week 7 Flashcards
glimepiride
Brand: Amaryl
Class: Second Gen Sulfonylurea, antidiabetic
Indication: Type 2 DM
S/E:
- hypoglycemia
- dizziness
Glipizide
Brand: Glucotrol
Class: Second Gen- Sulfonylurea, Antidiabetic
Indication: Type 2 DM
S/E:
- hypoglycemia
- dizziness
Glyburide
Brand: Glynase
Class: Second Gen- Sulfonylurea, Antidiabetic
Indication: type 2 DM
S/E:
- hypoglycemia
- dizziness
Sitagliptin
Brand: Januvia
Class: Dipeptidyl Peptidase 4 Inhibitor, Antidiabetic
Indication: Type 2 DM
S/E:
- hypoglycemia
- pancreatitis (rare, but serious)
Metformin/sitagliptin
Brand: Janumet, janumet XR
Class: Biguanide, Dipeptidyl Peptidase 4 inhibitor, antidiabetic
Indication: type 2 DM
S/E:
- hypoglycemia
- pancreatitis (rare, but serious)
- diarrhea
Linagliptin
Brand: Tradjenta
Class: Dipeptidyl Peptidase- 4 inhibitor
Indication: type 2 DM
S/E:
- hypoglycemia
- pancreatitis (rare, but serious)
Pioglitazone
Brand: Actos
Class: Thiasolidinedione Antidiabetic
Indication: Type 2 DM
S/E:
- hypoglycemia
- edema
- HF (rare, but serious)
Canagliflozin
Brand: Invokana
Class: Sodium- Glucose Cotransporter 2 (SGLT2), inhibitor, antidiabetic
Indication: type 2 DM
S/E:
- hypoglycemia
- genitourinary fungal infections
- lower limb amputation (rare, but serious)
Liraglutide
Brand: Victoza, Saxenda
Class: Glucagon- like peptide 1 receptor agonist
Indication:
- type 2 DM
- chronic weight management
S/E:
- nausea
- injection site reactions
- hypoglycemia
Metformin
Brand: Glucophage
Class: Biguanide, Hypoglycemic
Indication:
- Type 2 DM
- Polycystic Ovarian Syndrome
S/E:
- diarrhea
- upset stomach
- nausea
Insulin
Brand: Humilin R, Humulin N, Humulin 70/30, Afrezza
Class: Insulin, short acting (R), intermediate acting (NHP) is humulin N
Indication:
- type 1 DM
- type 2 DM
S/E:
- hypoglycemia
- weight gain
- injection site reactions
Regular Insulin
Brand: Humulin R
Class: Regular Insulin, Short Acting (R)
Indication:
- type 1 and 2 DM
(onset (SQ): 30-60 mins, usually taken 30-60 mins before a meal
peak (SQ): 2-4 hours
duration (SQ): 6-8 hours
clear solutions; give SQ, IV or IM)
S/E:
- hypoglycemia
- weight gain
- injection site reactions
Insulin 70/30
Brand: Humulin 70/30
Class: Premixed intermediate and short acting insulin (70% NPH & 30% regular insulin)
Indication:
- type 1 & 2 DM
S/E:
- hypoglycemia
- weight gain
- injection site reactions
Insulin Aspart
Brand: Novolog, Novolog Flexpen
Class: Insulin, Rapid acting
Indication:
- type 1 & 2 DM
S/E:
- hypoglycemia
- weight gain
- injection site reaction
(most RAPID onset= within 5-15 minutes, usually taken before a meal
make sure patient is able to get their meal right after ASAP
peak= 1-2 hours
duration= 3.5 - 5 hours
clear solutions; give SQ)
Insulin Lispro
Brand: Humalog, Humalog Kwikpen
Class: Insulin, Rapid acting
Indication:
- type 1 & 2 DM
S/E:
- hypoglycemia
- weight gain
- injection site reaction
(most RAPID onset= within 5-15 minutes, usually taken before a meal
make sure patient is able to get their meal right after ASAP
peak= 1-2 hours
duration= 3.5 - 5 hours
clear solutions; give SQ)
Insulin Determir
Brand: Levemir
Class: Insulin, Long Acting- basal insulins (long acting insulin is called basal insulin because it acts like the pancreas by delivering basal insulin constantly and then giving rapid acting insulin as a needed bolus)
