Pharmacology Flashcards

(57 cards)

1
Q

Radiation Sensitizers

A

Doxorubicin Dactinomycin Gemcitibine

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2
Q

Gross total volume

A

volume occupied by tumor at diagnosis

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3
Q

Clinical Target Volume

A

GTV + sires of suspected occult disease and involved adjacent lymph nodes

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4
Q

Planning Target Volume

A

CTV + area getting dose accounting for variability (less for protons)

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5
Q

Cranial irradtion for ALL

A

includes posterior half of eye and C2

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6
Q

Flank irradiation

A

includes whole vertebral bodies

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7
Q

tumor spillage irradation

A

includes pelvis

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8
Q

Spinal irradiation

A

includes thecal sac to S3

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9
Q

Radiation dose for brain necrosis

A

60 Gy

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10
Q

Radiation dose for IQ defects

A

12 Gy

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11
Q

Radiation dose for GH deficiency

A

18 Gy

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12
Q

Radiation dose for precocious puberty

A

20 Gy

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13
Q

Radiation dose for TSH/FSH/ACTH deficiency

A

40 Gy

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14
Q

Doxorubicin extravisation

A

Cold compress, dexrazoxane

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15
Q

Vinblastine extravisation

A

Warm compress, hyluronidase

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16
Q

Vincristine extravisation

A

warm compress, hyaluronidase

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17
Q

Alkylating agents

A

temozolomide, melphalan, ifosfamide, cclophosphamide, thiotepa, carmustine, busulfan, cisplatin, carboplatin

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18
Q

Platinums

A

Cisplatin, Carboplatin

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19
Q

Platinum SE

A

Peripheral nueropathy, NV, Nephrotoxicity, myelosuppression, hepatoxicity, hypersenitivity, ototoxicity (cisplat>carbo)

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20
Q

Cisplatin ototoxicity

A

High frequency sensioneural hearing loss >4,000 hz

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21
Q

Cyclophosphamide nephrotoxicity

A

water retention with hyponatremia from direct tubular damage not ADH

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22
Q

Ifosfamide nephrotoxicity

A

proximal tubular fanconi syndrome with glucosuria, phosphaturia, amino aciduria, riscketts, RTA distal tubular damage

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23
Q

Mesna

A

chelates acrolein

24
Q

Antidote for ifosfamide neurotoxicity

A

methylene blue

25
Late effects for alkylators
Reproduction, pulmonary fibrosis for Busulfan nitrogen mustards, renal dysfunction, ototoxicity, secondary cancers
26
Antimetabolites
Methotrexate, mercaptopurine, thioguanine, fludarabine, cladribine, clofarabine, nelarabine, cytarabine, gemcitabine, flurorouracil
27
Antimetabolite SE
myelosuppression, hepatotoxicity, mucositis, NV, neurotoxicity, rash, pulmonary toxicity HD MTX nephrotoxic Radiation Recall gemcitabine
28
Methotrexate neurotoxicity
10-14 day onset resolves 1-7 days 10-50% recur??? can cause chronic encephalopathy
29
Cytarabine neurotoxicity
acute cerebellar syndrome ataxia nystagmus dysmetria dysarthria 3-8 day onset resolves 1 wk 30% have residual effect
30
Nelarabine neurotoxicity
solmnolence, seizures Guillan Barre like syndrome gradually reversible
31
Fludarabine neurotoxicity
progressive leukoencephalopathy can be fatal delayed onset demyelination
32
HD methotrexate nephrotoxicity
High output renal failure antidote glucarpidase
33
Glucarpidase
cleaves circulating Mtx into DAMPA and glutamic acid
34
Mercaptopurine interaction
Allopurinol
35
Methotrexate interaction
Aspirin, penicillin, NSAIDs, ciprofloxacin, sulfas, L-Asp (give 24h after MTX)
36
Topoisomerase
I Topotecan/irinotecan II Doxorubicin, daunorubicin, idarubicin, etoposide, mitoxantrone, dactinomycin
37
Topoisomerase SE
NV myelosuppression, mucositis, diarrhea, anthrcyclines - cardiac, hepatic, vesicants, radiation sensitizers (doxo, dactino, dauno, ida) etop infusion reaction
38
Inrinotecan diarrhea
prodrug metablized to SN-38 Hyperacture <8H - atropine Acute >8 hours - octreotide prophy cefixime
39
Tubulin binding (microtubule inhibitors)
Vinca alkyloids paclitaxel docetaxel erlibulin
40
Microtubule inhibitor SE
Myelosupression except VCR Neuropathy SIADH Vinblastine - mucositis Vesicants (warm compress)
41
Steroids
Dex not bound to transcortin so crosses BBB
42
Steroid SE
centipedal obesity growth failure immunosuppression myopathy avascular necrosis gastric ulcers pancreatitis diabetes psychiatric disorders hypertension impaired wound healing
43
Asparginase
leukemic blasts are deficient in aspargine synthase Peg-asparginase T1/2 5-7 days Erwinea T1/2 10-15 hours Calaspargase T1/2 16 days
44
Asparginase SE
Hypersensitivity Coagulopathy pancreatitis hepatic toxicity neurotoxicity
45
Bleomycin
Chlates metals that bine DNA and produce double stranded breaks
46
Bleomycin SE
interstitial pneumonitis hyperpigmentation hypersensitivity raynaud
47
Arsenic Trioxide
apoptosis SE prolonged QTc leukocytosis, APL differentiation Hepatotoxicity dermatitis low mag, ca, hyperglycemia
48
ATRA
differentiation syndrome chelitis headache, psuedotumor cerebri bone and joint pain hypertriglyceridemia venous thrombosis
49
13-cis retinoic acid
skin sensitivity headache hypertryglyceridemia hypercalcemia epiphyseal changes pseudotumor cerebri visual changes psychiatric disorders
50
BCR-ABL inhibitors TKIs
Imatinib - NV fatigue dh hepatoxicity hemorrhagic pleural effusions Dasatinib dh headache hypokalemia poor bone growth pleural and pericardial effusion nolatinib same with arthralgias, constipation, nasopharyngitis, pyrexia
51
Axitinib, Pazopanib
VEGF PDGF C-Kit RCC
52
Sorafinib
VEGF PDGF c-KIT HCC AML FLT3 RCC
53
ALK inhibitors
Lorlatinib Large cell anaplasctic lymphoma NBL
54
NTRK inihibitors
Larotrectinib
55
DNA methylation inihibitors
Azacitidine and decitabine activates tumor suppressor genes silences by hypermethylation
56
Gemtuzumab
Anti CD33
57
Brentuxumab
Anti CD30