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Histamine and 3 Toxicology Lectures Flashcards

(45 cards)

1
Q

What 6 drugs can mediate histamine release through non IgE pathway?

A
d-tubocurare
succinylcholine
morphine
codeine
doxorubicin
protamine
Vancomycin
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2
Q

What drug causes the side effect of red man syndrome?

A

Vancomycin

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3
Q

What two drugs stabilize mast cells, decrease allergic rhinitis symptoms, have prophylactic use to block asthmatic runs?

A

Cromolyn

Nedocromil

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4
Q

What 2 drugs can induce cytolytic release?

A

phenothiazines

narcotic analgesics

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5
Q

What are 5 1st generation antihistamine drugs?

A
Triprolidine
Diphenhydramine
Promethazine
Hydroxyzine
Chlorpheniramine
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6
Q

What are 6 2nd generation antihistamine drugs?

A
Ioratadine
Desloratadine
Terfenadine
Fexofendaine
Azelastine
Cetirizine
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7
Q

What is the active metabolite of loratadine?

A

desloratadine

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8
Q

What is the active metabolite of terfenadine?

A

fexofenadine

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9
Q

What two antihistamines were pulled from the market due to risk of life-threatening cardiac arrhythmias when taken with ketoconazole, erythromycin, and clarithromycin? They also cause torsades de pointes

A

Terfenadine

Astemizole

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10
Q

What is the most effective antihistamine for motion sickness?

A

promethazine

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11
Q

What are 4 antihistamines that prevent symptoms of motion sickness?

A

promethazine
diphenhydramine
cyclizine
meclizine

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12
Q

What anticholinergic drug is the most effective drug to prevent motion sickness?

A

scopolamine

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13
Q

What 2 drugs prevent N/V and are a part of the phenothiazine class?

A

promethazine

timeprazine

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14
Q

What 2 antihistamines are used as sleep medications?

A

Diphenhydramine

Doxylamine

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15
Q

What antihistamine is used for it’s antiparkinsonism effects?

A

Diphenhydramine

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16
Q

What are 2 drugs used for local anesthetic actions?

A

Promethazine

Diphenhydramine

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17
Q

What are the 4 uses of Diphenhydramine besides using it as an antihistamine?

A

Motion sickness
Sleep medication
Antiparkinsonism effects
Local anesthetic actions

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18
Q

What antihistamine has 50-90% H1 receptors in CNS bound?

A

Doxepin

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19
Q

This drug affects the alpha receptor for BP control and causes hemolytic anemia

20
Q

These 3 drugs cause lupus like syndrome

A

Hydralazine
Isoniazid
Procainamide

21
Q

What 7 drugs can cause Stevens-Johnson Syndrome?

A
Barbiturates
Sulfonamides
Phenytoin
Carbamazepine
Allopurinol
NSAIDs
Penicillins
22
Q

What drug’s metabolite can cause liver damage?

A

Acetaminophen

23
Q

What 5 drugs classes and 3 specific drugs cause progressive renal failure?

A

Class: NSAIDs, ACEI, antibiotics, antineoplastic agents, immunomodulators
Specific: Gentamicin, Amphotericin B, Contrast Media

24
Q

What drug causes dose related nephrotoxicity?

A

Contrast media

25
What drug causes high frequency of kidney injury because it's mechanism for efficacy is shared by mechanism responsible for toxicity?
Amphotericin B
26
What drug causes renal tubular injury reversible by cessation?
Gentamicin
27
What drug caues a production of reactive oxygen species which can be directly cytotoxic to myocytes?
Doxorubicin
28
What 2 drugs cause pulmonary fibrosis?
Bleomycin | Amiodarone
29
What drug causes emesis and vomiting within 20 minutes of taking?
Syrup of Ipecac
30
What drug is used in whole bowel irrigation?
Golytely
31
What chelator is used for arsenic, mercury, lead, and cadmium poisoning?
Dimercaprol (BAL)
32
What chelator is used for copper, lead, mercury, arsenic toxicity?
Penicillamine
33
What chelator is used for iron toxicity?
Deferoxamine
34
What chelator is used for lead, arsenic, and mercury poisoning?
DMSA (Succimer)
35
What chelator is used for lead toxicity?
Edetate Calcium Disodium (EDTA)
36
What antivenin is used for rattlesnake envenomation?
crotalidae antivenin
37
What biologics is used for botulism A, B, and E?
Trivalent botulism
38
What antivenin is used for eastern and Texas coral snake envenomation?
Elapidae Antivenin
39
What biologic is used for Digoxin and Digitoxin?
Digoxin Immune Fab
40
What antivenin is used for black widow spider envenomation?
Lactrodectus Antivenin
41
What is the antidote to organosphosphate and pesticide poisoning?
atropine
42
What is the antidote to methanol and ethylene glycol toxicity?
Fomepizole
43
What is the antidote to opiods?
Naloxone
44
What is the antidote to acetaminophen toxicity?
N-acetylcysteine
45
What is the antidote to benzodiazepine toxicity?
Flumazenil