Shared Flashcard Set

Details

Pharm UCSF/Step Up
Dec 2000
19
Medical
Graduate
01/20/2008

Additional Medical Flashcards

 


 

Cards

Term
Abciximab 
Definition
Monoclonal antibody to fibrin receptor (glycoprotein IIb/IIIa) on platelets. Used to prevent
clotting after coronary angioplasty
Term
Acetaminophen
Definition

Antipyretic analgesic: very weak cyclooxygenase inhibitor; not anti−inflammatory.  Less
toxic than aspirin but more dangerous in overdose (causes hepatic necrosis−antidote:
acetylcysteine)

Term
Acetazolamide, dorzolamide
Definition
Carbonic anhydrase inhibitor diuretic: produces a NaHCO3 diuresis, results in bicarbonate
depletion, and therefore has self−limited action. Used in glaucoma and mountain sickness.
Dorzolamide is a topical analog for glaucoma
Term
Acetylcholine
Definition
Cholinomimetic prototype: transmitter in CNS, ENS, all ANS ganglia, parasympathetic
postganglionic synapses, sympathetic postganglionic fibers to sweat glands, and some
skeletal muscle vasodilator synapses
Term
Acyclovir
Definition
Antiviral: guanosine analog - inhibits DNA synthesis in herpes simplex and varicella zoster. Requires
activation by viral thymidine kinase (TK− strains are resistant). Tox: behavioral effects and
nephrotoxicity (crystalluria), but not myelosuppression
Term
Adenosine
Definition
Antiarrhythmic: Hyperpolarizes AV nodal tissue- decreases conduction velocity (blocks conduction for 10−15 sec.) Used for supraventricular tachicardia and nodal reentry arrhythmias. (parenteral only)
Term
Allopurinol
Definition
Antigout: inhibitor of xanthine oxidase; reduces production of uric acid
Term
Albuterol, metaproterenol,
terbutaline, salmeterenol
Definition
Important β2−agonists; used mainly for asthma.
Term

Alprazolam

indication, toxicity, pneumonic 

Definition

Benzodiazepine sedative−hypnotic: widely used in anxiety states, selectivity for panic
attacks and phobias; possible antidepressant actions. Tox: psychologic and physical
dependence, additive effects with other CNS depressants

pneumonic: "Al prays when he is in fear" 

Term
Alteplase (rt−PA)
Definition
Thrombolytic: human recombinant tissue plasminogen activator. Used in acute MI to
recanalize the occluded coronary. Occasionally used in pulmonary embolism, stroke. Tox:
bleeding
Term
Amiloride
Definition
K+−sparing diuretic: blocks Na+ channels in cortical collecting tubules (distal tubule). Can be used in hyperaldosteronism.
Term
Aminoglutethimide
Definition
Antineoplastic (breast CA, cushings): Aromatase inhibitor and p-450 inhibitor.  Reduces conversion of cholesterol to the hormone precursor, pregnenolone.
Term

Acarbose

indications, side effects, pneumonic 

Definition

indications: type II diabetes.  Inhibits alpha-glucosidase; delays absorption from gut

side effects: flatuloence

pneumonic: "carbon is a gas and acarbo- causes gas" 

Term
Aspirin (acetylsalicylic acid)
Definition

indications:NSAID prototype: inhibits cyclooxygenase (COX) I and II irreversibly. Potent antiplatelet
agent as well as antipyretic analgesic anti−inflammatory drug

side effects: contraindicated for children with flue or chicken pox (leads to Reye syndrome) 

Term

Alendronate

 

Definition
biphosphonate - inhibits osteoclasts
  Used for hypercalcemia of malignancy, Paget disease, osteoporosis, hyperparathyroidism.
Term
Alprostadil
Definition
PGE1 Agonist.  Used for impotency and maintaining open PDA
Term
Aluminum Hydroxide  
Definition

cytoprotective.  coats gastric ulcers and raised pH. 

indications: PUD, diarrhea (causes constipation) 

Term
Amantadine
Definition

Antiviral-inhibits uncoating influenza A (not B)

Antiparkinsonia-increases release of DA

Term

Aminoglycosides

(Gentamycin, Neomycin, Streptomycin) 

Definition

Antibiotic-bacteriostatic and -cidal depending on concentrations.  Binds to 30s subunit.

Indications: broad G+ and G-.  Good for bone infections.

Toxicity: Oto, renal, neuromuscular blockade 

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