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Felder 3rd semester > Final > Flashcards

Final Flashcards

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0
Q

When can we see improvement of thyroid therapy?

A

Within 10-14 days

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1
Q

What is the goal of levothyroxine (synthroid)?

A

Return to euthyroid state.

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2
Q

How should levothyroxine be taken?

A

In the morning before breakfast same time each day

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3
Q

Dosage of Levothyroxine

A

50 mcg

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4
Q

What should we avoid when taking levothyroxine and what signs should we look for

A

Avoid iodine

Look for signs of hyperthyroidism

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5
Q

What class is digoxin

A

Cardio tonic

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6
Q

What should we check for when taking digoxin

A

Bradycardia

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7
Q

What is digoxin used for

A

Chf

Arrhythmias

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8
Q

Which route of digoxin has a risk for toxicity

A

IV

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9
Q

Dosage for digoxin

A

0.125-0.25 mcg

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10
Q

What are signs of digoxin toxicity

A 
Visual disturbances (halos)
Bradyarrhythmias
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11
Q

What can increase digoxin toxicity

A

Increased calcium

Hypothyroidism

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12
Q

Therapeutic dose of digoxin

A

0.8-2 nano grams

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13
Q

What drug treats digoxin toxicity

A

Dilantin

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14
Q

What drug treats the Bradyarrhythmia in digoxin toxicity

A

Atropine

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15
Q

What is the antidote for severe digoxin toxicity

A

Digibind

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16
Q

What do betablockers cause?

A 
Rest & digest - decrease blood sugar
Broncho constriction
Wheezing 
Bradyarrthymia
Depression
Impotence
Possible CHF
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17
Q

Propananol commonly causes

A

NVD

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18
Q

Antidote for Coumadin

A

Vitamin K

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19
Q

Antidote for heparin

A

Protamine

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20
Q

Heparin drip is based on

A

PTT

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21
Q

Signs and symptoms of bronchodilators

A

Tremors, tachycardia, increased blood sugar, anxiety

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22
Q

What should we avoid when taking levodopa

A

Vitamin B6

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23
Q

What is the antidote for a Parkinson’s patient who is experiencing freezing

A

Apomorphine

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24
What disorders are Cns stimulants used for
ADD & ADHD
25
What can Cns stimulants cause
Dependency and insomnia
26
Celebrex is a drug that has______ gi toxicity but _____ cardiotoxicity
Decrease | Increase
27
Robaxin, a central acting skeletal relaxant is used as an _____ in the treatment of ______
Antispasm | Sprain & strains
28
Robaxin does what to urine
Discolors it greenish black
29
Baclofen - an anti spastic is used in the treatment of
Spinal cord injury
30
MAOI can be used for depression in the form of a
Patch
31
MAOI's given orally is used in the treatment of
Parkinson's
32
Action of MAOI's
Increase dopamine
33
Risk when using MAOI's
Hypertensive crisis
34
Uses for Benadryl
``` Allergies Motion sickness N&V Parkinson's / EPS Pre op agent part of general anesthesia Sedative ```
35
Scopolamine patch is used for ____ and is administered
Motion sickness | Behind the ear - removed / changed every 72 hours
36
Benadryl can cause this in the elderly
Paradoxical excitement
37
Nasal decongestants can cause
Tachycardia Increased blood pressure (Same signs as with epinephrine)
38
What can happen if nasal decongestants are used incorrectly
Rebound congestion
39
Drug for nasal decongestant
Neosinephrine
40
What are antacids used for
Hyper secretion of HCL in diseases like GERD
41
What are antacids composed of
Magnesium Aluminum Calcium
42
What can magnesium cause
Diarrhea
43
What can aluminum cause
Constipation
44
Antacid drug
Famotidine - Pepcid
45
Side effects of antacids
Dizziness and unsteadiness (monitor blood pressure) Depression of bone marrow Males can develop gynocomastia, decrease sperm count
46
What should you NOT do when taking an antacid
Smoke
47
Antidiarrheal drug
Lomotil. Other - opiates & atropine
48
When is an Antidiarrheal best given
After episode of loose stool
49
Antiemetics are best given
Prophylactically
50
Example of a salicylate
Aspirin
51
Example of a non salicylate
Tylenol | Ibuprofen
52
Is Tylenol an NSAID?
No because it does not cure inflammation
53
Normal dose of aspirin
10-20 mg
54
Prophylactic dose of aspirin
81 mg
55
What drug protects stomach lining from | NSAIDs
Cytotec
56
Tylenol causes what kind of toxicity
Hepatotoxic
57
What is the antidote for Tylenol toxicity
Acetylcysteine (Mucomyst)
58
What adverse effect should we be cautious of when using salicylates
Salicism
59
Example of loop diuretic that can cause gi toxicity and therefore can be taken with food
LASIX
60
What is pyridium used for and what does it do to urine
UTI discomfort | Discolors urine red/orange
61
Tofanil is used in the treatment of
Enuresis (bed wetting)
62
An antispasmodic can also be called a
Anticholinergic
63
Adverse effects when using sulfonamides
SJS, TENS, crystalluria, bone marrow suppression.
64
Dose adjustment is needed when taking sulfonamides in patients with
Diabetes mellitus because it lowers blood sugar
65
Azithromycin - a Macrolide needs to be further diluted in
100-200 ml
66
Cipro should be infused over
1 hr through IV
67
Cipro isn't given to patients under 18 due to the risk of
Tendon rupture
68
INH is used in the treatment of
TB
69
Amphotericin B commonly causes what symptoms also known as "shake and bake"
Fever and chills
70
Nystatin is used for the treatment of _____ and should be administered how
Oral candida | Swish and swallow
71
Bio therapy for cancer patients (neoplastic drugs)
Epogen - RBC | Neupogen - WBC
72
Drug name for epinephrine
Isuprel, adrenalin
73
Short acting rescue therapy bronchodilator
Albuterol

Felder 3rd semester (10 decks)

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