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Warfarin: Type of drug? Treats what, and why? |
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Definition
an anti-coagulant, blood thinner treats atrial fibrillation, because this condition creates thombi in heart |
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Definition
drug that becomes active at some point |
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Major sites for biotransformation |
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Definition
Liver pre-hepatic small intestine |
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international normalized ratio -a measure of clotting time |
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extended erection (4 hr+) |
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alpha-1 adrenergix blocker causes vasodilation, lower BP |
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zolendronic acid is harmful to the dentition in what way? |
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Definition
it's a bisphosphonate taken for bone cancers it causes osteonecrosis of the jaw |
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Definition
Muscarinic Cholinergic Receptor Antagonist (anti-parasympathetic) |
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metronidazole is harmful when drinking alcohol because |
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Definition
it blocks acetaldehyde dehydrogenase |
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epinephrine stimulates which receptors and causes what in each of them? |
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Definition
alpha-1 vasoconstriction beta-1 increased HR beta 2- vasodilation |
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Term
what would happen if a patient was given both epinephrine and propranolol |
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Definition
increased heart rate -prop. is a beta blocker, so the alpha effects of epi would go unopposed |
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Term
2-diethylamino 2,6 acetoxylide |
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Definition
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Term
n-acetyl para amino phenol |
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Definition
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european name for acetominophen |
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Definition
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which phase of clinical trials is conducted on people with the disease? |
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Definition
vioxx- selective cox-2 inhibitor caused stokes, and MI |
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anti-cancer drugs would fall into which pregnancy category? |
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Definition
D- risk, but benefits outweigh the risk |
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Term
what is advised pregnant women taking ibuprofen |
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Definition
It is alright during 1st + 2nd trimesters (B) 3rd trimester it increases bleeding risk, causes premature closing of ductus arteriosus (D) |
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how can drugs be modified to slow their absorption in stomach? |
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Definition
wrap them in enteric coat |
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Term
what is true of an acid at its pKa |
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Definition
50% of the species are charged |
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what is the 1st pass effect? |
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Definition
inactivation of drugs by liver enzymes |
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what effect do fats have on gastric emptying |
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Definition
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a fat soluble drug named in class... |
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Definition
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what occurs to acetaminophen in the liver |
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Definition
it is inactivated by glucronic acid |
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what toxic substance is acetaminophen converted to, and how is it dealt with? |
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Definition
5% is converted to NAPQI in sm. intestine BUT it is inactivated by glutathione |
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how would an enzyme inhibitor affect drug levels? |
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Definition
it would elevate them, as it inactivated the enzyme responsible for the drug's metabolism.. |
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a K3 of 1 is characteristic of what.. |
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beta 2 agonist, uterine smooth muscle reduces contractions |
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reduces IOP in glaucoma pro-drug of epi |
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alpha 2 agonist lowers outflow of NT hypotension, sedation, analgesia |
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beta 1 agonist increases stroke force, heart failure treatment |
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beta 2 agonist -smooth muscle relaxant (vasodilates mm) |
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activates alpha and beta indirectly causes release of NE |
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weight loss, CNS stimulant, anorexant |
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controls HTN associated with pheochromocytoma non-selective alpha agonust |
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selective alpha blocker, HTN drug |
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alpha 2 blocker (so more NE released) |
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prevents ulcers from nsaids, INDUCES labor |
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increased uric acid excretion prevents penicillin excretion |
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drug that reverses effects of atropoine and scopolamine |
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physostigmine, neostigmine (anticholinesterase inhibitors) |
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ganglionic blockers: depolarizing vs polarizing |
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Definition
depolarizing- dominant organ dominates (nicotine) non-depolarizing- non-dom organ dominates |
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