ㅈㅇㅎ노트정리 Flashcards

1
Q

ARDS

A

acute respiratory distress sundrome. 급성호흡곤란증후군

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2
Q

AED

A

automated external defibrilator. 자동심장충격기

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3
Q

ALL

A

acute lymphoblastic leukemia. 급성 림프구성 백혈병

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4
Q

ALS

A

amyotrophic lateral sclerosis. 루게릭병. 근위축성 축삭경화증

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5
Q

alport syndrome

A

genetic nephritis. 사구체 기저막 이상. 진행성 신장염 증상

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6
Q

aphasia

A

언어곤란

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7
Q

aphagia

A

연하곤란

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8
Q

agnosia

A

인지불능(사물이름 모름)

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9
Q

asterixis

A

자세고정불능증. jerky movement, hand tremor

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10
Q

anascar

A

전신부종

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11
Q

ADL

A

activity of daily living. 일상생활동작. 식사, 배설, 목욕, 옷 갈아입기, 보행 등 일상생활의 기본적인 동작

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12
Q

BRM

A

biological response modifier. 생체반응조절물질. 종양에 대한 생체의 저항을 면역계나 호르몬 분비 등을 통해 조절하는 물질이다. target for Ca, infection, other Dz Tx. Tx)lier failure, Agranulo-cytosis, N/V, renal failure Medi) cytokines, Cyclosporine

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13
Q

BKA

A

below knee amputation. 무릎하절단

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14
Q

CMV

A

cytomegalo virus

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15
Q

CPD

A

cephalo-pelvic disproportion. 아두골반불균형, 난산예고

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16
Q

C-PAP

A

constant positive air pressure. 지속적공기양압

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17
Q

CVAD

A

central vascular assess device.중심혈관삽입장치

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18
Q

commb’s test

A

Rh(-) 항체 검사

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19
Q

claudification

A

파행증. 다리로 내려가는 동맥이 좁아져 혈류방해

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20
Q

cullen’s sign

A

umbilical ecchymosis acute pancreatitis Sx

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21
Q

chest syndrome

A

흉부 증후군

_; 겸상 적혈구 빈혈 환자_에게서 흔히 볼 수있는 폐 혈관계의 혈관 폐쇄 성 위기 입니다. 흉부 X 선 촬영시 폐의 새는 불투명 함 .

  • Sx : sickle-cell patients . including fever, cough, excruciating(극심한) pain, sputum production, shortness of breath , or low oxygen levels .
  • Tx: Streptococcus pneumoniae 및 mycoplasma 와 같은 일반적인 감염, 통증 조절 및 수혈 을 다루는 광범위한 항생제. +수혈 ,기관지 확장제
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22
Q

CIN

A

cervical intraepithelial neoplasia 자궁경부암

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23
Q

CRPS

A

complex regional pain syndrome.

복합부위 통증 증후군. 외상 후 특정 부위에 발생하는 만성 신경병성 통증과 이와 동반된 자율신경계 기능 이상, 피부 변화, _기능성 장애_를 특징으로 하는 질환 eti) cord stimulation Sx) sudden back pain, cold sense on extremity

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24
Q

Criocoid process

A

윤상연골. adam’s apple

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25
Q

claustrophobia

A

폐쇄공포증

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26
Q

cardiac feebleness

A

허약, 자주 syncope attack. sx) heart sound feeble(아주약한), palpitation(심계항진), dyspnea, visual disturbance(시각장애), dizziness, tinnitus(이명), headache -> stupor -> coma

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27
Q

COA

A

coaction(강제,상호작용) of aorta 하지로 가는 혈관문제, 하지와 상지의 심한 혈압차이.

: tracheal artery(기관지동맥) , subclavian artery, carotid artery involved.

  • head, upper extremity-> BP↑, pulse↑, warm, epistaxis(코피)
  • low extremity, body-> BP↓, pulse↓, cool

Tx) OP but not cure, 평생 anti thrombus (항혈전제)

Nsg) heart assess

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28
Q

cremestric reflex

A

inner thigh stroke. -> erection(발기), 20대이후

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29
Q

chron’s disease

A

small intestine(작은창자) disease.

특징) 직장상실 등 stress가 원인

diet) high protein

Sx) bloody, mucose stool->Diarrhea(우선순위)

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30
Q

celiac disease

A

아기들의 식물성 glutin 소화장애. avoid : noodle, hot dog, bread, oat meal, wheat

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31
Q

curling’s ulcer

A

Curling’s ulcer is an acute gastric erosion resulting as a complication from severe burns(화상후에 주로 생김) when reduced plasma volume leads to ischemia(허혈) and cell necrosis (sloughing) of the gastric mucosa.

eti) stress, ulcer, duodenal ulcer -> melena 유발

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32
Q

cystic fibrosis

A

낭성 섬유증. 모든 hole이 mucosa로 막힌다. 주로 _폐와 소화기관_에 영향. airway- thick sputum-> suction sweat gland- electrolyte imbalance(NaCl↓)-> fluid에 추가 pancreas- indigestion -> _pancreatic enzyme_을 매 식사에 추가

