Term
agents that can worsen HF |
|
Definition
Triptan
alcohol
antiarrythmics
antracyclines |
|
|
Term
do not start K sparing if
K> |
|
Definition
|
|
Term
effect of diuretics on lithium |
|
Definition
decrease lithium renal clearence |
|
|
Term
specific side effect of captopril |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
what is max dose for metop succinate |
|
Definition
|
|
Term
|
Definition
|
|
Term
contraindication to BIDIL |
|
Definition
|
|
Term
dig therapeutic range for HF |
|
Definition
|
|
Term
when coreg is mix with apple sauce in what way |
|
Definition
should be warm
eaten right away
apple sauce only |
|
|
Term
dig counseling , tell patient to avoid being |
|
Definition
dehydrated, may cause over dose |
|
|
Term
what lab should be measured in acute decompensated |
|
Definition
|
|
Term
|
Definition
chest pain
no cardiac enzymes, no ECG changes |
|
|
Term
|
Definition
chest pain+positive cardiac enzyme |
|
|
Term
|
Definition
chest pain + positive cardiac enzymes+St change |
|
|
Term
beta block should be initiated within___ of heart failure |
|
Definition
|
|
Term
ace should be intiated within ____ in heart failure |
|
Definition
24 hours
do not use IV (may cause hypotension) |
|
|
Term
|
Definition
|
|
Term
GP IIB/IIIA inhibitior administration note |
|
Definition
do not shake vials upon reconstitution
must filter abciximab |
|
|
Term
contraindication IIB/IIIA receptor antagonist |
|
Definition
hx of HF within 30 days
platelet<100,000 |
|
|
Term
which IIB/IIIA have least renal issue |
|
Definition
|
|
Term
prasugrel dose when patient is less 60kg |
|
Definition
5 mg/day
normal 60 LD, then 10mg daily |
|
|
Term
|
Definition
|
|
Term
when continue UFH d/c
enox
fonda
bival |
|
Definition
enox 24 hours before
fonda 24
bival 3 |
|
|
Term
asa duration with s/p MI
what about clopidogrel |
|
Definition
162-325mg
1 month with bare metal
3 month with sirolimus eluting stent
6 months with paclitaxel eluting stent
then 75-162
clop : 12 months |
|
|
Term
|
Definition
|
|
Term
normal anginal drug of choice |
|
Definition
b blocker
avoid drug with ISA |
|
|
Term
nitrate admin
SL
vs
Long acting |
|
Definition
SL - keep it in glass vial
Long acting: free interval |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
isosorbide dinitrate
(ir and SL) |
|
|
Term
Isosorbide monotrate
vs
Isosobide dinitrate
dosing |
|
Definition
mono: IR=BID
dinitrate: TID |
|
|
Term
how much sublingual NGT given |
|
Definition
up to three at five minute interval |
|
|
Term
after taking SL NGT patient should |
|
Definition
not eat, drink,smoke ten minutes after |
|
|
Term
how to use nitrolingual pumpspray |
|
Definition
Pump 5 spray into the air when use first time and prime once if not use for 6 weeks
Do NOT Shake
Do NOT Inhale the spray and try not to swallow too quickly
spray on or under tongue |
|
|
Term
|
Definition
place 1 tablet under tongue allow it to dissolve completely |
|
|
Term
|
Definition
sildenafil (for hypertension) |
|
|
Term
nitroglycerin patch, how long to keep patch on |
|
Definition
|
|
Term
what is big side effect of nitrate |
|
Definition
headache
dizziness
nausea
* it's going to get better |
|
|
Term
electrolytes that cause arrythmia |
|
Definition
postassium
magnesium
sodium
calcium |
|
|
Term
|
Definition
increase mortality in tx of afib/flutter |
|
|
Term
quinidine be consistent with what parameter |
|
Definition
NA
decrease Na and increase NA concentration |
|
|
Term
major side effect of quinidine |
|
Definition
|
|
Term
|
Definition
|
|
Term
black box for procainamide |
|
Definition
potentially fatal blood dyscrasias, monitor closely in first 3 months
(lupus) |
|
|
Term
|
Definition
|
|
Term
|
Definition
lidocaine
mexiletine
cocainide
( all can be given endotrach tube) |
|
|
Term
|
Definition
|
|
Term
|
Definition
life threatening blood dyscrasias and pulmonary fibrosis |
|
|
Term
|
Definition
|
|
Term
|
Definition
liver
lung
exacerbate arrythmias |
|
|
Term
|
Definition
|
|
Term
amio IV formulation should be stored in |
|
Definition
polyolefin or glass
and need to give through a filter line |
|
|
Term
amiodarone is preg category |
|
Definition
|
|
Term
