Pharm 14 Flashcards

(30 cards)

2
Q

Treatment of withdrawal syndrome involves

A

Long-acting sedative-hypnotic or a gradual reduction of dose, clonidine or propranolol

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3
Q

Withdrawal from this drug causes lethargy, irritability, and headache

A

Caffeine

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4
Q

W/D from this drug causes anxiety and mental discomfort

A

Nicotine

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5
Q

Chronic high dose abuse of nicotine leads to

A

Psychotic state, overdose causes agitation, restlessness, tachycardia, hyperthermia, hyperreflexia, and seizures

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6
Q

Tolerance is marked and abstinence syndrome occurs

A

Amphetamines

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7
Q

Amphetamine agents

A

Dextroamphetamines and methamphetamine

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8
Q

These agents are congeners of Amphetamine

A

DOM, STP, MDA, and MDMA “ecstasy”

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9
Q

Overdoses of this agent with powerful vasoconstrictive action may result in fatalities from arrhythmias, seizures, respiratory depression, or severe HTN (MI and stroke)

A

Cocaine “super-speed”

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10
Q

Most dangerous of the currently popular hallucinogenic drugs, OD leads to nystagmus, marked hypertension, and seizures, presence of both horizontal and vertical nystagmus is pathognomonic

A

PCP

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11
Q

Removal of PCP may be aided

A

Urinary acidification and activated charcoal or continual nasogastric suction

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12
Q

Only direct acting agent that is very lipid soluble and used in glaucoma

A

Pilocarpine

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13
Q

These agents are used to treat dry mouth in Sj_gren’s syndrome

A

Pilocarpine or Cevimeline

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14
Q

Indirect-Acting ACh Agonist, alcohol, short DOA and used in diagnosis of myasthenia gravis

A

Edrophonium

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15
Q

Carbamate with intermediate action postoperative and neurogenic ileus and urinary retention

A

Neostigmine

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16
Q

Treatment of atropine overdose and glaucoma (because lipid soluable). Enters the CNS rapidly and has a stimulant effect, which may lead to convulsions

A

Physostigmine

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17
Q

Treatment of myasthenia gravis

A

Pyridostigmine

18
Q

Antiglaucoma organophosphate

A

Echothiophate

19
Q

Associated with an increased incidence of cataracts in patients treated for glaucoma

A

Long acting cholinesterase inhibitors

20
Q

Scabicide organophosphate

21
Q

The most important cause of acute deaths in cholinesterase inhibitor toxicity

A

Respiratory failure

22
Q

The most toxic organophosphate

23
Q

Treatment of muscarinic symptoms in organophosphate overdose

24
Q

This agent regenerates active cholinesterase and is a chemical antagonist used to treat organophosphate exposure

25
Q

Prototypical drug is atropine

A

Nonselective Muscarinic Antagonists

26
Cystitis, postoperative bladder spasms, or incontinence
Oxybutynin, dicyclomine
27
Toxicity of anticholinergics
Anti-DUMBBELSS
28
Another pneumonic for anticholinergic toxicity
"dry as a bone, red as a beet, mad as a hatter, hot as a hare, blind as a bat"
29
Atropine fever is the most dangerous effect and can be lethal in this population group
Infants
30
Contraindications to use of atropine
Infants, closed angle glaucoma, prostatic hypertrophy
31
Prototype ganglion blocker
Hexamethonium