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33
Q

Cushing’s triad

A

쿠싱 삼징후

고전적인 ICP(뇌압) 상승 징후.

systolic BP↑, pulse ↓, respiration↓, BT↑ -> 이중 3개의 증상을 involve할 때

Sx) restless leg syndrome(하지불안증후군) -> whole body Or restless leg, insomnia

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34
Q

DIC

A

disseminated intravascular coagulation. 파종성혈관내응고 . 전신의 미세혈관에 파종성(씨를 뿌림)으로 응고덩어리가 만들어져 혈소판이나 응고인자가 소비되고 그 결과로서 출혈경향, 장기장애를 일으키는 심각한 병태이다

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35
Q

Dysequilibrium

A

평ㅎ여장애

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36
Q

Dysthmia

A

기분저하증(수주동안 지속)

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37
Q

diversional therapy

A

DT.오락요법.leisure Tx. Ex)dancing, card play

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38
Q

DPAHC

A

Durable Power of Attorney for Health Care 헬스케어를 위한 지속적 위임장

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39
Q

dystocia

A

난산

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40
Q

DDAVP

A

desmopressin. 소변량을 조절하기 위해 뇌하수체가 분비하는 항이뇨호르몬인 바소프레신(vasopressin)의 펩티드 유래 합성 아날로그제로, 중추성 요붕증(diabetes insipidus)에 사용한다. ADH hormone, casopressin, pitressin

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41
Q

EMLA

A

Eutectic Mixture of Local analgesics

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42
Q

ECDB

A

encourage coughing & deep breathing

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43
Q

oral pill의 효과를 감소시키는 약물

A
  • all antibiotics ex) ciproploxacin, ampicilline - all psycho-drug ex) tegretol, dilantin
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44
Q

hyper - thyroidism medication

A

PTU, topazol, inderal, steroid, lugol’s solution, iodine131 (radiation type)

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45
Q

hypo - thyroidism medication

A
  • synthroid, cytonel s/e) angina, MI
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46
Q

Ventricular fibrillation medication

A

심실세동 medi.

심전도상 매분 170∼300인 것을 조동, 300∼600인 것을 세동이라 하여 구별.

lidocaine, rhythmol, quinidine, amiodarone, codarone

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47
Q

sulfa 계 항생제

A

bactrim, azulfidine, gentrisin s/e) hypoglycemia, 그외, glucophagy(당뇨약)와 allergy 공유

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48
Q

bradycardia check medication

A

-lol(ex.propranolol),DGX(digoxin), CMT(cimetidine)

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49
Q

안전문제 유발약

A

Ca-channel blocker, ~thiazide, loop-diuretics(aldactone), mygrine drug(≒ dizziness), anti-parkinsonism drug, radiation type drug, hypoglycemia 유발약 (DM medication) ~zine.

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50
Q

BPH drug

A

BPH: 전립선 비대증 [benign prostatic hyperplasia]

-① proscar -> anti-adrenergics

② zoladex -> anti-testosterone (size ↓)

s/e) BP↓, pulse↓, RR↓, erection 불가능

③ oxybutinin,

④ ackazolam -> anti-cholinergics, muscle elasticity ↑

s/e) dry mouth, GI disturbance, 그외, 식이제한 없음

⑤ niladrone

indication) BPH, prostatic Ca., chemo-drug의 부작용을 줄일 목적, 그외, 물 많이 (6 ~ 8 glasses /day)

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51
Q

Parkinson Ds. drug

A
  • Levo-dopa, cogentin, elderpryl, cinemet, artane -> share 가능, 식후

s/e) BP↓, pulse↓, dizziness, GI disturbance, dry mouth, dyskinesia(이상운동증), mental retardation(정신지체), dark urine, NMS(neuroleptic malignant syndrome.신경이완제악성증후군;급격한 고열, 발한, 의식장애, 진전), EPS(extrapyramidal symptom.추체외로증상; 손발의 떨림, 불수의운동, 신체경직 등 근육긴장을 조절할 수 없게 된 상태), on-off phenomenon

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52
Q

bone marrow function rising drug

A
  • neupogen, GM-CSF(Granulocyte-macrophage stimulating factor), neulasta => WBC ↑, Bone marrow ↑
  • epogen => RBC ↑, anemia Tx,

contraindication[금기증]) hypertension, bone Ca.

