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Pharmacology Final
EVERYTHING!!
329
Pharmacology
Undergraduate 3
12/15/2011

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Cards

Term
6 rights of medication administration
Definition
-right drug
-right dose
-right route
-right time
-right patient
-right documentation
Term
Pharmacokinetics
Definition
impact of the body on drugs
Term
4 pharmacokinetic processes
Definition
-drug absorption
-drug distribution
-drug metabolism
-drug excretion
Term
Pharmacodynamics
Definition
Impact of drugs on the body
Term
3 types of drug names
Definition
-chemical name
-generic name
-trade name
Term
the average home medicine cabinet contains how many OTC preparations?
Definition
24
Term
with most illnesses, initial therapy consists of
Definition
self care, self medication with OTC drugs
Term
Kidney disease causes
Definition
reduced excretion, increased toxicity
Term
Liver disease causes
Definition
reduced metabolism, increased toxicity
Term
Can pH changes alter the absorption, distribution, metabolism, excretion of a drug?
Definition
YES
Term
Tachyphylaxis
Definition
sudden-onset drug tolerance which is not dose dependent and is difficult to reverse
Term
Pharmacodynamic tolerance
Definition
the response to the substance is decreased by cellular mechanisms. this may be caused by a down regulation of receptor numbers
Term
metabolic tolerance
Definition
reduced sensitivity to a drug that results from the increased ability of the body to metabolize the drug (up-regulation)
Term
Bioavailability
Definition
Ability of the drug to reach the systemic circulation from its site of administration
Term
Quinidine causes greater QT-interval prolongation in
Definition
women
Term
3 ways drugs cross a cell membrane
Definition
-channels and pores
-transport systems (p-glycoprotein)
-direct penetration of the membrane
Term
First pass effect
Definition
the concentration of a drug is greatly reduced before it reaches the systemic circulation
Term
First pass effect reduces the what of a drug?
Definition
the bioavailability
Term
Fastest absorption --> slowest absorption
Definition
-liquids, elixirs, syrups
-suspension solution
-powders
-capsules
-tablets
-coated tablets
-enteric coated tablets
Term
True or false: oral drugs have a high first pass effect
Definition
True
Term
areas of rapid distribution
Definition
heart, liver, kidneys, brain
Term
areas of slow distribution
Definition
muscle, skin, fat
Term
Which drugs can cross the blood brain barrier?
Definition
lipid soluble drugs, drugs that have a transport system
Term
drug metabolism usually takes place in
Definition
the liver
Term
delayed drug metabolism results in
Definition
-accumulation of drugs
-prolonged action of drugs
Term
increased drug metabolism causes
Definition
-decreased pharmacologic effects
Term
most drug metabolism is performed by which hepatic enzyme system
Definition
P450
Term
non-renal routes of drug excretion
Definition
-breast milk
-bile
-lungs
-sweat, saliva
Term
Half-life
Definition
The time it takes for one half of the original amount of a drug in the body to be removed
Term
Receptorless drugs
Definition
antacids, antiseptics, saline laxatives, chelating agents, eye drops
Term
milk decreases absorption of
Definition
tetracycline
Term
fiber decreases absorption of
Definition
digoxin
Term
high calorie meals increase absorption of
Definition
saquinavir
Term
Grapefruit juice has what effect
Definition
-inhibits metabolism of certain drugs
-raises the drugs' blood levels
Term
What drugs' blood levels are raised by grapefruit juice?
Definition
felodipine, CCB's, lovastatin, cyclosporine,midazolam (Versed)
Term
St. John's wort
Definition
-induces drug metabolizing enzymes
-reduces blood levels of drugs
Term
What is the most common drug that produces a severe allergic reaction?
Definition
-PCN's
-sulfonamides
Term
Idiosyncratic effect
Definition
An uncommon drug response resulting from a genetic predisposition
Term
which trimester has the greatest danger for drug-induced developmental defects/
Definition
1st trimester
Term
LDL should be less than
Definition
100
Term
HDL should be over
Definition
40
Term
TG's should be less than
Definition
150
Term
Total cholesterol should be less than
Definition
200
Term
primary therapy for high cholesterol
Definition
TLC lifestyle
Term
What types of drugs treat high cholesterol?
