Mikey's Pharmacy Party Flashcards
(214 cards)
1
Q
Drug Idiosyncrasy
A
Unusual reactions that does not occur in majority of patients.
2
Q
6 rights
A
- Patient
- Drug
- Route
- Dose
- Time
- Documentation
3
Q
Receptor
A
Macromolecule that binds to the substance(drug)
4
Q
5 bronchodilator classes
A
- Beta 2 agonist
- Muscarinic antagonist
- Leukotriene antagonist
- Mast cell stabilizer
- Corticosteroid
5
Q
Inhaled corticosteroids treats…
A
Long term asthma
6
Q
Contraindicated analgesics for sulfa allergies?
A
Celecoxib
7
Q
CNS stimulant use
A
ADHD
Narcolepsy
8
Q
Route for sensitivity testing?
A
ID
9
Q
Parenteral routes?
A
IM
IV
SC
ID
10
Q
Who can prescribe medication?
A
Accredited providers
11
Q
Cumulative drug affect:
A
Drug has not fully metabolized before next dose.
12
Q
Synergism:
A
Occurs when drugs produce an effect greater than the sum of separate actions
13
Q
Pharmacodynamics:
A
Action
Effect
14
Q
Naloxone antagonist to:
A
Morphine
15
Q
Thyroid hormone action:
A
Increases metabolic rate of tissue
16
Q
Progesterone:
A
Natural female hormone
17
Q
Progestin
A
Synthetic female hormone
18
Q
Proton pump instructions
A
30-60min before a meal
Bi-daily: breakfast and dinner
19
Q
Agonist
A
Binds with receptors to produce therapeutic response
20
Q
Oral anti-diabetic use:
A
DM type 2
21
Q
Pharmaceutics phase:
A
Dissolution of a drug
22
Q
Sedative and Hypnotic aka…
A
Barbiturates
23
Q
Sedative and Hypertonic treat:
A
Seizures
Alcohol withdraw
Anti-convulsion
24
Q
3 contraindications a for MAOI?
A
CHF
14 days of TCA
Setraline use with MAOI is fatal
25
How long do antidepressants take to work?
4-6 weeks
26
Dry cough is a side effect of?
ACE inhibitors
27
When do you use insulin?
DM type 1
| Severe type 2
28
4 factors effecting insulin dosing?
- Pt eats too little
- Dose incorrectly measured
- Drastic increase in PT
- Infection
29
What reaction occurs when the combined effect of 2 drugs is equal?
Addictive reaction
30
What occurs when a drug produces an effect that is greater than the sum of their separate actions
Synergism
1+1=3
31
6 Factors influencing drug response
```
Age
Weight
Gender
Disease
Route
IV( most rapid)
Drug use/ pregnancy
```
32
What are 3 ORAL routes?
Nasogastric tube
Buccal
Sublingual
33
What are the 4 PARENTERAL drug administration?
SC ( between skin and muscle )
IM
IV
ID ( typically used for sensitivity test )
34
Drugs that can be applied to the skin or mucus membrane?
Topical
Transdermal ( SYSTEMIC EFFECT )
Inhalation ( LOCAL EFFECT )
35
What are the actions of barbiturates?
```
Anticonvulsant
Depressed sensory cortex
Decreased motor activity
Drowsiness
Sedation
Hypnosis
(NO ALCOHOL USE)
```
36
What are the 2 anti-anxiety drug classes?
Benzodiazepines ( short term use )
| Non Benzodiazepines
37
What are some example’s of benzodiazepines?
Alprazolam
Diazepam
Lorazepam
Pam Pam Pam
38
What are the 5 classes of antidepressants?
(TCA)-Tricyclic antidepressants
(MAOI)-Monoamine Oxidase Inhibitors
(SSRI)-Selective Serotonin Reuptake Inhibitors
(SANRIs)-Serotonin-norepinephrine reuptake inhibitor
Dopamine/Norepinephrine-Reuptake Inhibitors
39
What is the action of antipsychotics?
