  4. take with food/milk (GI upset)
  5. anorexia, nausea, and vomiting
  6. morbilliform (measles- like) rash- stop med go to MD
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7
Q

Tegretol

A

Carbamazepine

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8
Q

Carbamazepine

A

Tegretol

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9
Q

Carbamazepine Tegretol Use

A

Controls seizure activity by an
unknown mechanism.

Prevents and decreases incidence of acute mania

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10
Q

Carbamazepine Tegretol Interventions

A
  1. Drowsiness
  2. Don’t stop abruptly-can cause seizure
  3. Oral adverse effects.
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11
Q

Carbamazepine Tegretol Class

A

anticonvulsant, mood stabilizer

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12
Q

phenytoin Dilantin Hints

A
  1. Primrose oil lowers seizure threshold
  2. Therapeutic serum level 5-12
  3. Mania in BPD
  4. Drowsiness
  5. Sunburn
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13
Q

Lamictal

A

Lamictal

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14
Q

Lamictal

A

Lamotrigine

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15
Q

Lamotrigine Lamictal Use

A

Prevents and decreases incidence of acute mania

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16
Q

Lamotrigine Lamictal Interventions

A
  1. Drowsiness
  2. Don’t stop abruptly-can cause seizure
  3. Oral adverse effects.
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17
Q

Lamotrigine Lamictal Class

A

mood stabilizer

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18
Q

Lamotrigine Lamictal Hints

A
  1. Breastfeeding ok
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19
Q

Levetiracetam

A

Keppra

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20
Q

Keppra

A

Levetiracetam

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21
Q

Levetiracetam Keppra Class

A

Anticonvulsant

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22
Q

Succinimides

A

ethosuximide/Zarontin

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23
Q

ethosuximide/Zarontin

A

Succinimides

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24
Q

Succinimides ethosuximide Zarontin Class

A

Anticonvulsant

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25
Q

Succinimides ethosuximide Zarontin Hints

A
  1. therapeutic serum level 40-100
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26
Q

gabapentin

A

Neurotin

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27
Q

Neurotin

A

gabapentin

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28
Q

amitriptyline

A

Elavil

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29
Q

Elavil

A

amitriptyline

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30
Q

amitriptyline Elavil Use

A

Treats depression, panic, and

anxiety.

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31
Q

amitriptyline Elavil Interventions

A
  1. dry mouth, blurred vision, urinary
    retention, and hypertension
  2. Avoid alcohol and depressants
  3. pregnancy class C
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32
Q

amitriptyline Elavil Class

A

TCA

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33
Q

amitriptyline Elavil Hints

A
  1. Prevents migrane
  2. significant anticholinergic actions
  3. intensify symptoms of AD
  4. dont d/c abruptly
  5. Taper- rebound dysphoria, irritability, sleepiness
  6. drowsiness
  7. weight gain, anorexia
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34
Q

phenelzine

A

Nardil

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35
Q

Nardil

A

phenelzine

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36
Q

phenelzine Nardil Use

A

Treats various forms of atypical depression and sometimes

useful in Parkinson’s disease

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37
Q

phenelzine Nardil Interventions

A

avoid OTC drugs with tyramine

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38
Q

phenelzine Nardil Class

A

MAOI

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39
Q

phenelzine Nardil Hints

A
  1. no tyramine-containing foods- cause life threatening HTN

2. processed meat, yeast, beer, red wine, chocolate

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40
Q

fluoxetine

A

Prozac

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41
Q

Prozac

A

fluoxetine

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42
Q

fluoxetine Prozac Use

A

Treats various forms of endogenous depression.

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43
Q

fluoxetine Prozac Interventions

A
  1. Restrict amt of med given to client
  2. Take PM
  3. Drowsiness
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44
Q

fluoxetine Prozac Class

A

SSRI

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45
Q

fluoxetine Prozac Hints

A
  1. depression of AD
  2. elevated temperature- Serotonin syndrome (stop SSRI, can lead to death)
  3. Taper-withdrawal symptoms
46
Q

Zoloft

A

sertraline

47
Q

sertraline

48
Q

sertraline Zoloft Use

A

Treats various forms of endogenous depression.

49
Q

sertraline Zoloft Interventions

A
  1. depression of AD
  2. elevated temperature- Serotonin syndrome (stop SSRI, can lead to death)
  3. Taper-withdrawal symptoms
50
Q

sertraline Zoloft Class

51
Q

sertraline Zoloft Hints

A
  1. Not for acute panic attack
52
Q

Effexor

A

venlafaxine

53
Q

venlafaxine

54
Q

venlafaxine Effexor Class

55
Q

duloxetine

56
Q

Cymbalta

A

duloxetine

57
Q

duloxetine Cymbalta Use

A

antidepressant

58
Q

duloxetine Cymbalta Interventions

A
  1. Restrict amt of med given to client
  2. Take PM
  3. Drowsiness
59
Q

duloxetine Cymbalta Class

60
Q

duloxetine Cymbalta Hints

A
  1. NOT broken, crushed, chewed, or dissolved
  2. With St. John’s wort can cause serotonin syndrome (fever/death)
  3. drowsiness
  4. Photosensitivity
  5. Sunscreen
61
Q