Definition
-HMG coA reductase inhibitors
-bile acid sequestrants
-nicotinic acid
-fibrates
Term
Fibrates only reduce
Definition
TG's, not LDL
Term
HMG-CoA Reductase Inhibitors
Definition
"statins"
Term
HMG-CoA Reductase Inhibitors are given
Definition
PO
Term
how long does it take for HMG-CoA Reductase Inhibitors to start working?
Definition
30 min
Term
HMG-CoA Reductase Inhibitors peak
Definition
1-2 hours
Term
Statins side effects
Definition
HA, rash, dyspepsia, cramps, gas, constipation, abd pain
Term
Statins adverse effects
Definition
hepatotoxicity, myopathy, peripheral neuropathy, linked to parkinson's
Term
Which statin causes rhabdomyolisis
Definition
rosuvastatin
Term
True or False: peripheral neuropathy caused by statins is reversible
Definition
True, can be reversed with stopping tx
Term
Statins drug interactions
Definition
-other antilipemics (except bile acid sequestrants)
-drugs that inhibit CYP3A4
Term
Which drugs inhibit CYP3A4?
Definition
macrolide antibiotics, azole antifungal drugs, HIV protease inhibitors, amiodarone, cyclosporine, grapefruit juice
Term
Can statins be used in pregnancy?
Definition
NO, they are category X
Term
When should statins be taken?
Definition
1x daily in the evening
Term
Statins are tough on the liver, so what tests should be done often?
Definition
liver function tests
Term
Nicotinic acid
Definition
-niacin
-niabid
-niaspan
-sloniacin
Term
Nicotinic acid is given
Definition
po
Term
How long does it take for nicotinic acid to work?
Definition
rapid onset
Term
nicotinic acid peak
Definition
30 min-1 hour
Term
Nicotinic acid adverse effects
Definition
itching, flushing, abd discomfort, hepatotoxicity, hyperglycemia, gouty arthritis, raises homocysteine levels, increased risk for CHD
Term
How can flushing caused by nicotinic acid be pretreated?
Definition
using Aspirin
Term
Hepatotoxicity occurs most frequently with which type of nicotonic acid?
Definition
slo-niacin
Term
Bile acid sequestrants
Definition
-think "cole"
-cholestyramine
-colestipol
-colesevelam
Term
bile acid sequestrants are given
Definition
po
Term
bile acid sequestrants side effects
Definition
heartburn, N, belching, bloating, constipation
Term
bile acid sequestrants adverse effects
Definition
bleeding, HA, tinnitus, burnt odor to urine
Term
Cholesterol absorption inhibitor
Definition
ezetimibe (Zetia)
Term
ezetimibe (Zetia) is given
Definition
po
Term
ezetimibe (Zetia) peak
Definition
4-12 hours
Term
ezetimibe (Zetia) adverse effects
Definition
myopathy, rhabdomyolisis, hepatitis, pancreatitis, thrombocytopenia
Term
ezetimibe (Zetia) drug interactions
Definition
statins, fibrates, bile acid sequestrants, cyclosporine
Term
Fibric acid derivatives (fibrates)
Definition
-gemfibrozil
-fenofibrate
-fenofibric acid
Term
Fibrates are given
Definition
po
Term
fibrates onset
Definition
several days
Term
fibrates peak
Definition
1-2 hours
Term
Fibrates side effects
Definition
rashes, GI disturbance, gall stones, myopathy, hepatotoxicity
Term
Fibrates drug interactions
Definition
displaces warfarin from albumin (test INR)
Term
What types of drugs are used to treat angina?
Definition
-organic nitrates
-beta blockers
-CCB's
-ranolizine
Term
Anti-ischemic therapy
Definition
-nitroglycerin
-IV morphine
-supplemental O2
-beta blocker
-ACE inhibitor
Term
Nitrates are given
Definition
sublingually
Term
How long does it take for nitrates to start working?