Block dopamine receptors in the brain
40
What is the use of an antipsychotic?
Treat acute and chronic psychosis
41
What are the contraindications of antipsychotics?
Servers depression
| Hypotension
42
What is the use of anticonvulsants?
Used to decrease the severity of seizures
43
What drug do you not give patients with epilepsy?
Welbutrol
44
Drug tolerance:
Decrease response to a drug, increase dose for therapeutic effect.
45
Pounds to KG?
Divide by 2.2
46
Contraindications for ketamine?
Cardiac issues
47
Ketamine has what kind of effect?
Catalyptic
48
Pharmacogenetic reactions
Inherited trait that causes abnormal metabolism.
49
What are the 5 anti-acid uses?
```
Heartburn
GERD
Sour stomach
Indigestion
Peptic ulcer
```
50
H2 antagonist action:
Reduce secretion of gastric acid
51
What are 2 examples of anti-anxiety meds?
Diazepam
Lorazepam
Short term due to dependence
52
What is the action of ant-emetics and anti-nausea meds?
Block 5-HT3 receptor sights
53
What is the pregnancy code for antiemetic and anti-nausea meds
X do not use
54
Best medication for antiemetic and anti-nausea
Odanestron
| Formerly Phenogren
55
4 analgesic classes:
Salicylate
Non Salicylate
NSAID
Urinary
56
Antipyretic use:
Reduce body temp
57
Antianginal aka:
Nitrates
58
Contraindications for antianginal?
Hypotension
59
Avoid ace inhibitors in what population?
AA
60
Thyroid hormone examples:
Levothyroxine
| Aka Synthroid
61
Beta blocker treat what chronic condition?
Angina
62
Beta blocker action:
Decreases heart rate
| Reduces excitability
63
4 antihypertensive drug classes:
Ace/ Arb
Diuretics
Calcium channel blockers
Beta blockers
64
Stage 1 HTN:
Systolic=130-139
| Diastolic=80-89
65
Stage 2 hypertension:
140/90
66
Where is the cough center?
Medulla
67
What is the most common expectorant?
Guaifenesin
68
Drug physiology:
Pancreas
Circulates through blood
Metabolized in the liver
Filtered through kidneys
69
What drugs are contraindicated in patients with G6PD?
Aspirin
Chloroquine
Sulfamides
70
6 factors of bioavailability
```
Route
Liver metabolism
GI mucosa
Good/drugs
Solubility
Drug form
```
71
SIGNA definition
Patient instructions. No numbers and no abbreviations
72
Pharmacodynamics
Drug action and effects
73
Hemorrhoid agents aka
Topical corticosteroid
74
Hemorrhoid agent adverse effect
Tissue atrophy
75
Liver disease effect on dose
Lower dose; med not well metabolized by liver
76
MANMED Pharmacy chapter
21
77
DOD prescription form
DD1289
78
Fat soluble vs water soluble
Fat soluble is faster and lasts longer
79
Bioavailability
% of drug administered in that reaches circulation
80
Bioavailability
% of drug administered that reaches circulation
81
Pinotcytosis
cell drink
82
active absorption
requires energy/ ATP
83
passive absorption
diffuses high to low
84
Beta 2 Agonist contraindications
Cardiac Arrhythmia
85
Beta 2 Agonist action
Blocks Beta Blocker
86
Gen 1 vs Gen 2 Antihistamines
Gen 2 less drowsy
87
Afrin max days
3
88
Antihistamines bind to :
H1 Receptors
89
Antihistamines pregnancy class
C/D
90
Antihistamine Alt Use
Motion Sickness
91
Narcotic Analgesic action
bind to opioid receptor; alters perception
92
Pyridium Dose
100mg TID for 5 days
93
Pyridium pregnancy class
B
94
NSAID example
Motrin
95
NSAID Action
inhibits prostagland synthesis
96
NSAID 2 treatments
Arthritis and Dysmenorrhea
97
Discontinue NSAIDS if
Prolonged bleed or dark stool
98
Non-Salicylate example
Acetaminophen
99
Non-Salicylate and liver
ask about liver; associated with liver failure
100
Non-salicylate example
Acetaminophen
101
Acetaminophen max dose
4G a day
102
Bactericidal vs Bactericidic
kills bact vs slow bact
103
Analgesic type causing uticaria
non-salicylates
104
anti-convulsants for seizures
Use benzo to break seizure
| ex: Lorazepam/Diazepam
105
Anti-convulsants not uncommon to require _____
more than one medication
106
Fastest Drug route
IV
107
Drug Ratings safe for pregnancy
A/B
108
HTN Regimen 4 Steps
1. Lifestyle Changes
2. Diuretics
3. Inc. Dose or Combine Drugs
4. Combine 2-3
109
Additive drug reaction
Occurs when two drugs is equal to sum of each
110
Narcotic Analgesics Bind to What Receptor
Mu
111
Meloxicam is what class of analgesic
NSAID
112
GI bleed is an adverse effect of what class analgesics
Salicylates and NSAIDS
113
Non-Salicylate pregnancy category
B
| theres a bee? :O
114
anti-tussives depress what?