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53
Q

chemo-drug

A
  • methotrexate, 5Fu, 6MP, VCS, cytoxan, floex, Iodine131, Iodine123 -> s/e) fetal distress => 화장실 변기의 물을 두번이상 내린다. (독성이 다른 사람에게 영향을 미치지 않도록)
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54
Q

hypoglycemia 유발약

A
  • anti-coagulant(항혈전제), chlorampenic(항생제) clofibrate(항콜레스테혈증제), ASA, inderal, MAO inhibitor, ~lol, sulfonamide
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55
Q

hyperglycemia 유발약

A

corticosteroid, thiazide(이뇨제), diuretics, phenytoin(dilantin), estrogen

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56
Q

hypoglycemic agent 쓸 수 없는 병

A

kidney, liver, heart problem -> renal failure, liver ds, heart failure, pul. edema, alcoholism

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57
Q

spironolactone 과 glucophage, verotec 의 공통 side effect

A
  • spironolactone= 이뇨제·항고혈압제용 스테로이드
  • glucophage = 당뇨약

dizziness, hypotension, dysrhythmia

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58
Q

potassium 배출 약물

A

5% DW + RI, alkaline bicarbonate, key oxalate enema 효과) loose stool contraindication) diarrhea

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59
Q

K - sparing diuretics

A
  • aldactone, spironolactone, midamor, amiloride 용법) bid with meal, qd (무조건 아침에 복용) hs (절대 금지 ≒ 이뇨 작용약이므로 계속 소변이 나와서 잠을 잘 수 없다.) 용량) 5 ~ 10mg/day contraindication) auria, ESRD, renal ds, KCL mixed fluid
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60
Q

liver cirrhosis 환자 금지 약물

A

INH(이소니아지드.결핵의 예방과 치료에 사용되는 항결핵성 항균제), Dephakin(anti-seizure), adrenergics(isoprel), ASA(아스피린.비스테로이드성항염증제), NSAIDs, steroid, heparine(bleeding가능성있어서), darvon(ASA+ tyrenol), tyrenol

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61
Q

hypokalemia 환자 금지 약물

A

DGX, lasix, colace(변비약)

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62
Q

hyperkalemia 환자 금지 약물

A

inderal ( β - blocker, ~lol), capoten ( ACE inhibitor ) adalctone ( K-sparing diuretics )

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63
Q

aneurysm 환자 금지 약물

A
  • heparine, epinephyrine(adrenalin), dopamin, levo-dopa, dobutrex(도부타민), isoprel(카테콜라민), ASA, NSAIDs
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64
Q

glaucoma(녹내장) 환자 금지 약물

A

anti-histamine(benadryl), atropine, epinephyrine, demerol, isoprel(bronchodilator)

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65
Q

asthma 환자 금지 약물

A

anti-histamine

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66
Q

cholesterol 저하 효과 약물

A
  • mebacor, zocor, crestor, lipitor, HMG-COA, qustran, niacin, symbastatin, ~bastatin s/e) GI disturbance(with meal, evening or hs qd) liver failure -> LFT check (NPO 필수) muscle spasm diet) Fat ↓, cholesterol ↓ contraindication) pregnacy 그외, 중간에 수치가 떨어져도 6개월간 계속 투약한다.
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67
Q

NSAIDs 제제

A

Ibuprofen, edvil, naploxen, indometacine, tradolol s/e) bleeding -> 주로 melena

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68
Q

DVT =deep vein thrombosis, 환자 약물

A

enoxaparine, dalteparine, plavix, fragmin, waparin,heparin, levo-nox, coumadine 용법) self home injection, 25 ~ 27 needle사용, abdomen

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69
Q

TB drug

A
  • 1st line :

riphampin -> s/e) dark urine

myambutol -> s/e) eye pain, blurred vision

INH -> s/e) GI disturbance, liver failure, neuritis =>Vit. B6 필요

* extra drug - PAS

  • 2nd line : streptomycin -> hearing loss
70
Q

steroid 제재

A

decardrone, solumedrol, cerestone

71
Q

mix 금지 약물

A
  • Mg + ampiciline
  • L.C. + tyrenol, darvon
  • seizure drug + benzodiazephine
  • prolixin, NSAIDs, steroid -> 항상 bleeding tendency를 염두에 두고….
72
Q

Alzheimer drug

A
  • reminyl, aricept, exelon s/e) GI disturbance, liver failure, dizziness
73
Q

ADHD

A
  • retarline, dexedrine, primarin

s/e) insomnia, 성장장애

효과) social manner ↑, toilet and sleep pattern ↑, 마주 보고 웃는다, 눈을 마주 친다.

74
Q

헷갈리는 약 1

A
  1. topazole : hyper-thyroidism Tx

tamoxifen : anti-estrogen

topamax : mygrine Tx

topranil : TCA 제제, 정신과약물

75
Q

헷갈리는 약 2

A
  1. fragmin : anti-coagulant

plavix : anti-coagulant

prolixin : 정신과 약물,

76
Q

헷갈리는 약 3

A
  1. elavil : =isofranil, imipramin, TCA제제, 정신과 약물

edvil : NSAIDs

elderpryl : anti-parkinsonism Tx, MAO inhibitors

77
Q

SSRI 제제

A

[selective serotonin reuptake inhibitor]

:선택적세로토닌재흡수억제제. 항우울작용이 있는 신경전달물질인 세로토닌의 재흡수를 선택적으로 억제하여, _세로토닌 양을 늘려서 작용을 증강_시키는 약제로, 우울증 외에 공황장애 등 불안장애에 이용된다.

