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Flashcards in Unit III Med Review Deck (61):
1

Ferrous Sulfate Trade Name

Feosol; Fer-In-Sol; Fer-Iron

2

Ferrous Sulfate Category

Oral Iron Product; Iron Salt

3

Ferrous Sulfate Use

Iron Deficiency Anemia

4

Ferrous Sulfate Dose

200mg PO elemental iron qday (In 2-3 divided doses)

1-325mg tab PO tid

5

Ferrous Sulfate AE

AE: GI - Discolored feces (dark), abdominal pain, heartburn, constipation, N/V; Absence of AEs may indicate nonadherence

If intolerable : Take with meals, ↑ total daily dose to 110-120 mg

Preg Cat: ? Safe?

6

Cyanocobalamin Trade Name

Ener-B; Nascobal; Twelve Resin-K

Cobal
Cobolin-M
Depo-Cobolin
LA-12

7

Cyanocobalamin Category

Vitamin B12

8

Cyanocobalamin Use

Vitamin B12 Deficiency Anemia

9

Cyanocobalamin Dose

1000mcg qday for 1 week, then 1000mcg qweek until Hgb/Hct normalizes, then 1000mcg qmonth

10

Cyanocobalamin AE

AE: Hyperuricemia, hypokalemia, rebound thrombocytopenia, fluid retention (more likely in patients with compromised CV status), anaphylaxis with parenteral administration

Preg Cat: ? Safe?

11

Folic Acid Trade Name

Folacin-800; Apo-Folic

12

Folic Acid Category

Folate Vitamin

13

Folic Acid Use

Folate Deficiency Anemia

14

Folic Acid Dose

1-5mg PO qday x 4 months

AED Induced Anemia: 500mcg PO qday so don't need to discontinue AEDs

15

Folic Acid AE

AE: Flushing, malaise, erythema, pruritis, rash, bronchospasm, allergic reaction

-Bad taste in mouth, large doses, loss of appetite, nausea, confusion, irritability, sleep pattern disturbances


Preg Cat: A

16

Folic Acid Notes

Pregnancy: 400mcg/day in non-pregnant females of child bearing age; 500mcg/day in lactating females; 600mcg/day in pregnant females

400-1000mcg/day prior to conception and during pregnancy to decrease the risk of neural tube defects; 4mg/day for high risk pregnancies

17

Ceftriaxone Trade Name

Rocephin

18

Ceftriaxone Category

3rd Generation Cephalosporin

19

Ceftriaxone Use

Pyelonephritis: Hospitalized Patient; Acute Prostatitis & Epididymitis

20

Ceftriaxone Dose

Pyelo: 1-2g IV qday
Prostatitis: 250 mg IM x 1

21

Ceftriaxone AE

AE: Generally well tolerated; diarrhea, neutropenia, thrombocytopenia, platelet dysfunction, SJS, TEN, ISR, cross reactivity with PCN 5-10%, Pseudomembranous enterocolitis, Hemolytic anemia, Erythema multiforme, Eosinophila

CI: Hypersensitivity to Cephs; Type I allergy to PCN; Neonates w/increased bilirubin due to kernicterus risk

Preg Cat: B

22

Doxycycline Trade Name

Adoxa

23

Doxycycline Category

Tetracycline Abx

24

Doxycycline Use

UTI (If risk factors for STD); Acute Prostatitis & Epididymitis

25

Doxycycline Dose

UTI: 100mg PO BID for 7 days
Prostatitis: 100mg PO BID for 10 days

26

Doxycycline AE

AE: Discoloration of teeth, GI upset, photosensitivity, diarrhea, vertigo, rare hypersensitivity, nasopharyngitis, EM, SJS, TEN, C. diff diarrhea, hepatotoxicity

CI: Hypersensitivity to any tetracycline, kids < 8 yo, pregnancy (D), lactation

Pregnancy Cat: D

27

Ciprofloxacin Trade Name

Cipro

28

Ciprofloxacin Category

FQ

29

Ciprofloxacin Use

UTI/Pyelonephritis

30

Ciprofloxacin Dose

UTI: 250mg PO BID x 3 days or 500mg PO qday ER x 3 days

Pyelo: 500mg PO BID x 7-14 days or 1000mg PO qday ER x 7-14 days

31

Ciprofloxacin AE

AE: GI problems (N/D), CNS: dizziness, lightheadedness, headache, insomnia, rash, restlessness, ARF