cough center
115
Transdermal Effect
Systemic
116
Half-life
Time it takes to to eliminate 50% of a drug
117
Antagonist
Binds with receptor stronger than agonist producing no effect
118
Salicylate pregnancy category
D
119
5 Drug metabolism organs
```
liver
kidney
lung
plasma
intestines
```
120
Expectorant Action
Reduce viscosity of secretions by increasing respiratory tract fluid
121
Antiarrythmic action
Deceases symptomology; increases dynamic performance
122
Anti-Arrythmics block (3)
Na / K Channels
Beta Receptors
Calcium Channles
123
Therapeutic Effect too high
toxic
124
Therapeutic Effect too low
Decreased effect
125
Routes via mucous membranes/skin
Topical
Transdermal
Inhalation
126
Albumin
water soluble protein; moves medication; produced by liver
127
4 pharmacology principles
Action
reaction
interaction
response
128
Pharmacokinetic
activities of drug after entering body
129
Max NARCS prescribed by IDC
10 days no refills
130
poly prescription form
NAVMED 6710/6
131
Class 2 Anti Arrhythmia Action
Beta Blocker ; blocks beta receptors
132
Class 3 Anti Arrhythmia action
Amiodarone blocks potassium channels
133
Class 3 Anti Arrhythmia uses
dysrhythmia
| fibrillation
134
Emergency diuretic
furosemdie
135
Salicylate action
Inhibit prostaglandins; dilate blood vessels
136
Salicylate contraindications
no pregnancy
| bleeding disorder
137
Salicylate example
aspirin
138
On ship antihyperlipidemic
Simvastatin aka Zocor
139
2 types of antipsychotics
1st Gen/Typical
| 2nd Gen/Atypical
140
Antipsychotic action
block dopamine receptors
141
1st Gen vs 2nd Gen antipsychotic
2nd gen have few adverse reactions
142
Benzo receptor
GABA
143
Non-benzo receptor
Dopamine
144
Muscarinic Antagonist aka
Antichlorogenic
145
Muscarinic Antagonist Contraindication
Arrhythmia
146
Muscarinic Antagonist poem
```
Red as a beet
blind as a bat
stuffed as a pipe
mad as a hatter
hot as a hare
dry as a bone
```
147
Normal Flora
non pathogenic microorganisms in body
148
Broad Spectrum
Effective against gram pos and gram neg
149
Sulfonamide Use
UTI
150
Sulfonamide Action
Bareostatic caused by sulfonamide antagonism
151
Sulfa Adverse Rx
Stephens Johnson Syndrome
152
Cephalosporin Contraindication
Penicillin Allergy
153
Cephalosporine Action
Affect Bacteria Cell Wall
154
Tetracycline Action
Inhibit bacteria protein synthesis
155
Tetracycline Pregnancy Class
D
156
Macrolides Treat
Pnuemonia, Chlamydia and Otitis Media
*alternative to PCN
157
Fluoroquinolone on ship
Cipro
158
Carbapenem Tx
Meningitis, Hospital Pnuemonia
159
Anaerobic Bacteria Tx on Ship
Metronidazole
160
Lincosamides (bactericidal or bacteriostatic)
