Study hints exam 3 Flashcards Preview

Pharmacology > Study hints exam 3 > Flashcards

Flashcards in Study hints exam 3 Deck (84)
Loading flashcards...
1

valium (diazepam)

treats seizures in progress (status epilepticus)

2

valium (diazepam) Side effects

most serious adverse effect is cardiovascular collapse; assess for hypotension (SBP drops 20 mm HG hold), tachycardia, and edema
assess for respiratory status depression

3

valium overdose treatment

flumazenil [romazicon]

4

never give valium within 14 days of

maois

5

dilantin (phenytoin)

anti seizure- treats all but absence seizures

6

dilantin therapeutic range

10-20 mcg/mL

7

s/sx of dilantin toxicity

nystagmus, confusion, ataxia, coma, seizures

8

which anti seizure med causes gingival hyperplasia

dilantin

9

what color is your pee on dilantin?

pinkish red to reddish brown

10

what do you report to HCP if on dilantin?

blood dyscrasia (fever, sore throat, nose bleeds, bruising, rash) or hepatoxicity (jaundice)

11

what affect does dilantin have for diabetes?

monitor serum glucose bc dilantin inhibits insulin release and so may cause hyperglycemia

12

What is the therapeutic range for valproic acid [depakote]?

50-100 mcg/mL

13

what are adverse effects of valproic acid [depakote]?

photosensitivity and pulmonary edema

14

what is overdose treatment for valproic acid [depakote]?

naloxone [narcan]

15

what can lower serum drug levels of depakote?

hemodialysis

16

how do you treat a od of tegretol [carbamezepine] for anit seizure?

activated charcoal with gastric lavage

17

what is adverse effect with tegretol [carbamezepine]?

stevens johnsons syndrome (fever, sore throat, and fatigue)

18

treat myanthenia gravis with

reganol; anticholinesterase

19

reganol toxicity

severe cholinergic reaction-give atropine

20

reganol and food

give with foods to ENHANCE absorption and decrease GI upset

21

how to diagnose myanthenia gravis

tensilon test (edrophonium)

22

Parkinsons Disease

levodopa and carbidopa (SInemet) dopamine agonist

23

levodopa treats well

tremors, bradykinesia, gait and muscle rigidity

24

urine and perspiration may darken with which med?

simemet (levodopa and carbidopa)

25

which med do you avoid foods high in pyridoxine (vit B6) such as beef, liver, pork, ham, egg yolks, whole-grain or fortified cereals, or multivitamins bc they decrease the effects?

Sinemet (PD drug) levodopa/carbidopa

26

which drug cant be taken with food/bevs high in protein

Sinemet (PD drug) levodopa/carbidopa

27

which drugs whould you keep a food journal to assist HCP with dosage?

Sinemet (PD drug) levodopa/carbidopa

28

Which drug may take months for full therapeutic effects to take place?

Sinemet (PD drug) levodopa/carbidopa

29

what is another drug besides Sinemet (PD drug) levodopa/carbidopa to treat PD?

Mirapex (dopamine replacement) pramipexole

30

which PD drug causes EPS?

mirapex [treat with cogentin]