-prozac,

zoloft,

paxil,

effexa

->아침 식후(≒ insomnia),

s/e) Wt. loss, GI disturbance, importance

모든 정신과약 중에 부작용이 가장 적다.

diet) 식이제한 없음 …예외 -> coffee

78
Q

MAO inhibitor

A

MAO 억제제

: 모노아민산화효소 억제제 mono amine oxidase inhibitor를 말하는 것. _생체아민(도파민, 세로토닌 등)을 증가_시켜 _항우울작용_을 나타낸다. 항우울제로서 울병, 울상태에 사용하는데, 3환계 항우울제로서의 _병용은 금기이_고 간장애나 기립성 저혈압이 생기기 쉽고, 티라민함유식품(치즈, 콩 등) 섭취로 고혈압발작이 생길 수 있다.

-nardil,

parnat,

elderpryl,

remerone

-> s/e(side effect)) BP↑, headache

diet) avoid tyramin food (cheeze, yogurt, wine, coffee)

-> 반드시 식이제한 지켜야 한다.

약의 효과는 2~3주후에 나타나지만

2~3일 후부터는 비정상적인 에너지가 증가하여

suicide 위험이 있으므로 close observation 요함.

79
Q

TCA 제제

A

tricyclic antidepressant

: 삼환계항우울제. 세로토닌(serotonin)과 노르아드레날린(noradrenalin)의 재흡수를 억제하여 항우울 효과를 나타낸다.

  • immipramin,

tofranil,

anapranil,

elavil

-> s/e) drowsy (≒ hs po), orthostatic hypotension,

blurred vision, fatigue, tachycardia, bleeding,

sexual dysfuction, urinary retension,

Wt. gain (≒ constipation),

diet) Na ↓, CHO ↓

80
Q

wellbutrin

A

부프로피온

: 부프로피온은 우울증 치료와 금연 치료에 보조적으로 사용되는 약물이다. 뇌에서 _도파민*과 노르에피네프린이라는 신경전달물질을 증가_시켜 우울증을 개선하고, 니코틴처럼 담배의 역할을 대신-> 금단증상과 흡연 욕구를 감소. 단일제 중 속방형(rapid effect) = 우울증 치료, 서방형(약물이 서서히 방출되도록 만든 제형) = 우울증 + 금연 시 나타나는 니코틴 금단증상의 치료. 식욕억제중추를 활성화->식욕 억제, 포만감높임. 비만 환자의 체중 조절을 위한 보조제로 사용.

  • Qd, morning

s/e)agitation, constipation, drowsy, tremor

81
Q

Anti-manic

A

조병억제제

  1. Depakine (valporic acid)
  2. Lithium

indication[적응증]) decrease cordination(신체조정력)

s/e) vomiting, diarrhea (있어도 주지만 용량을 줄인다.), hand tremor, ataxia,

oral pill의 효과를 떨어뜨린다. coffee allergy

Rab) BUN, Cr, CBC -> 2~3주마다 check

TFT(thyroid function test.갑상선기능검사), lithium level -> 2~3주마다 check

  1. Benzodiazephine

Xanax

Ativan,

~pam

  • 효과는 즉시 나타난다. ( IM할때)

s/e) dry mouth, dizziness( activity, alchohol limit)

all vital sign ↓ -> 단기간만 쓴다. (addiction 위험)

82
Q

Anti-psychotic

A

항정신병약

  1. Thorazine(토라진)= chlorpromazine hydrochloride 제제의 상품명.
  2. Prolixin - long effect
  3. Clozaril

s/e) agranulocytosis(무과립구증: 과립구, 특히 호중구가 현저하게 감소. 500/μL 이하가 된 상태) -> CBC check

hyper salivation(타액분비) -> 다른 약은 다 dry mouth

sore throat -> notify

  1. Olanzapine (대표적 신세대 Psycho drug)

s/e) neck stiffness, Wt. gain

용법) with meal, qd

  1. Seroquel

s/e) gum bleeding(잇몸출혈), photosensitivity(광과민성), blurred vision,

muscle stiffness -> notify

그외, alchohol avoid

  1. Haldol

indication[적응증]) acting out(행동화. 한 개인이 자신의 기억이나 태도, 또는 갈등을 말보다는 행동을 통해 표현하는 것.) -> medication 거부시 IM

s/e) photosensitivity, NMS(neuroleptic malignant syndrome. 신경이완제악성증후군. 향정신제(psychopharmaceutical)의 심각한 부작용으로, 급격한 고열, 발한, 의식장애, 진전 등이 생기며 방치하면 죽음에 이를 가능성이 있다.), Wt. gain, hyperventilation,

dizziness -> notify

그외, cytrus juice avoid

83
Q

Anti-Seizure drug

A
  1. Dilantin

s/e) crystal urine -> 약 주기 전, 후 flushing, dizziness,

diarrhea -> 예상 sign

용법) with meal,

그외, 2 ~ 3주 마다 level check

  1. Tegretol (= cabamazepine)

s/e) gum bleeding(잇몸출혈), bruise(멍) -> CBC check (WBC 3000↓ -> notify)

  1. Topamax

indication[적응증]) small seizure, migrine(편두통)

s/e) stone (kidney) -> water ↑

그외, 평생 투여한다.