bacteriostatic
161
3rd Gen Cephalosporin on ship
Ceftriaxone
162
LFT frequency for oral antifungals
30 days
163
Muscle Relaxer Use
Back Pain
| Muscle Spasm
164
Corticosteroid Shuts Off
Pituitary Release; Adrenal Insufficiency
165
Antimigraine Action
Vasoconstriction
166
Sumatriptan Contraindications
Wolff Parkinson
White Syndrome
Arrhythmia
167
Topical Antiviral Example
Penciclovir
168
local anesthetic action
temporarily inhibit sensory nerve fibers
169
3 Otic Preparation Categories
1. Antibiotic
2. Antibiotic and Steroid
3. Misc.
170
2 Keratolytics
condylox
| salicylic acid
171
creatine over use
stroke
172
What neutralizes the effect of heparin?
Protamine Sulfate
173
Other name for pyridium
Phenazopyridine
174
Odanestron blocks the effects of ____ at the 5-HT3 receptor?
Serotonin
175
NSAID contraindicated for sulfa allergy
Celecoxib
176
non benzo example
hydroxyzine
177
Seizure with alternate contraction and relaxation of muscles
Tonic-clonic
178
Seizure brief loss of consciousness during which
| physical activity ceases.
Absence seizures: (petit mal)
179
antitussive on ship
teslon pearls ; do not chew
180
what two ant-anxiety medications can you give pregnant women?
BuSpar and Zolpidem (both class B)
181
Drugs similar in structure to penicillin
Cephalosporines
182
Generic name Tessalon Perles
Benzonatate
183
Subcutaneous
between skin and muscle
184
Intradermal
under first layer of skin
185
Short Term anti-anxiety meds
BENZO (GABA Receptor)
186
Long Term Anti Anxiety
NON BENZO (Dopamine Receptor)
187
Analgesic class for anti-pyretic
Non-salicylate
188
Other Betablocker contraindication
Glaucoma
189
Loop Dietetic MOA
increases excretion of sodium chloride
190
prolonged laxative use can cause
abdominal pain; NVD; mental dependency
191
laxative irritant example
Bisacodyl
192
organ needs to be working for oral antidiabetics
pancreas
193
organ influences every tissue in body
thyroid
194
adverse rx to contraceptive
thrombosis, bleeding , headaches
195
3 influences on antibiotic efficiency
location, ability to reach, ability to resist
196
nicotine replacement med forms
NOT FR**KING PILLS LOL
197
RESPONSIBLE FOR MEDS ABOARD SHIP
CO
198
RESPONSIBLE FOR MAINTAINING MEDS
SMDR
199
AMOUNT OF SAFE AND CODE CHANGES
2 EVERY 6 MONTHS
200
MAINTAIN CSIB RECORDS FOR
3 YEARS
201
CSIB INVENTORY
QUARTLERY OR MONTHLY IF TRANSACTIONS OCCUR
202
FORM FOR THEFT OF CONTROLLED SUBSTANCE
DEA FORM 106
203
FORM FOR DESTROYED MEDICATION
DD200
204
of members required for destruction
3
205
may enhance oxygen to muscles
nitroxide (NO explode)
206
Used to reduce GI bleed risk
COX 1
207
COX 1 VS COX 2
Selective vs Non-Selective
208
Non-Salyicte Uses
Pain/Reduce Body temp/Arthritis
209
Salicyte use
Px/Reduce Body Temp/inflammation/MI risk/Blood Clots
210
Dopamine Inhibitor example
Welbutrin
211
MAOI example
Nardil
212
TCA example
Elavil
213
SANRI example
Duloxetine
214
SSRI example
Trazadone