bupropion

A

Wellutrin Zyban

62
Q

Wellutrin Zyban

63
Q

bupropion Wellutrin Zyban Use

A

antidepressant

64
Q

bupropion Wellutrin Zyban Class

A

Atypical Antidepressants

65
Q

bupropion Wellutrin Zyban Hints

A
  1. assist clients to quit smoking
  2. suppress the appetite
  3. suppress uptake of norepi and serotonin.
66
Q

mirtazapine

67
Q

Remeron

A

mirtazapine

68
Q

mirtazapine Remeron Class

A

Atypical Antidepressants

69
Q

chlorpromazine

70
Q

Thorazine

A

chlorpromazine

71
Q

chlorpromazine Thorazine Use

A

Typical antipsychotic

72
Q

chlorpromazine Thorazine Class

A

first-generation antipsychotic

73
Q

chlorpromazine Thorazine Hints

A
  1. Menstrual irregularity
  2. tardive dyskinesia- adverse effect after mo/yrs (stop med, start benzo)
  3. Symptoms on TD-worm-like movements of the tongue/lips
74
Q

aripiprazole

75
Q

Abilify

A

aripiprazole

76
Q

aripiprazole Abilify Use

A

dopamine system stabilizer

77
Q

aripiprazole Abilify Class

A

Atypical antipsychotic

78
Q

aripiprazole Abilify Hints

A
  1. affects the receptor sites for dopamine

2. does not increase the secretion of dopamine

79
Q

Amantadine Symmetrel

80
Q

Symmetrel

A

Amantadine

81
Q

Amantadine Symmetrel Use

A

anti-Parkinson’s drug

82
Q

Amantadine Symmetrel Class

A

Dopaminergic

83
Q

Carbidopa-levodopa

84
Q

Sinemet

A

Carbidopa-levodopa

85
Q

Carbidopa-levodopa Sinemet Use

A

Parkinson’s

86
Q

Carbidopa-levodopa Sinemet Use

A

Parkinson’s

87
Q

Carbidopa-levodopa Sinemet Class

A

anti-Parkinson’s drug

88
Q

Carbidopa-levodopa Sinemet Hints

A
  1. combination med
  2. designed to delay the breakdown of levodopa (dopamine) in the periphery
  3. The expense of the med is not
    the reason for the combo
  4. Comes in only one strength comb
    **this is a disadvantage
89
Q

lorazepam

90
Q

Ativan

91
Q

lorazepam Ativan Use

A

Treats generalized anxiety

disorder and panic disorder

92
Q

lorazepam Ativan Interventions

A
  1. No grapefruit juice
  2. drowsiness
  3. dizziness
  4. short-term therapy
  5. do not cure underlying problems
  6. potential addictive behavior
93
Q

lorazepam Ativan Class

A

benzodiazepine

94
Q

lorazepam Ativan Hints

A
  1. sedative hypnotic
  2. antiemetic (chemo)
  3. taper
  4. Preg class D
  5. avoid alcohol and depressants
95
Q

clonazepam

96
Q

Klonopin

A

clonazepam

97
Q

clonazepam Klonopin Use

98
Q

clonazepam Klonopin Class

A

benzodiazepine

99
Q

clonazepam Klonopin Hints

A

therapeutic serum level 20-80

100
Q

alprazolam

101
Q

Xanax

A

alprazolam

102
Q

alprazolam Xanax Use

A

anxiety attack

103
Q

alprazolam Xanax Class

A

Benzodiazepine

104
Q

alprazolam Xanax Hints

A
  1. drowsiness
  2. potential for dependency
  3. 1 to 10 anxiety scale before administering
    * * to follow up about effectiveness
  4. 15-30 min to treat the physiological S&S
  5. Orthostatic hypotension-common and ok
  6. overdose-encourage/induce vomiting
  7. Available as oral med only- different med needed for post op (NPO)
  8. taper
  9. Nausea, vomiting, agitation, tachycardia, diaphoresis, tremors, and marked insomnia
105
Q

diazepam

106
Q

Valium

107
Q

diazepam Valium Use

A

Treats generalized anxiety

disorder and panic disorder

108
Q

diazepam Valium Interventions

A
  1. No grapefruit juice
  2. drowsiness
  3. dizziness
  4. short-term therapy
  5. do not cure underlying problems
  6. potential addictive behavior
109
Q

diazepam Valium Class

A

Benzodiazepine

110
Q

diazepam Valium Hints

A
  1. oil- based and should not be diluted
  2. should not be administered in an existing IV
  3. administering in existing saline lock ok
  4. administer over 2 to 3 minutes
  5. administer in IV port closest to the client’s hand so the medication can get to the client’s bloodstream faster
  6. administered as IVP, not IV piggyback (IVPB)
  7. effective within 1 to 5 minutes
  8. may affect antidiabetic medication
  9. depress respirations
  10. administered during a seizure
  11. Taper
  12. sedative–hypnotic
  13. drug of choice for the potential
    convulsions that are associated with nerveagent toxicity

Pharmacology Spring 2021 (22 decks)

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