Paulson - Dosing

Question 1

3 anticholinergics on the BEERS criteria

Answer 1

antidepressants

antihistamines (ex Benadryl)

antipsychotics

Question 2

antibiotic on BEERS

Answer 2

macrobid (nitrofurantin)

Question 3

2 DM meds on the BEERS criteria

Answer 3

insulin

sulfonylureas (Glipizide, Glyburide)

Question 4

3 other common meds on BEERS

Answer 4

PPIs

NSAIDs

OACs

Question 5

what are Z drugs on BEERS

Answer 5

sleep drugs

ex melatonin

Question 6

which of these are on BEERS criteria:

synthroid

benadryl

norvasc

glipizide

melatonin

Answer 6

benadryl

glipizide

melatonin

Question 7

name some reasons a pt might be on lovenox (enoxaprin)

Answer 7

active cancer (hypercoaguable state)

acute coronary syndromes

mechanical heart valve (bridging to anticoagulation)

beginning HD

pregnant at high risk of VTE

trauma w.o active bleeding

Question 8

what 2 medications commonly cause non pitting edema

Answer 8

norvasc (amolodipine) → CCB

gabapentin

Question 9

you start a pt on colchicine for acute gout - what common s.e will you counsel them to expect

Answer 9

diarrhea

almost all

Question 10

sx of trigeminal neuralgia

Answer 10

severe facial pain from temple → in front of ear → down jawline

“electrocuting” pain lasting 15 seconds

triggered by smiling or chewing

Question 11

tx for trigeminal neuralgia

Answer 11

anticonvulsants →

carbamazepine (tegretol)

OR

oxcarbazepine (trileptal)

Question 12

common s.e of tegretol and trileptal (5)

Answer 12

n/v

diarrhea

hyponatremia

pruritis

lethargy

Question 13

bad s.e of tegretol and trileptal

Answer 13

SJS/TEN

hepatic failure

DRESS (drug rxn w. eosinophilia and systemic sx)

aplastic anemia

Question 14

what pt pop should not use tegretol or trileptal

Answer 14

HLA-B allele positive → commonly east asian/south asian ancestry

genetic testing

Question 15

alternatives to Tegretal/Trileptal for trigeminal neuralgia

Answer 15

gabapentin

lamictal

botox

surgery

Question 16

5 s.e of albuterol nebulizer

Answer 16

tpain

tremor

palpitations/tachy

anxiety

insomnia

nervous/jitters

Question 17

4 s.e of lisinopril

Answer 17

cough

angioedema

hyperK

aki

Question 18

which of these meds may cause hyponatremia:

norvasc

zoloft

lopressor

eliquis

HCTZ

Ca

viatmin D

Answer 18

HCTZ

SSRIs -> zolof

Question 19

name 3 meds that can cause pill esophagitis

Answer 19

bisphosphanates

abx

NSAIDs

Question 20

esophagitis from bisphosphanates can be minimized by

Answer 20

empty stomach

full glass of water

stay upright for 30 min

wait 30 min before taking any food/water

Question 21

50% of all cases of pill esophagitis are caused by

Answer 21

abx

Question 22

abx mc associated w. pill esophagitis

Answer 22

tetracyclines

Question 23

5 other abx that cause pill esophagitis

Answer 23

bactrim

pcn

clindamycin

azithromycin

erythromycin

Question 24

which of these meds can cause ED:

lopressor

melatonin

synthroid

sertraline

lipitor

Answer 24

sertraline