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Clinical Pearls > Medications > Flashcards

Medications Flashcards

1
Q

Venixxa

A

For chronic venous disease - like haemorrhoids and varicose veins.
Made from orange peel extracts, to use when there is a flare up, take 2x times a day.

If using a cream - can try Anucort

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2
Q

SGLT2

GLP-1

A

SGLT2 - Not in DKA! Will not help type 1 DMs , can be useful in heart failure
GLP-1 - not as helpful in non-obese diabetics

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3
Q

Lithium

A

Use for Bipolar - quite effective for some reason
Need to monitor for chronic kidney damage leads to diabetes inspidus
Huge amounts can be sedating

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4
Q

Naproxen

A

Good for medium pain - better than Advil, less hardcore than Tordol
Can use Aleve 220mg if no drug coverage for Naproxen

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5
Q

Biogaia

A

Baby probiotics (for use with abx) or if colicky

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6
Q

Haloperidol dosing?

A

For older psychotic patient - start at 1mg x 1 hour no more than 3mg
For healthy younger patients - start around 1-2mg if easy to give to them. If having to restrain them/ IM injection up to 3mg at once.

VERY sedating!

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7
Q

Statins?

A

Moderate potency - 10-20mg usually atorvastatin or rosuvastatin
High potency - 20-40mg usually atorvastatin or rosuvastatin

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8
Q

Starting insulin?

A

Start off with long-acting - Tresura - 10 units bedtime

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9
Q

Efudex (Flurouracil)

A

For the chemical removal of AKs, not generally used over liquid nitrogen, and don’t give it to the cognitively less than sharp - can burn their skin off.

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10
Q

Suboxone

A

Not great for analgesia - but safe has a ceiling effect on respiratory depression

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11
Q

On long term PPI’s? What considerations must be made?

A

May have decreased Mg, Fe absorption (Vit C and Fe supplementation), consider stopping and decreasing them once a year (bad rebound)

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12
Q

BID/QID vs q_hours?

A

BID/QID etc - is an instruction of how many times a day should be given
q_hours - is an instruction of the time intervals the med should be given

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13
Q

Vimovo?

A

NSAID with stomach protector

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14
Q

Amiodarone

A

Type 3 antiarrhythmic - not a nodal blocker so is good for wide complex tachycardia. Can be used for a.fib and left ventricular systolic dysfunction

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15
Q

Cholestyramine

A

Cream for diaper rash, any area of acidic skin exposure

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16
Q

On methadone - do they need further analgesia for a procedure such as setting a shoulder or giving birth?

A

Yes! Methadone does not offer very good analgesia, and given likely tolerance and hyperalgesia will likely need more pain relief. Also methadone is given once a day, so it is low dose and slow release.

  • May not accept opioids. Can contact college for advice about methadone prescription. Can try other options first - like tordol.
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17
Q

Uterine relaxants

A

It’s Not My Time -indomethecin, Nifedipine, Mg sulfate, Terbutraline

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18
Q

C. Diff and on a PPI?

A

Take them off the PPI!

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19
Q

Misoprostal SE

A

Temporary explosive diarrhea, GI upset, painful bleeding and cramping

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20
Q

Scopalimine can cause what eye sx?

A

Unilateral dilated eye - because of the patch

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21
Q

Avoid NSAIDs with?

A

Anticoagulants, renal and hepatic failure, 3rd trimester of pregnancy

22
Q

LU codes?

A

Over age 50, look up the drug using an app - basically means that government will only cover a certain amount under certain criteria

23
Q

Celecoxib and furosemide avoid in?

A

People with true Sulfa allergies

24
Q

Zyloprim?

A

Lots of side effects, for the prevention of gout, try to use to titrate the urate down then stop. Use colchicine after that.

25
Q

Prednisone taper?

A

Less than 15mg usually less significant side effects, taper slowly down to 15 and then from 1mg from there until you get the sx again.

26
Q

Anbesol?