  1. neurontin (=gavapentine)
    indication) ataxia(운동실조), dizziness, increse appetite, Wt, gain, fatigue, irritavility,

drowsy, blood dysplasia (gum bleeding), GI disturbance,

agranulocytosis(무과립구증.과립구, 특히 호중구가 현저하게 감소해 500/μL 이하가 된 상태. 적혈구 · 혈소판 수는 정상), hematuria (-> notify),

diet) high fiber

그외, 평생 투여한다.

84
Q

모든 정신과약 s/e

A
  1. EPS[extrapyramidal symptom. 추체외로증상(피라미드바깥길증상). 손발의 떨림, 불수의운동, 신체경직 등 근육긴장을 조절할 수 없게 된 상태]
  2. NMS[neuroleptic malignant syndrome. 신경이완제악성증후군. 향정신제의 심각한 부작용, 급격한 고열, 발한, 의식장애, 진전 etc. 방치하면 죽음에 이를 가능성] -> fever, seizure, confusion
  3. orthostatic hypotension(기립성 저혈압)
  4. dry mouth -> sips of water, ice chip, a lot of water avoid
  5. photosensitivity
  6. constipation -> high fiber diet
  7. agranolocytosis (무과립구증. sore throat, fever -> notify)-> CBC check
  8. dizziness
  9. blurred vision
  10. breast milk (galactorrhea. 유즙분비증. 임신 및 출산을 동반하지 않은 상태에서 유즙이 분비되는 상태)

※ Anti-parkinson drug -> dry mouth, nasal congestion(코막힘), urinary retention(요폐.방광에 오줌이 괴어 있지만 배뇨하지 못하는 상태)

85
Q

Amrinone

A

= incor

:강심제 (DGX효과 없을때)

  1. 75 ~1.5mg bolus
    indication) hypo-volemic shock -> BP assess(every per 15min.)

s/e) hypertension

86
Q

Amiodaron

A

indacation[적응증]) dysrhythmia, VF([ventricular flutter.심실조동.심실이 고빈도로 수축하는 치명적인 상태] , post defibrillation(세동 제거후)

usage) 5%DW mix + VAD…VAD요?… 심실보조장치요?..뭐요? ㅅㅂ… 몰겠네여…

87
Q

Actonel

A

= fosamax

indication) osteoporosis(골다공증)

s/e) bone pain (notify), chest pain, heart burn,

nausea, stomach pain, constipation

usage) 아침 식전, upright position 30min.
diet) Vit.D, Ca ↑

그 외, exercise ↑

88
Q

AZT

A

= aztreonam

: AIDs progression delay.

s/e) agranulocytopenia( is an acute condition involving a severe and dangerous leukopenia (lowered white blood cell count), most commonly of neutrophils, and thus causing a neutropenia in the circulating blood. very high risk of serious infections.) -> CBC check !

89
Q

Amphoterisin B

A

: 항생제,

indication) fungal infection(진균증)

s/e) nephrotoxicity(신독성) - oligouria(핍뇨)

agranulocytopenia(특히 백혈구감소증)

=> BUN, Cr, CBC check

90
Q

Accolate

A

: bronchdilator(기관지확장제). Asthma의 지속적 치료

not share antibiotics, steroid

usage) 식전 1시간, 식후 2시간 (=공복)

증상이 호전되어도 6개월간 계속 쓴다.

91
Q

Aggrastat

A

= tirofiban

: anti-angina drug (항협심증약)

indication) CAD(coronary artery DZ) -> acute stage

s/e) bleeding tendency, thrombocytopenia(혈소판감소증)

92
Q

Alupent

A

: bronchodilator(기관지확장제)

s/e) wheezing -> paradoxical bronchospasm(모순된 기관지경련) -> if developed -> notify

93
Q

Amicarr

A

: anti-fibrolytic agent( 항섬유소용해제)

94
Q

ativan

A

=lorazepam

indication) anti-anxiety, insomnia, alcohol withdrawl,
antidot) flumazenil

95
Q

aminoglycoside 제제

A

= GM(겐타마이신. 아미노글리코시드(aminoglycoside)계 항균제), KM(카나마이신. 아미노글리코시드(aminoglycoside)계 항균제)

s/e) ototoxicity(이독성.청각문제), nephrotoxicity, neuromuscular blockage(신경근차단)

96
Q

aldactone

A

= spironolactone

indication) ESRD(위식도역류질환)
usage) qd, bid, with meal but hs -> 절대 안됨

contraindication[금기증]) auria(무뇨), ADI(acute drug intoxication 급성약물중독), hyperkalemia

diet) low K

97
Q

antivert

A

meclizine

indication) Meniere disease.