Definition
2-3 min
Term
Nitrates side effects
Definition
HA, tachycardia, postural hypotension, methemoglobin, rash
Term
True or False: HA associated with the use of nitrates diminishes over time
Definition
True
Term
True or False: A tolerance to nitrates can be developed
Definition
True
Term
Nitrates interact with
Definition
-hypotensive drugs
-PDI-type 5
-BB's, CCB's
Term
Ranolizine has greater benefits in
Definition
men
Term
Drugs used to prevent MI
Definition
-antiplatelet drugs
-antilipemics
-ACE
-antianginal agents
Term
Ranolazine causes prolonged
Definition
QT interval
Term
Is Ranolazine a first line therapy?
Definition
NO, it is combined with first line agents if the first line agents do not work alone
Term
ACE inhibitors
Definition
"pril"
Term
ARB's
Definition
"sartan"
Term
Beta blockers
Definition
"olol"
Term
Vasopressors are
Definition
inotropes
Term
Vasopressor/dilator prototypes
Definition
dopamine
dobutamine
isoproterenol
Term
PDI's are
Definition
inotropes
Term
PDI's
Definition
"rinone"
-inamrinone
-milrinone
Term
PDI's are given
Definition
IV
Term
PDI's take how long to work
Definition
5-15 min
Term
PDI's peak
Definition
immediate
Term
inamrinone side effects
Definition
dysrhythmias, hypotension, N, thrombocytopenia (worrisome!)
Term
milrinone side effects
Definition
ventricular dysrhythmias, hypotension, angina, hypokalemia, tremors, thrombocytopenia
Term
Digoxin is a
Definition
-cardiac glycoside antidysrhythmic
-positive inotrope
Term
Digoxin is give
Definition
PO or IV
Term
PO digoxin takes how long to start working?
Definition
1-2 hours
Term
PO digoxin peak
Definition
2-8 hours
Term
IV digoxin takes how long to start working
Definition
5-30 min
Term
IV digoxin peak
Definition
1-4 hours
Term
inotropic
Definition
Force or energy of muscular contractions
Term
chronotropic
Definition
Rate of the heartbeat
Term
Dromotropic
Definition
The conduction of electrical impulses
Term
Cardiac glycosides are given
Definition
HF, a fib, a flutter
Term
digoxin trade name
Definition
Lanoxin
Term
Therapeutic level of digoxin
Definition
.5-.8ng/mL
Term
What is the relationship between potassium and digoxin?
Definition
low potassium levels increase dig toxicity and dysrhythmias
Term
What has to be monitored when on dig?
Definition
-electrolyte levels
-drug levels
Term
Digoxin side effects: CV
Definition
dysrhythmias- brady or tachy
Term
Digoxin side effects: CNS
Definition
HA, fatigue, malaise, confusion, convulsions
Term
Digoxin side effects: Eye
Definition
colored vision (green, yellow, purple), halo vision, flickering light
Term
Digoxin side effects: GI
Definition
anorexia, N/V/D
Term
What is given to reverse to digoxin toxicity?
