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Flashcards in Final Exam Misc. Deck (43):
1

secondary adverse reaction

additional to the desired effect
-eg. antihistamines make you drowsy

2

cytotoxic effect

-attack and lysis of the cell that has the drug -on it
-causes drug-induced hemolytic anemia

3

serum sickness

caused by body reacting to antibodies combining with the drug
-lyme disease

4

delayed reaction

time-lapse between taking the drug and adverse reactions
-eg. poison ivy

5

labs for antifungals

ALT and AST... liver labs

6

causes and s/s of disulfiram-like reactions

-disulfiram = Antabuse
-taking metronidazole with alcohol
-s/s: n/v, flushing, tachy, shortness of breath... problem with CO until proven otherwise

7

problem with any antineoplastic agent that starts with a "d", like "doxyrubicin"

bad effects on the heart
-check for hypertrophy
-causes mouth sores

8

SIADH

-syndrome of inappropriate ADH
-too much ADH causes extreme fluid retention
-patient will need a diuretic

9

how to draw up insulin

1. put air in the intermediate
2. put air in the rapid
3. draw up the rapid
4. draw up the intermediate

10

most dangerous side effect of SSRIs

fever- hypertensive crisis

11

where are alpha 1 receptors located

eyes, salivary glands, GI/ GU sphincters, arterioles

12

where are alpha 2 receptors located?

smooth muscle, NMJ synapse

13

where are beta 1 receptors located?

heart, brain, kidneys

14

where are beta 2 receptors located?

smooth muscle, bronchioles, liver, uterus

15

side effects of all beta blockers

problems with heart and lungs

16

treating angina

MONA- morphine, oxygen, nitroglycerin, aspirin

17

drugs that treat problems with afterload

HMG-CoA reductase inhibitors

18

antidote to warfarin

vitamin K

19

labs for warfarin

PT and INR

20

antidote to enoxaprin

protamine sulfate

21

labs for enoxaprin and heparin

PTT

22

definition of infertility

diagnosed after at least one year of regular unprotected intercourse

23

assessments for clomiphene

-has it been long enough to consider the pt infertile?
-is there ovarian function? (test by checking estradiol levels in the urine)

24

clomiphene is known for...

-having a baby that is anencephalic
-gastroschisis- bowel is outside the body cavity when they are born
-having a litter

25

where do osmotic diuretics work

before the glomerulus

26

where do carbonic anhydrase inhibitors work?

descending loop of Henle

27

where do loop diuretics work?

in the ascending loop of Henle

28

where do potassium-sparing diuretics work?

in the DCT

29

where do thiazide diuretics work?

in the DCT

30

s/s of UTI... bladder vs kidney infection

-bladder: urinary frequency and urgency, burning on urination
-kidney: chills, fever, flank pain and tenderness (associated with pyelonephritis)

31

-what chemotherapeutic agent causes hemorrhagic cystitis?
-what protects against it?

-cyclophosphamide (Cytoxan)
-Mesna

32

location of M1 receptors

ENS and CNS

33

location of M2 receptors

heart

34

location of M3 receptors

eyes, exocrine glands, lungs, GI/GU

35

Anticholinergic 4 aunties

antipsychotics, antihistamines, antidepressants, antiparkinsons

36

rebound acidity

chronic use of antacids will tell the stomach to produce more acid, then you take more meds, which makes the stomach think its needs to produce even more, etc..

37

teaching for pts on oral contraceptives

-no protection against STDs
-1 pill missed: take 2 the next morning
-2 pills missed: take 2 for the next 2 mornings
-3 pills missed: all hope is lost and you have to start a new pack 7 days after the last pill was taken

38

rapid acting insulin

aspart (Novolog)
lispro (Humalog)

39

short acting insulin

regular (Humulin R)

40

intermediate acting insulin

NPH (Humulin N)

41

long acting insulin

glargine (Lantus)

42

assessments for levothyroxin

-s/e: insomnia, weight loss, heat intolerance
-therapeutic effects: decline in TSH levels

43

diabetes insipidus

-polyuria (pee a lot of dilute urine) and polydipsia (very thirsty)
-DO NOT experience polyphasia (starving) like with DM
-can be a problem with pituitary gland
-opposite of SIADH