현기증과 발작을 반복하면서 만성으로 경과하는 대표적인 비염증성 내이질환

98
Q

Accutane

A

indication) Acne(여드름) Tx.
- ① mild soap & water, twice per day

② avoid chocolate, coffee

③ not squeezing, picking

s/e) liver failure -> LFT(liver function test) check

teratogenic deformity(기형발생쉬운..) ->do not care, pragnant nurse

99
Q

Accarbose

A

: NIDDM(non-insulin-dependent diabetes mellitus. 인슐린비의존성당뇨병. 제2형당뇨병),

s/e) GI disturbance, flatus(장내가스), diarrhea

usage) with meal

100
Q

adriamycin

A

: chemo-drug

s/e) ototoxicity(이독성, 청각손상), nephrotixicity, neuro-muscular blockage, photo-sensitivity

101
Q

allopurinol

A

= colchicine

: uric acid↓, metabolic acidosis ↓

s/e) GI disturbance, headache, drowsy, dizziness, anemia,

agranulocytosis, rash, liver failure

usage) with meal, water↑, CBC, LFT check

102
Q

ASA

A

aspirin (비스테로이드성항염증제)

: anti-pyretics(열내리는약), anti-inflammatory, anti-thrombus

s/e) ① Reye syndrome(라이증후군.감기나 수두 등의 바이러스에 감염된 어린이나 청소년이 치료 말기에 갑자기 심한 구토와 혼수 상태에 빠져서 생명이 위험한 상태에까지 이르는 질환) -> seizure

② bleeding -> stool OB(occult blood.잠혈검사), hematuria check

③ GI upset (식이제한 없음)

④ tinnitus(이명)

⑤ overdose -> respiratory alkalosis, PH↑, PCO2↓, PO2↑

⑥ intoxification -> metabolic acidosis -> PH↓, HCO3↓

103
Q

amaryl

A

: glymepiride, 24hr용

s/e) renal failure, GI upset -> with meal

104
Q

Aqua-mephyton

A

= phytonadin, Vit.K

: 생후 24시간 이내, 1회, deep IM

105
Q

Aricept

A

indication) alzheimer pt. mental improve, but not cure !

106
Q

antacid

A

제산제

: neutralization (중화)

= amphogel(aluminum) -> ‘P’ binding (인결합제)

thum -> calcium

melox, mylanta -> Mg,

s/e) diarrhea

107
Q

benadryl

A

: anti-histamine

contraindication[금기증]) asthma

108
Q

buspar

A

: anti-anxiety drug,

short term use -> addiction 주의 !

usage) with meal

s/e) liver failure. renal failure, glaucoma(녹내장)

109
Q

beroptic

A

: IOP[intraocular pressure.안압] ↓, β-adrenergic blocker

indication) glaucoma(녹내장)

110
Q

BAL

A

British anti-lewisite.영국항루이사이트. 다이머카프롤(dimercaprol)의 상품명, 유기비소화합물인 독약의lewisite에 대한 해독제. 비소, 수은, 아연 등의 중독에 사용.

indication) lead poisoning

111
Q

bactrim

A

= septra, azulfidine, gentrisin

s/e) crystal uria, GI disturbance, photosensitivity,

hypoglycemia(저혈당), ototoxicity

contra[금기]) pregnancy, sulfa allergy,

112
Q

baclofen

A

: muscle relaxant(근이완제)

indication) spinal cord injury or multiple sclerosis(다발성경화증)

113
Q

benzodiazepine line

A

① xanax - anti-anxiety

② ativan (valium) - anti-seizure, alcohol withdrawl, insomnia

③ lorazepam

④ diazepam

s/e) CNS depression(중추신경억제) -> slowly IV

GI disturbance -> with meal

dry mouth -> sips water

dizziness

dependency -> short time

그외, do not share, valium !

114
Q

cogentine

A

indication) parkinson’s ds
usage) whole tablet, bid or tid, water↑, after meal or with meal

115
Q

codarone

A

=amiodarone

indication) AF(atrial fibrillation.심방조동.심방이 1분간에 250∼350의 빈도로 규칙적으로 수축하는 상태), dysrhythmia

116
Q

cromolin sodium

A

indication) asthma,
usage) qd, inhalation

117
Q

coumadine

A

= wafarine

: anti-coagulant

antidot) Vit.K
diet) avoid green leaf vegetables

118
Q

cyclobay

A

s/e) photosensitivity, GI disturbance -> water ↑

119
Q

cozzar

A

=losatan

: ACE inhibitors, anti-hypertensive agent

usage) 25mg, 50mg, 100mg p.o.