Indication:
- type 1 & 2 DM
S/E:
- hypoglycemia
- weight gain
- injection site reactions
(onset: 1-2 hours
peak: none
duration: 24 hours
release constant and steady level of insulin, usually given once a day
clear solutions; given SQ, should NOT be mixed (in a single syringe) with other insulins
NEVER GIVE IV)
Insuline Glargine
Brand: Lantus, Toujeo
Class: Insulin, Long acting (long acting insulin is called basal insulin because it acts like the pancreas by delivering basal insulin constantly and then giving rapid acting insulin as a needed bolus)
Indication:
- type 1 & 2 DM
S/E:
- hypoglycemia
- weight gain
- injection site reaction
Testosterone
Brand: Androgel, Androderm
Class: Androgen (control III)
Indication:
- hypogonadism
S/E:
- benign prostatic hyperplasia (BPH)
- PSA increase
- testicular atrophy
Estradiol Oral
Brand: Estrace
Class: Estrogen
Indication:
- menopause
- breast cancer
- postmenopausal osteoporosis
S/E:
- weight changes
- nausea/vomiting
- disturbance in mood
Estradiol Transdermal patch
Brand: Vivelle- DOT, Estraderm
Class: Estrogen
Indication:
- vasomotor symptoms postmenopause
- vaginal atrophy postmenopause
- osteoporosis prevention
S/E:
- weight changes
- breast swelling
- application site irritation
progesterone
Brand: Prometrium
Class: Progestin Hormone
Indication:
- amenorrhea
- prevention of endometrial hyperplasia
- assisted reproduction for infertile women
S/E:
- weight changes
- breast tenderness
- amenorrhea
Thyroid
Brand: Armour Thyroid
Class: Thyroid Supplement
Indication:
- hypothyroidism
S/E:
- anxiety
- insomnia
- increased appetite
Levothyroxine
Brand: Synthroid
Class: Thyroid Supplement
Indication:
- hypothyroidism
S/E:
- anxiety
- insomnia
- increased appetite
EEE Ring (ehtinyl estradiol and etonogestrel ring)
Brand: Nuvaring
Class: Contraceptive
Indication:
- contraception
S/E:
- weight changes
- breast tenderness
- breast swelling
OC combinations
Types:
- monophasic: estrogen component/progestin component
- biphasic: estrogen component/progestin component
- triphasic: estrogen component/progestin component
Class: oral contraceptive
Indication:
- contraception
- polycystic ovary syndrome
- dysmenorrhea
S/E:
- weight changes
- breast tenderness
- breast swelling
Apixaban
Brand: Eliquis
Class: Factor Xa Inhibitor
Indication:
- Atrial fibrillation
- hip/knee replacement
- deep vein thrombosis
- pulmonary embolism
- stroke prevention
S/E:
- hemorrhage
- nausea
- heavy menses
- black box warning: potential spinal hematomas if patient has an epidural catheter; avoid if recent spinal puncture
Warfarin
Brand: Coumadin
Class: anticoagulant, vitamin K antagonist
Indication:
- atrial fibrillation
- pulmonary embolism
- myocardial infarction
S/E:
- hemorrhage
- rash
- diarrhea
- anemia
- tissue necrosis
Clopidogrel
Brand: Plavix
Class: Platelet aggregation inhibitor
Indication: Myocardial infarction
S/E:
- hemorrhage
- agranulocytes
Enoxaparin
Brand: Lovenox
Class: Anticoagulant
Indication:
- deep vein thrombosis tx
- deep vein thrombosis prophylaxis
- unstable angina
- myocardial infarction
S/E:
- hemorrhage
- thrombocytopenia
- anemia
- injection site reactions