Black box warning: prolonged QT interval, torsades de pointes, may exacerbate muscle weakness

-CI: Hypersensitivity to fluoroquinolone, <18 years, pregnant women

Preg Cat: C

32

Darbepoetin Alfa Trade Name

Aranesp

33

Darbepoetin Alfa Category

EPO Stimulator

34

Darbepoetin Alfa Use

Anemia of CRF (Chronic Renal Failure)

35

Darbepoetin Alfa AE

AE: DBP elevation (30-47% incidence; likely due to ↑ PVR), Fever, HA, fatigue, edema, chest pain, N/V/D, arthralgias, iron deficiency (prevent with ferrous sulfate 325 mg po qhs)- by giving them 1/3 of recommended

CI: Uncontrolled HTN, black box warning increase risk for MI, stroke and other CVD

36

TMP/SMX Trade Name

Septra; Bactrim

37

TMP/SMX Category

Misc Abx

38

TMP/SMX Use

UTI (Uncomp. Cystitis)
Acute Prostatitis

39

TMP/SMX Dose

1 DS PO BID

Uncomplicated: 3 days
Complicated: 7-10 days
Pyelo: 14 days
Males: 10-14 days

40

TMP/SMX AE

AE: GI upset, rash, urticaria, photosensitivity,
Stevens-Johnson, TEN, EM, C. diff diarrhea, blood dyscrasias, and hepatotoxic reactions are rare, aplastic anemia, anaphylaxis, rhabdomyolysis

CI: Hypersensitivity to any sulfa drug or TMP; folate deficiency anemia, infants < 2 mo, marked hepatic or renal dysfunction, pregnancy at term, lactation

Preg Cat: C

41

Oxybutynin Trade Name

Ditropan XL; Oxytrol

42

Oxybutynin Category

Anticholinergic/Antispasmodic

43

Oxybutynin Use

Urge Urinary Incontinence

44

Oxybutynin AE

AE: Dry mouth, constipation, vision impairment, confusion, tachycardia, orthostatic hypotension, sedation

Preg Cat: B

45

Duloxetine Trade Name

Cymbalta

46

Duloxetine Category

5HT/NE Reuptake Inhbibtor

47

Duloxetine Use

Stress Urinary Incontinence

48

Duloxetine AE

AE: nausea MC, dry mouth, constipation, decreased apetitie, fatigue, somnolence, increased sweating, sexual dysfunction, increased BP

Preg Cat: C

49

Terazosin Trade Name

Hytrin

50

Terazosin Category

Alpha 1 Blocker

51

Terazosin Use

Moderate BPH

52

Terazosin AE

AE: Orthostatic hypotension (must initiate at lowest dose and titrate at 2-7 day intervals to minimize HOTN), Floppy iris syndrome during cataract surgery

Onset within 2-4 weeks

Preg Cat: C

53

Finasteride Trade Name

Procar

54

Finasteride Category

5 Alpha Reductase Inhibitor

55

Finasteride Use

Moderate BPH

56

Finasteride AE

AE: May cause decreased libido, erectile dysfunction (may be permanent even after d/c drug in 1/1000 pts); lower risk of orthostatic hypotension

Onset approx 6 months

Preg Cat: X

57

Sildenafil Trade Name

Viagra

58

Sildenafil Category

PDE5 Inhibitor (Phosphodiesterase Inhibitor)

59

Sildenafil Use

Erectile Dysfunction

60

Sildenafil Dose

50mg PO 60min prior to sexual activity, not more than once daily (25-100mg range)

61

Sildenafil AE

AE: HA, facial flushing, dyspepsia, nasal congestion, dizziness, abnormal vision, prolonged erection (> 4 hrs), priapism (> 6 hrs), decreased BP (8-10 mmHg systolic, 5-6 mmHg diastolic) 1 hr after dose lasting 4hrs (S&V), nonarteric anterior ischemic optic neuropathy warning

CI: concurrent nitrate use, alpha blocker use, pts w/high CV risk (See table in notes)

Preg Cat: B