5mg, 15mg IV volus

contraindication[금기]) pregnancy, breast feeding, nursing mom.

s/e) tachycardia, hot flushing, headache

120
Q

clozaril

A

indication) schizophrenia (not response to other medication)

121
Q

carbi-dopa

A

= levo-dopa

usage) 10mg, 100mg P.O. (25 ~ 100mg tid 가능)

122
Q

cipro-floxacin

A

= ciprobay

: quinidine line antibiotics

indication) UTI secondary infection

respiration tract infection

GI infection

gonorrhea(임질),

skin infection

bone infection

usage) 다른 약과 2~4시간 차이를 두고 투약

s/e) live failure, photosensitivity, oral pill effect ↓

그외, 약의 효과는 3일 이후부터 나타난다. (sometimes, 5 ~ 10day )

123
Q

cyclophoskol

A

indication) psoriasis(건선)

124
Q

cabamazine

A

= tegretol

: anti-seizure, CNS depressant(중추신경계억압)

s/e) gum bleeding(잇몸출혈) -> oral care

liver failure,

rash,

GI disturbance,

leukopenia(백혈구증가증)

125
Q

chlorophromazine

A

= ~zine,

= tegretol

s/e) photosensitivity -> 긴팔, 긴옷

126
Q

colchicine

A

: uric acid ↓, gout arthritis(통풍관절염)

s/e) nausea, vomiting,

agranulocytosis -> CBC check

liver failure

renal failure -> BUN, Cr

127
Q

cytoxan

A

= cisplatin

: chemo-drug

s/e) tinitus(이명), cystitis(방광염),

missing finger & toe (fetus)

contraindication) nursing mom.
diet) water ↑

128
Q

calcitonin

A

indication) osteoporosis(골다공증)

s/e) redness, nausea, vomiting, renal failure, headache, hot flushing

usage) deep IM

129
Q

diflucan

A

indication) anti-fungal infection(항진균제감염), AIDs etc.
- >chemotherapy 도중 면역이 떨어져서 생기는 감염. candidiasis(칸디다증) etc.

130
Q

danazol

A

= ludgo depot

indication) endometriosis(자궁내막증)

131
Q

dopamine

A

= isoprel

: neurotransmitter(신경전달물질), BP↑

usage ) fluid mix

dosage ) Dr. prescription(처방)에 따라

환자 상태에 따라 -> 너무 잘 아시져?

132
Q

dobutamine

A

indication) hypotension
effect) BP↑ but urine output ↑

133
Q

darvon

A

= propoxyphene

indication) mild to severe pain

134
Q

diamox

A

= Acetazolam

= Xalatan

: anti-convulsant(항경련제)

IOP[intraocular pressure.안압] ↓, 축동이뇨

indication) glaucoma (녹내장)

s/e) hypokalemia

diet) K↑ diet, water↑, Na↑

135
Q

dilantin

A

= tegretol

: CNS depressant (중추신경계 억압)

s/e) blood dysplasia(이형성) (gum bleeding.잇몸출혈)

liver failure -> LFT check, at least per 2wks

136
Q

DES

A

= diethylstilbesterol 디에틸베스테롤

: estrogen

137
Q

DDAVP

A

= ADH hormone

= vasopressin

= pitressin(vasopressin의 상품명)

138
Q

Dilaudid

A

= morphine line, opioid

139
Q

dexedrin

A

indication) ADHD
effect) social manner improve

그외, 유사제제로 retalin등이 있다.

140
Q

doxy-cycline

A

= doxorubicine

s/e) GI disturbance, bone marrow supression(골수억제), blister, pigmentation(색소침착), mucositis (점막염)

= tetracycline

s/e) tooth discoloration(치아변색), photosensitivity,

GI disturbance -> with meal, water ↑

그외, Not share antacid(제산제)

141
Q

DGX

A

digoxine

: 강심이뇨

dosage) digitalizing(loading) dose - 0.125 ~0.25 qid

maintain dose - 0.125 ~ 0.25 qd

첨에 시작할때는 혈중농도를 올리기 위해

하루 네번,좀 많이 주고,

어느 정도 준비가 됐으니까

같은 양을 하루 한번만 주는 것으로 이해하시면

따로 외우지 않아도 될 것 같습니다.

s/e) anorexia(신경성식욕부진증) ( potassium ↓ symptom

-이뇨 작용이 있으므로

potassium이 많이 빠져 나가게 되고

이어 모든 평활근이 늘어져서 소화가 잘 안된다.)

=> 여기서,저번에 적어드린 electrolyte imbalance 한 번 보고 가시면 쉽습니다.

GI disturbance

blurred vision

142
Q

esidrex

A

= ~ thiazide

: anti-hypertension drug

143
Q

Elderpryl

A

: anti-parkinsonism drug

144
Q

Elavil

A

: TCA[tricyclic antidepressant.삼환계항우울제] 제제, anti-depression drug

= isofranil, imipramin

usage) hs 필수 - dizziness

145
Q

enoxaparine

A

: anti-coagulant

indication) DVT
usage) self injection, home care

146
Q

edecrine

A

= lasix, bumex(부메타딘)

: loop diuretics

usage[사용법]) 아침에 ( ≒ UOP↑ )

147
Q

epogen

A

: stimuli RBC production

indication) anemia

148
Q

edvil

A

: NSAIDs

= ibuprofen, indomethacine, narproxen, tradolol

s/e) bleeding tendency

contraindication) PUD (peptic ulcer disease.소화성궤양)
avoid) ASA(아스피린)

149
Q

flagyl

A

indication) GI tract, secondary infection

s/e) GI disturbance …ㅋㅋ 이런 경우, 가끔 볼 수 있죠?