dronaderone is preg category |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
sotalol is contraindicated in |
|
Definition
|
|
Term
multaq is contraindicated in |
|
Definition
HF class IV with recent hospitalization
pt with hr <50 |
|
|
Term
|
Definition
|
|
Term
|
Definition
must initiate in a setting with continous ECG monitoring for a minimun of 3 days or 12 hours after cardioconversion |
|
|
Term
|
Definition
|
|
Term
what drug require decrease of amio by 30-50% |
|
Definition
dig
warfarin
quinidine
procainamide
*in multaq decrease Dig by 50% |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
which anytiarrythmic need medguide most |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
regitine is
dilution
route
tx |
|
Definition
phentoloamine
NS
Sq
extravasation |
|
|
Term
|
Definition
low dose: D
med dose: B
high dose: A |
|
|
Term
discard of solution turn blue in this drug |
|
Definition
|
|
Term
sodium nitroprusside
storage |
|
Definition
|
|
Term
|
Definition
do not fridge-cause preciptitation |
|
|
Term
ampho B must be infuse over what time period |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
xigris special instruction |
|
Definition
infuse separately from all other medications |
|
|
Term
|
Definition
|
|
Term
phenytoin dilution must be discarded after |
|
Definition
|
|
Term
diprivan used instruction |
|
Definition
shake well
discard tube after 12 hours
discard diluent after 6 hours
do not use filter < 5 micron |
|
|
Term
know antidote toxities when have time |
|
Definition
|
|
Term
primatine mist should not be use because |
|
Definition
|
|
Term
increase maintainance therapy when use beta 2 more than... |
|
Definition
|
|
Term
|
Definition
|
|
Term
prime beta 2 inhaler if first use or not been use more than |
|
Definition
3-4 sprays
not use more than 2 weeks |
|
|
Term
|
Definition
ciclesonide
prodrug
not need to shake |
|
|
Term
|
Definition
mometasone
with formoterol |
|
|
Term
which inhaled cortical steroid has built in spacer |
|
Definition
|
|
Term
minimun age to use advair |
|
Definition
|
|
Term
minimum age to use advair hfa |
|
Definition
|
|
Term
minimun age to use formoterol |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
approved age for leukotriene |
|
Definition
zafirleukast 5-11
zileuton- not recommended in children
monteleukast: 4mg 6mos
5mg 5-14 |
|
|
Term
accolate
zyflo
(food/empty) |
|
Definition
accolate empty
zyclo with food |
|
|
Term
|
Definition
ir theophylline
other brands are ER |
|
|
Term
xolair route of admin and frequency |
|
Definition
|
|
Term
|
Definition
always given in doctors office
observe patient for anaphylaxis (BBW)
|
|
|
Term
Peak flow reading
green
yellow
red |
|
Definition
green: 80-100 percent
yellow: 50-80 percent
red <50 percent
* of personal best |
|
|
Term
best time to get peak flow |
|
Definition
noon-2
several times daily for 2-3 weeks
before taking medicine |
|
|
Term
|
Definition
prevent thrush
great enhance coordination
reduce cough associated |
|
|
Term
how long should you wait between albuteral spray |
|
Definition
1 minute, shake in between |
|
|
Term
how long should you shake floven inhaler |
|
Definition
|
|
Term
how long is storage life of symbicort out of the foil |
|
Definition
|
|
Term
if not use symbicort for ___ days, you need to prime it again |
|
Definition
|
|
Term
singuliar can prevent excericise induce for what age |
|
Definition
15 and up
take two hours prior to excerise |
|
|
Term
special instruction for singuliar granules |
|
Definition
dissolved in 5ml of cold or room baby formula or milk
must take it in 15 minutes |
|
|
Term
|
Definition
|
|
Term
nicotine gum (nicorette)
otc/rx |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
nicotine patch
(nicoderm cQ)
otc/rx |
|
Definition
|
|
Term
|
Definition
|
|
Term
commit has not been shown to be effective in |
|
Definition
|
|
Term
|
Definition
|
|
Term
nicotine replacement therapy should not be use in |
|
Definition
|
|
Term
how to purchase nocotine replacement therapy |
|
Definition
|
|
Term
|
Definition
start 1-2 weeks prior to quit date
150mg am for 3 days, then 150 BID |
|
|
Term
|
Definition
