transplant drugs Flashcards

(39 cards)

1
Q

ATGAM/ALG/OKT3 class

A

pan-t cell antibody

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2
Q

ATGAM/ALG/OKT3 mechanism

A

causes t cell reduction through ADCC and removal through opsinization in the spleen.

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3
Q

ATGAM/ALG/OKT3 therapeutics

A

induction immune suppression for the transplant of tissues

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4
Q

ATGAM/ALG/OKT3 se

A

Serum sickness reaction characterized by fevers, chills, tachycardia, hypertension or hypotension, myalgias, and rash. there is also the sensitivity to infections

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5
Q

decliuzimab class

A

IL-2 receptor antibody

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6
Q

decliuzimab mechanism

A

inhibits the IL-2 dependent proliferation of t cells.

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7
Q

decliuzimab therapeutics

A

induction of immune suppression for transplant.

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8
Q

basiliximab class

A

IL-2 receptor antibody

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9
Q

basiliximab mechanism

A

reduces the IL-2 dependent t cell proliferation

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10
Q

basiliximab therapeutics

A

transplant induction

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11
Q

alemtuzimab class

A

CD52 antibody

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12
Q

alemtuzimab mechanim

A

suppresses both b and t cells for a profound lymphopenia.

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13
Q

alemtuzimab therapeutics

A

immune suppression induction for transplant.

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14
Q

methylpredinisolone class

A

glucocorticoid

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15
Q

methylpredinisolone mechanims

A

non specific antiinflammatory agent

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16
Q

methylpredinisolone therapeutics f

A

induction of immune suppression

17
Q

methylpredinisolone SE

A

Diabetes mellitus, hyperlipidemia, hypertension, fluid retention, myopathy, osteoporosis, and a predisposition toward opportunistic infections

18
Q

cyclosporin class

A

calcineurin inhibitor

19
Q

cyclosporin mechanism

A

blocks Il-2 production

20
Q

cyclosporin therapeutics

A

maintenance of immune suppression

21
Q

cyclosporin SE

A

Renal insufficiency, hypertension, dyslipidemia, metabolic derangements. there are significant drug interactions with anything metabolized by CYP3A4

22
Q

tacrolimus class

A

calcineurin inhibitor (this is correct)

23
Q

tacrolimus mechanism

A

IL-2 production inhibitor

24
Q

tacrolimus therapeutics

A

maintenance of immune suppression

25
tacrolimus SE
Renal insufficiency, hypertension, dyslipidemia, metabolic derangements, New onset DM; hemolytic-uremic syndrome, Significant drug interactions with any drug metabolized by CYP3A4
26
azothiaprime class
antimetabolite.
27
azothiaprime mechanism
inihibits de novo synthesis of purines.
28
azothiaprime therapeutics
maintenance of immune suppression
29
azothiaprime SE
Leukopenia; hepatotoxicity; pancreatic toxicity
30
mycophenylate class
antimetabolite
31
mycophenylate mechanism
inhibits de novo syn of purines
32
mycophenylate therapeutics
maintenance of immune suppression
33
mycophenylate SE
Leukopenia (less than azathioprine; GI toxicity
34
sirolimus class
mtor inhibition
35
sirolimus mechanism
inhibits the progression of cell cycle from g1 to s phase.
36
sirolimus therapeutic
maintenance of immune suppression
37
sirolimus SE
Hyperlipidemia, oral ulcerations, impaired wound healing, interstitial pneumonitis
38
balatacept
antibody that blocks costimulation of t cells used in the maintenance of immunosuppression
39
rituximab class
cd 20 inhibitor that causes b cell destruction