‘병 고칠려다가 병 도진다.’ - 절대 안 잊어버리시겠죠?

150
Q

fosamax

A

= actonel, evista

indication) osteoporosis(골다공증)

s/e) esophagus(식도) injury

usage) 공복, upright position 30min
diet) Ca↑, Vit. ↑, water ↑

그외, ‘P (인)’ level check

151
Q

famotidine

A

= ranitidine

indication) gastric secretion ↓

152
Q

fentanyl

A

: painkiller, opioid(아편유사제)

153
Q

flumazenil

A

indication) benzodiazepam에 의한 drowsy, sedation, other effects -> 깨우는 약

antidot[해독제]) ativan

154
Q

5-FU

A

: chemo-drug

s/e) nausea, vomiting, bone marrow suppression,

diarrhea, dermatitis (-> notify)

155
Q

fragmin

A

= plavix, dalteparine, enoxaparine, levonox

: anti-coagulant

usage) 25 ~ 27G self injection (abdomen) -> 길이가 길고 가는 바늘

No massage !, No aspiration !

caution) weight, creatinine, stool OB(occult blood), PLT check
- > PT &PTT와는 관계가 없다. (주의)
- > 속임수로 자주 이용되는 항목이랍니다.

156
Q

florinef

A

= fludcortisone

= deoxycortisone

: steroid

indication) addison’s ds ( 4S ↓, K ↑, BP↓ sign)
usage) 평생 투여

s/e) cushing syndrome (4S ↑, K↓, BP↑ sign)

frequnt infection,

GI bleeding

157
Q

gavapentin

A

= neurontin

: pain killer

indication) seizure, epilepsy(뇌전증), herpes zoster, neuralgia(신경통)
usage) 300mg tid,

15 ~ 20세 -> 200 ~ 700mg, qd

30 ~ 59세 -> 400 ~ 700mg, bid

60세↑ -> 900 ~ 1200mg tid

158
Q

GM

A

겐타마이신. 아미노글리코시드(aminoglycoside)계 항균제

: aminoglycoside line anti- inflammatory agent

s/e) ototoxicity(이명),

nephrotoxicity,

neuro-muschular blockage

contraindication) parkinson’s disease

159
Q

glucotrol

A

indication) DM

: peak time -> 24hrs

s/e) hypoglycemia, dizziness, rash, diarrhea, headache (-> notify)

contraindication) ① sulfa 제제 ( bactrim, azulfidine, gentrisin )

② ~lol

s/e) photosensitivity, hypoglycemia,

crystal uria, ototoxicity(이명)

160
Q

glucopase

A

indication) DM
usage) bid

s/e) abd. pain & bloating (≒ muscle weakness),

metalic taste(철맛),

metabolic acidosis

contraindication) ESRD

161
Q

hydrocodone

A

= ibuprofen, NSAIDs,

indication) short term pain, inflammation↓

162
Q

HMG-COA

A

=mebacor, zocor

: cholesterol ↓

contraindication) Ca-channel blocker

163
Q

Havrix

A

: HAV vaccine

164
Q

Hepata-vax

A

= recombi-B

engerix- B

165
Q

Iodine131

A

: chemo-drug, radiation type

indication) hyperthyroidism ( mass size ↓ )

s/e) liver fialure, fetal distress

166
Q

Imdur

A

: isobid nitroide, spray type ( 1 ~ 3회, 30분 간격)

= NTG

indication) angina(협심증)
usage) 0.4mg -> single dose

s/e) BP↓, anemia, headache, craneal bleeding(두개골출혈), shock

167
Q

Inderal

A

indication) hypertension
containdication) COPD, asthma, CAD(관상동맥질환), DM, Hyperthyroidism(갑상선기능항진증)

s/e) dizziness -> dangle feet(발을 동동구르다..?)

bronchospasm(기관지경련)

importance

diet) high potassium

그외, 정확한 시간에 평생 투여

168
Q

Isoproterenol

A

= isoprel

indication) CHF, heart attack, shock or bronchospasm

169
Q

Intal

A

: prevent heart attack,

inhalation type,

not cure !

170
Q

Indomethacin

A

: NSAIDs, inflammation↓, pain reliever

indication) rheumatic arthritis

171
Q

Interferone

A

= Interleukin

: 효과가 의심스럽지만 구제불능인 병에 쓰는 약

indication) cancer, chronic infection, RA(류마티스성 관절염), skin cancer (melanoma)

hepatitis ( B, C, D, G ) and some disease

s/e) flu-like symptom, fever, chill, muscleache, GI bleeding

but medication stop -> symptom ↓

172
Q
A