start one week before quit
day 1-3 0.5mg QD
day 4-7 .5 mg BID
day 8: 1 mg BID |
|
|
Term
|
Definition
take with food and full glass of water
take second pill at dinner decease to decrease insomnia |
|
|
Term
|
Definition
chew slowly until a peppery flavor then park
avoid eacting and drinking anything except water for 15 minutes before chewing
chew and park for 30min. |
|
|
Term
how to take nicotine lozenge |
|
Definition
dissolves
avoid acidic food
|
|
|
Term
where apply the nicotine patch |
|
Definition
|
|
Term
zyban
when does it start to work |
|
Definition
it takes one week before it start working |
|
|
Term
do not buprion if you have |
|
Definition
|
|
Term
do not exceed proprion dosee |
|
Definition
|
|
Term
|
Definition
more than 6 weeks of the following
1. stiff last more than 1 hours
2. swelling 3 or more joints
3. simmetric
|
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
leflunomide
CI in pregnancy
if you want to get pregnant wait two years |
|
|
Term
sulfasalazine is CI in patient with |
|
Definition
sulfer allergy
subsacylate |
|
|
Term
sulfasalazine
with food/empty |
|
Definition
|
|
Term
|
Definition
25 sq twice a week or 50 weekly |
|
|
Term
|
Definition
40 mg every other week, titrate to weekly if not taking methotrexate |
|
|
Term
|
Definition
3 mg/kg/week at 0,2,,6 then every 8 weeks
IV |
|
|
Term
|
Definition
|
|
Term
simponi is
how to take it |
|
Definition
|
|
Term
which two biologic can be self inject |
|
Definition
|
|
Term
|
Definition
can not give two biologics
do not give with live vaccine
require TB test before use
keep it in fridge (do not freeze) |
|
|
Term
what is a black biologics |
|
Definition
|
|
Term
|
Definition
give 1 gram IV on day 1 and 15
premedicate with steroid |
|
|
Term
|
Definition
|
|
Term
|
Definition
abatacept
dose by body weight IV |
|
|
Term
|
Definition
|
|
Term
important point about injecting etanercept |
|
Definition
change site , at least one inch apart |
|
|
Term
who should exam for breast cancer
|
|
Definition
mamograms: age 40 and over annually
clinical breast exam (CBE): every 3 years for women 20-30 and yearly for 40 and over
normal exam: starting in the 20s (optional) |
|
|
Term
who should check for colorectal cancer and polyps |
|
Definition
both men and women over 50
signmoidal
colonoscopy
yearly: gFOBT or FIT |
|
|
Term
who should check for cervical cancer |
|
Definition
three years after vaginal intercourse
or
no later than 21 years old
Pap test: every year
liquid pap: every 2 years |
|
|
Term
who should check for prostate cancer |
|
Definition
male >50
AA male >45
PSA with or without DRE |
|
|
Term
|
Definition
|
|
Term
|
Definition
faslodex
IM
*other serms are PO |
|
|
Term
Antiandrogens
aromatase
formulation |
|
Definition
|
|
Term
|
Definition
chlorabucil
alkylator
requires fridge |
|
|
Term
|
Definition
melphalan
requires refridge |
|
|
Term
|
Definition
|
|
Term
|
Definition
dexrazoxane
antidote for extravasation in antracycline injection |
|
|
Term
|
Definition
dexrazoxane
cardioprotect doxorubicin when dose is beyond 300mg/m2 |
|
|
Term
|
Definition
hand feet
myelosuppression
maintain hydration |
|
|
Term
add what to reduce trexall toxcicity |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
thanlidomide
lenalidomide
category |
|
Definition
|
|
Term
|
Definition
retuximab
infusion given at hospital or clinic, fatal |
|
|
Term
bexxar, give what prior to administering this drug |
|
Definition
tosituzumab
thyroid protective iodine |
|
|
Term
campath side effect
propholaxis with |
|
Definition
alemtuzumab
severe-prolong mylosuppresion (2-12 months)
bactrim and famciclovir for minimum of 2 months
|
|
|
Term
platinum base analogues side effects
prophylaxis with |
|
Definition
nephrotoxicity
ethyol (amifostine)
|
|
|
Term
vinca alkaloid
do not administer |
|
Definition
|
|
Term
vinca alkaloid side effect |
|
Definition
alopecia
mylosuppresion
extravasation |
|
|
Term
|
Definition
|
|
Term
|
Definition
1 hour before and two hours after meal |
|
|
Term
do not give purinethol with |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
topical 5-FU for wrinkles |
|
|
Term
|
Definition
|
|
Term