A

For teething pain, pinky finger to rub on gums. Try cold things and gummy things to chew on first. Can use Advil, infant dosing too

27
Q

Do PPV and NPV relate to the population or a sample?

A

Relate to a sample population (and of you are dealing with something VERY rare the PPV will usually be crappy (because you are testing for something so exceedingly uncommon)

28
Q

Metaclopramide

A

First line for N/V but not in bowel obstruction, geriatric. Can also be good for headaches in pregnancy

29
Q

HTN management?

A

ACE/ARB
Beta blockers
CCB
Diuretics

30
Q

Some people that it is appropriate to give benzos to for anxiety?

A

Panic attack disorder without anxiety underlying. Palliative patients that are not mobile

31
Q

Contrave

A

Can’t give if heavy alcohol and opioids, half dose with plavix

Very useful in obesity and diabetes, use in AM, and late afternoon - will keep you up otherwise.

32
Q

Dubrii

A

For psoriasis- affected skin only, 2 tubes a month

33
Q

Before starting biologic

A

Screen for TB

34
Q

Keppra

A

Needs a loading dose, for seizure disorder - but does not need regular monitoring. Can make drowsy + GI

35
Q

Tantum rinse

A

For sore throats you aren’t going to give them abx

36
Q

Aspirin in kids?

A

Not usually, because of risk of Reyes, but give in Kawasaki

37
Q

Ferrous Sulfate s/e

A

GI upset - can cause constipation. Darkening of stools

Ferrous glucanate is more preferred - better absorbed

38
Q

Trumemba

A

Men B vaccine - for age 10-25, quite effective

Bexsaro for babies - important especially for children with cochlear implants
Provide with Tylenol

39
Q

Fomepizole?

A

For toxic alcohol ingestion - can also just get them really drunk

40
Q

Admission orders - standard

A

Tylenol 1g q6h PO PRN
Zofran 4-8mg PO PRN
PEG 3350 17-34g packet PRN

41
Q

Benzatropine

A

Aka cogentin, for treatment of EPS sx of antipsychotics - not useful for tardative dyskinesia

42
Q

How does Lasix work?

A

Act on the thick ascending loop of Henle, and gets there by binding albumin - so if they are ESRD realize that they have terrible filtration so you can give them tons - start on 120 BID for lasix, and increase. Just stop when they start getting otoxicity

43
Q

Metalozone

A

Thiazides diuretic, can give with lasix if the lasix does not work - need to monitor potassium.

44
Q

Vennofer

A

Iron surcrate - 300mg for 2-3 days.

45
Q

Propranolol for

A

Graves’ disease

46
Q

Side effects of amnioderone

A

Hypothyroidism, pulmonary fibrosis - not a good long term drug

47
Q

Eye drops

A

Ciprofloxacin opthamalogic drops, 2 drops q2hrs for 2 days, while awake then q4hrs for 5 days while awake

48
Q

How to start antidepressants

A

Half therapeutic dose for a week then increase to therapeutic. If no improvement after 3-4 weeks, switch, if any improvement at all increase dose by half until at max or not tolerated, then if still needed add on an augmentation - novel antipsychotics - can treat mild thyroid. If flattening from SSRI/SNRI lower dose and try bupropion (so long as no anorexia/anxiety)

49
Q

Escitalopram vs venlafaxine for anxiety first line

A

SSRI (good for depression/sleep/ appetite as well as anxiety) SNRI (good for autonomic sx predominant anxiety) also consider family hx - was there an agent that worked best?

50
Q

Prescribing benzos?

A

Put a strict time limit - no unlimited refills (6-8weeks while waiting for SSRI/SNRI) warn they are addictive, alcohol use should be avoided.

51
Q

Adjunct to SSRI/SNRI?

A

Abilify - try to wean off after a year to avoid risk of EPS

52
Q

Don’t trust them with benzos but they don’t want the weight gain effects?

A

Buspar

Clinical Pearls (17 decks)

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