Final Exam Flashcards
(46 cards)
Phenytoin
Antiepileptic Treats tonic clinic seizures CNS depression, liver toxicity ****10-20mcg/mL Don’t mix with other meds **safety Good oral hygiene Reddish brown urine and sweat No alcohol or ginkgo Increase calcium and vitamin D
Phenobarbital
Antiepileptic
Treats generalized seizures
Can cause CNS depression and respiratory depression, N/V/C
**15-45mcg/mL
Diazoxide
Vasodilator
Treats HTN
increases BG
Hydralazine
Vasodilator
Maintains blood flow to kidneys
Minoxidil
Vasodilator
For sever and unresponsive HTN
Nitroprusside
Vasodilator
Used for HTN crisis
maintains low BP for surfer
Bethanechol
Anticholinergic
Treats urinary retention and neurological bladder
Treats reflux esophagitis
Pyridostigmine
Anticholinergic
Treats myasthenia gravis
Donepezil
Anticholinergic
Treats Alzheimer’s
Take once a day
Propranolol
Non-selective beta blocker
Treats HTN angina and migraines
Timolol
Non-selective Beta Blocker
Treats HTN and glaucoma
Diazepam
Anti-epileptic Treats tonic clinic seizures and status epilepticus Potential for ABUSE avoid alcohol CNS depression C/D, slow HR TAPER SLOWLY
Ethosuximide
Succinimide Treats absence seizures Causes CNS depression Born marrow suppression Constipation
Valproic acid
Antiepileptic
Treats myoclonic seizures bipolar disorder and migraines
**increases diazepam and phenobarbital
*liver toxicity, thrombocytopenia, CNS depression, weight gain
Phentolamine
Blocks alpha 1&2
Vasodilation- treats extravasation
Reverse effects of adrenergic agonist
**high alert drug
Always have on hand for IV norepinephrine or dopamine to reverse their effects
Isoproterenol
Nonselective Beta blocker
Vasopressor
Treats shock and bronchospasm
**causes coronary steal effect
Caution: Pulmonary HTN, thyroid disorders, or diabetes
**causes hypokalemia and pulmonary issues
Have a beta blocker on hand to reverse effects
Phenylephrine
Alpha agonist POWERFUL VASOCONSTRICTOR decreased swelling and allergies Causes HTN, extravasation can cause tissue necrosis, strange dreams **high alert drug Taper over 2-4 days Avoid caffeine
**keep phentolamine on hand to cancel effects
Dopamine
Alpha and beta agonist Treats shock and increases blood flow to heart and kidneys ****5-10mcg/mL High alert drug Extravasation causes tissue death Keep phentolamine on hand Avoid caffeine
Carbidopa levodopa
Treats Parkinson’s Works for 2-5 years only Increases dopamine in the blood Causes dizziness, HA, sweating, postural hypotension, melanoma, constipation, retention Take with food DONT TAKE MAOI OR PHENYTOIN monitor for glaucoma or skin lesions Monitor intake and output and palpate bladder
Carbamazepine
Sodium channel blocker Treats partial seizures, mania, Taper slowly *****4-12mcg/mL Avoid alcohol Many drug interactions CNS depression
Gabapentin
Treats partial seizures, neuropathy, ALS, RLS, migraines Controlled substance CNS depression Constipation Liver toxicity
Benztropine
Anticholinergic Treats Parkinson’s Reduces rigidity, akinesia and tremors PO, IM, IV don’t use for narrow angle glaucoma, BPH, or obstructions CNS effects, disorientation, memory loss, dizzy blurred vision, Decrease dose in hot environments Taper off med
Labetalol
Treats pheochromocytoma Block norepinephrine Given IV Taper slowly Monitor for ortho and dizziness-safety
Amiodarone
Treats dysrhythmias such as cardiac arrest
Given IV for acute or oral for dysrhythmia
Caution with asthma or bronco spasm
Caution with diabetes bc it will decrease BG
**pulmonary side effects, thyroid effects, toxic if with digoxin or quinidine
***safety and liver enzymes