leucovorin is given with___ to increase efficacy |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
which anticancer requires genetic testing |
|
Definition
5-FU
xeloda
(DPD deficiency, increase toxicity) |
|
|
Term
|
Definition
pretreat with dexamethasone to decrease anaphylaxis (78%)
will increase INR |
|
|
Term
|
Definition
intrathecal administration of cytarabine
(pyrimidine analogue) |
|
|
Term
|
Definition
gemcitabine
IV
pyrimidine analgue (mylosupression) |
|
|
Term
|
Definition
fluid retention
(taxotere)
increase INR |
|
|
Term
|
Definition
ironotecan
loperimide to slow diarrhea |
|
|
Term
|
Definition
|
|
Term
how to take erlotinib
food/ empty |
|
Definition
1 hour before and two hour after |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
with water/full meal
no grapefruit |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
arsenic trioxide
qt prolongation |
|
|
Term
|
Definition
|
|
Term
|
Definition
1 hours before and 2 hours after meal
(requires refrige) |
|
|
Term
what to know about ESA tx in Cancer patient |
|
Definition
shorten live span and increase tumor progression in some cancer |
|
|
Term
dose of epoetin in cancer
dose of darbepoetin |
|
Definition
|
|
Term
when to use ESA in Cancer patient |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
oprelvekin (IL 11)
prevent thrombocytopenia |
|
|
Term
cisplatin risk of ematogenic when dose |
|
Definition
over 50mg/m2
( give aprepitant,dexa,5-ht3) |
|
|
Term
lorazepam place in therapy for cancer |
|
Definition
|
|
Term
reglan place of therapy for can |
|
Definition
|
|
Term
dronabinol and nabilone place in therapy for cancer |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
apokyn is
contraindicated with what drug
|
|
Definition
apomorphone
use for parkinson
contraindicated in 5ht3 |
|
|
Term
sancuso patch is used for |
|
Definition
mucositis to treat sore mouth |
|
|
Term
how to apply sancuso patch |
|
Definition
apply the day before chemo and at least 24 hours after
(last up to seven days) |
|
|
Term
compazine do not use in what population |
|
Definition
|
|
Term
dronabinol dose frequency |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
zoledronic acid
4 mg/monthly |
|
|
Term
|
Definition
zolendronic acid
5mg/year |
|
|
Term
|
Definition
do not become pregnant for two months after stopping therapy |
|
|
Term
|
Definition
dc at least 72 hours prior to or during immobilization |
|
|
Term
lupron is used for
side effect |
|
Definition
leuprolide
used for prostate cancer
cause hot flash and impotence |
|
|
Term
IV promethazine is not recommended bc?
used what formulation |
|
Definition
severe tissue injury
use: IM,PO,Rectal
if iv is use infuse 20-30 min |
|
|
Term
long term macrocytic anemia can cause |
|
Definition
|
|
Term
pernicious anemia is refer to as |
|
Definition
B12 deficieny or folate deficiency anemia |
|
|
Term
effect of iron supplement begin in |
|
Definition
in three weeks
and take 3-6 months for full effect |
|
|
Term
name the infant iron only supplement |
|
Definition
fer-in-sol iron supplement drops
feosol is tablets and capsule |
|
|
Term
poly vi sol vs other infant iron |
|
Definition
poly vi sol has vitamin D and iron |
|
|
Term
|
Definition
325 mg po TID
least expensive |
|
|
Term
name the controlled release iron formulation |
|
Definition
|
|
Term
|
Definition
polysaccharide-iron complex |
|
|
Term
|
Definition
feosol with carbonyl
ferracap
ferralet
|
|
|
Term
which iron has the highest amount
dose |
|
Definition
|
|
Term
Blue bonnet chelated iron Albion |
|
Definition
|
|
Term
amino acid chelate ferrochel is |
|
Definition
|
|
Term
advantage of ferrous bisglycinate |
|
Definition
|
|
Term
the goal for hemodyalysis iron is |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
iron sucrose is diluted in |
|
Definition
|
|
Term
ferric gluconate is diluted
|
|
Definition
|
|
Term
epoetin dose in renal failure |
|
Definition
TIW
SC if not on dialysis
IV if on dialysis
u/kg |
|
|
Term
darbepoetin in renal failure is dose |
|
Definition
|
|
Term
for chronic renal failure keep hemoglobin at |
|
Definition
|
|
Term
when taking iron separate what food and drink |
|
Definition
|
|
