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Fall Therapeutics > Unknowns > Flashcards

Unknowns Flashcards

1
Q

Drug Induced Hypervolemia

A

PIN CD

-Corticosteroids
-NSAIDS
-IV fluids
-DHPs
-PIO/ROSIgliatzone

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2
Q

SIADH causing meds for Euvolemic HypNa

A

-SSRI/SNRI, tricyclic
-Haloperidol/phenothiazines
-Carb
-Anticancer (vinca, cis, cyclo)
-Opiates, Nicotine

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3
Q

Vasopressin Receptor Antagonists

A

-Short term hyponatremia

SHOULD NOT BE USED IN HYPOVOLEMIC HYPONA

-conivaptan (cirrhosis) (IV), tolvaptan (oral)

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4
Q

HypoK Drug Induced

A

-B2 agonist (albuterol)
-Levothyroxine
-Insulin, verapamil (OD)
-Thiazide, LP
-AG, AB, MC
-Penicillin, cisplatin
-Laxatives
-SPS, PAT, SZ

PS B LIT LA

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5
Q

Hyper Ca Drug Induced

A

-Thiazides
-Vit D, Ca
-Lithium
-Theophylline
-Tamoxifen
-Ganciclovir

cal got TTT an LVG

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6
Q

HypoCA Drug Induced

A

-Loops
-Phenobarbital, phenytoin
-Ketoconazole
-Calcitonin
-Fluoride, NaPhos, cinacalcet

KC is a PLF

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7
Q

Hypophos drug induced

A

-Diuretics
-GC
-Na bicarb

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8
Q

Tresiba

A

insulin degludec

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9
Q

Humalog

A

insulin lispro

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10
Q

Novolog

A

insulin aspart

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11
Q

Januvia

A

sitagliptin

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12
Q

Onglyza

A

saxagliptin

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13
Q

Tradjenta

A

linagliptin

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14
Q

Trulicity

A

dulaglutide

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15
Q

Victoza or Saxenda

A

liraglutide

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16
Q

Farxiga

A

dapagliflozin

17
Q

Jardiance

A

empagliflozin

18
Q

Amaryl

A

glimepiride

19
Q

Diabeta or Micronase

A

glyburide

20
Q

Correct Ca Equation

A

no icu pts

21
Q

lb and kg

A

1 kg = 2.2 lb

22
Q

In and M

A

1 in = 0.0254 m

1 m = 39.37 in

23
Q

ibw eq

A

men
50 kg + 2.3 kg x (every inch over 5 ft)

women
45.5 kg + 2.3 kg x (every inch over 5 ft)

24
Q

CR CL

A

Normal 66-143

(blood Cr 0.5-1.2)

25
Q

G6PD Foods/Drugs to Avoid

A

-Chlorpropamide
-Dabrafebib
-Dapsone
-Methylene blue
-Nitrofurantion, nifuratel, nitrofurazone
-Phenazopyridine
-Primaquine, tafenoquine
-Rasburicase, pegloticase

-Fava, henna
-Napthalene (mothballs, deodorant)
-Phenyl hydrazine

u kno + NNN, quine, case, phena, blue

26
Q

Drug Induced G6PD

A

-ALL CILLINS (penicillin)
-Cephalothin
-Cephaloridine

-Quinidine, quinine
-HCTZ
-Rifampin
-Sulfonamides
-Insulin
-Tetracycline
-Melphalan
-Tylenol
-Hydralazine
-Diclofenac
-Ibuprofen

27
Q

Benefits of IV Iron

A

-Effective
-Rapid correction
-Large doses
-Compliance assured
-No GI effects

BUT
-Monitoring IV
-Allergic/IV rxn
-Equipment/personnel
-Higher costs

28
Q

Oral Iron Benefits

A

-Effective
-Low risk of AE
-Low costs

BUT
-GI AE
-Low compliance
-May be inadequate for severe cases
-Several months (higher total cost?)

29
Q

Thyroid Storm

A

> 103 F, sweating, tachy, AF, dehydrated, delirium

TX
-PTU + BB (P) + Steroid + Iodine

Start Iodine after 1 hr of antithyroid drugs

30
Q

Thyroid Monitoring

A

Ft4 and total T3: 2-6 wk after start
-once euthyroid, dose can be decreased 30-50%, repeat in 4-6 wk for labs
-then test 2-3 mo
-if long term: every 6 mo
-continue med for 12-18 months, then d/c if labs TSH normal at that time

31
Q

BP Diagnosis

A

-Elevated BP > 130 or > 80 on 2 separate occasions (> 140 / > 90)
-Seated for 5 min, back supported, feet flat, arm on desk, BP cuff at heart level
-1st visit: measure in both arms, use higher arm for subsequent readings
-Avg of 2, stage BP
-Elderly: BP when pt is standing for 1-3 min to evaluate OH

32
Q

BP Staging

A

E: 120-129
1: 130-139, 80-89
2: 140+, 90+
C: 180+, 120+

33
Q

WHO BP Thresholds

A

> 140/90: PHARM

> 130/80: PHARM IF HAVE CARDIO DISEASE
(also moderate rec if high risk, DIA, CKD)

> 160/100, start with 2 first line agents of different classes

Fall Therapeutics (34 decks)

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