Term
citrical contain how much calcium |
|
Definition
|
|
Term
oscal tums contain__ tablets |
|
Definition
|
|
Term
|
Definition
denosumab
(bisphosphnate, given at doctor's office) |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
if contraindicated to risedronate and fasomax
take |
|
Definition
|
|
Term
|
Definition
hypocalcemia
severe renal impairement
esophageal problems |
|
|
Term
|
Definition
5mg qd
35mg/week prevention
|
|
|
Term
|
Definition
|
|
Term
actonel+ calcium contains |
|
Definition
35mg qweek and ca carb 500mg X6d |
|
|
Term
|
Definition
5mg qd
35 qweek
75 qtwoweeks
150 monthly |
|
|
Term
what bisphosphonates is available in liquid |
|
Definition
alendronate (drink at least 2 oz of water) |
|
|
Term
|
Definition
150 q monthly
also available as 2.5 mg qd
3mg iv q 3 months |
|
|
Term
|
Definition
|
|
Term
|
Definition
reclast
(flulike,achiness) |
|
|
Term
reclast dose for osteoporosis |
|
Definition
|
|
Term
how to give calcitonin spray |
|
Definition
1 spray qd (alternate nostril) |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
when to use prolia
formulation |
|
Definition
Denosumab
high risk only
SC every 6 months
osteoporosis |
|
|
Term
bisphosphnate missed dose |
|
Definition
if missed on weekly and missed on dose take the next morning do not double dose |
|
|
Term
|
Definition
take it the next morning unless it is less than one week to the next dose (so no two dose in one week) |
|
|
Term
after boniva administration
what can occur |
|
Definition
low calcium
take 1500mg calcium two weeks after dose
then 1200 for the test of the year
800 iu of vitamin D for the rest of the year |
|
|
Term
after taking forteo, patient should |
|
Definition
sit down during and after due to dizziness
inform doctor if joint pain
change needle each day |
|
|
Term
|
Definition
thigh or abdomen (rotate site)
do not transfer medicine from the device to syringe
take enough calcium and vit D
dont use no more than 2 years |
|
|
Term
calcitonin spray how to store
prime |
|
Definition
allow bottle to reach room temp prior to priming
once it is prime, it does not have to be primed again
discard after 30 dose
*use cal citrate or other ca with adequate vitamin D
|
|
|
Term
natural product that is use for vasomotor symptoms |
|
Definition
black cohosh
red clover
soy
evening primrose |
|
|
Term
|
Definition
estrogen should not be given alone, this will put women into endometrial cancer |
|
|
Term
|
Definition
estradiol/norethindrone
PO |
|
|
Term
|
Definition
estradiol transdermal patch |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
estradiol/lovenorgestrel patch |
|
|
Term
|
Definition
estradiol/norethindrone patch |
|
|
Term
|
Definition
|
|
Term
|
Definition
17-beta estradiol micronize tablet |
|
|
Term
|
Definition
|
|
Term
|
Definition
estradiol topical emulsion |
|
|
Term
|
Definition
17 beta estradiol vaginal ring |
|
|
Term
|
Definition
enthinyl estradiol/norethindrone PO |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
conjugated estrogens tablets |
|
|
Term
|
Definition
|
|
Term
|
Definition
estrogen/ medroxyprogesterone |
|
|
Term
vaginal bleeding after menopause is a warning sign of |
|
Definition
|
|
Term
use what to remove vivelle dot |
|
Definition
|
|
Term
|
Definition
50 mg testoterone in 5 g of gel unit dose |
|
|
Term
|
Definition
meter-dose pump with 75g (1.25g/pump) or foil packet of 2.5g or 5 g gel |
|
|
Term
androderm pactch comes in as |
|
Definition
round: 2.5mg/day
oval: 5mg/day
*remove patch prior MRI: skin burn |
|
|
Term
when to apply androderm patch |
|
Definition
each evening between 8 pm and evening |
|
|
Term
|
Definition
testosterone tabs
30mg to the gum region |
|
|
Term
|
Definition
testosterone topical solution
2pumps (60mg) |
|
|
Term
contraindication to testosterone |
|
Definition
breast or prostate cancer
(never apply to the genital) |
|
|
Term
black box for testosterone |
|
Definition
pt with BPH
avoid in women and children |
|
|
Term
|
Definition
|
|
Term
how to admin tetosterone pumps and packets |
|
Definition
1 pump or 1 packet /day
daily in the morning
to shoulder or upper arm
wait 2-6 hours before showering |
|
|