Definition
digoxin immune fab (Digibind)
Term
Digoxin drug interactions
Definition
-diuretic
-ACE inhibitors/ARB's
-sympathomimetics
-quinidine
-verapamil
-amphotericin B
-steroids
-antacids
-some abx
Term
Nitrates treat
Definition
HF, angina, hypertensive crisis
Term
Nitroglycerin side effects
Definition
hypotension, tachycardia
Term
isosorbide dinitrate plus hydralizine side effects
Definition
hypotension, tachycardia
Term
sodium nitroprusside side effects
Definition
hypotension
Term
nesiritide side effects
Definition
hypotension
Term
UNLOAD FAST
Definition
U-upright position
N-nitrates
L-lasix
O-oxygen
A-ACE inhibitors
D-digoxin

F- fluids (decreased)
A- afterload (decreased)
S- sodium restriction
T- test (dig, ABG's, K+ level)
Term
UNLOAD FAST treats
Definition
CHF
Term
Thiazide diuretics side effects: CNS
Definition
HA, dizziness, blurred vision, paresthesias, decreased libido
Term
Thiazide diuretics side effects: GI
Definition
anorexia, N/V/D
Term
Thiazide diuretics side effects: GU
Definition
impotence
Term
Thiazide diuretics side effects: skin
Definition
urticaria, photosensitivity
Term
Thiazide diuretics side effects: metabolic
Definition
hypokalemia, glycosuria, hyperglycemia
Term
IV lasix is used when
Definition
immediate mobilization of fluid is necessary
Term
Onset of action of PO lasix
Definition
60 min, lasts for 8 hours
Term
With lasix, what should be monitored
Definition
serum sodium, serum potassium
Term
Lasix causes
Definition
rapid diuresis
Term
Lasix side effects: CNS
Definition
dizziness, HA, tinnitus, blurred vision
Term
Lasix side effects: GI
Definition
N/V/D
Term
Lasix side effects: Hematologic
Definition
agranulocytosis, neutropenia, thrombocytopenia
Term
Lasix side effects: metabolic
Definition
hypokalemia, hyperglycemia, hyperuricemia
Term
Potassium-sparing diuretics side effects: CNS
Definition
dizziness, HA
Term
Potassium-sparing diuretics side effects: GI
Definition
cramps, N/V/D
Term
Potassium-sparing diuretics side effects: other
Definition
urinary frequency, weakness
HYPERKALEMIA
Term
ACE inhibitors help slow down what post-MI
Definition
left ventricular hypertrophy
Term
ACE inhibitors help prevent renal damage from
Definition
diabetes
Term
ARB's are usually used by patients who cannot tolerate
Definition
ACE inhibitors
Term
ARB side effects
Definition
upper resp infxns, HA, dizziness, insomnia, diarrhea, dyspnea, heartburn, nasal congestion, back pain, fatigue
Term
Is hyperkalemia likely to occur with ARB's?
Definition
NO
Term
CCB's
Definition
VERY NICE DRUGS
-verapamil
-nifedipine
-dilatizem
Term
CCB's are given
Definition
PO
Term
CCB side effects
Definition
hypotension, bradycardia, A-V block, HA, constipation, N, peripheral edema
Term
Oral CCB's should be taken
Definition
before meals
Term
Patients should limit their intake of what when on CCB's?
Definition
CAFFEINE
Term
Can CCB extended release forms be crushed or chewed?
Definition
NO
Term
Beta-Adrenergic Agonists are
Definition
Bronchodilators
Term
Beta-Adrenergic Agonists
Definition
"terol"
-albuterol
-salmetrol
Term
albuterol is what type of tx?
Definition
emergent
Term
Salmetrol is what type of tx?
Definition
long-term management
Term
Albuterol peak
Definition
10-25 minutes
Term
Salmetrol onset when treating asthma
Definition
30-48 min
Term
Salmetrol onset when treating COPD
Definition
2 hours
Term
Salmetrol peak
Definition
asthma 2-4 hours
COPD 3-4.5 hours
Term
"terol" side effects
Definition
insomnia, restlessness, tremors, vascular HA, tachycardia, angina (oral), anorexia (oral)
Term
"terols" are
Definition
inhaled
Term
Glucocorticoids
Definition
"asone"
Term
Glucocorticoids
Definition
-dexamethasone
-fluticasone
-triamcinolone
-beclomethasone
Term
Dexamethasone is given
Definition
IV
Term
Dexamethasone onset
Definition
immediate
Term
Dexamethasone peak
Definition
30 min
Term
Glucocorticoids treat
Definition
-bronchospastic disorders
-control inflammation
Term
Side effects of inhaled corticosteroids
Definition
pharyngeal irritation, coughing, dry mouth, oral fungal infxns
Term
Leukotriene Receptor Antagonists
Definition
"lukast"
-montelukast
-zafirlukast
Term
"lukasts" are given
Definition
PO
Term
"lukast" onset
Definition
30 min
Term
"lukast" peak
Definition
3-4 hours
Term
"lukasts" are
Definition
anti-inflammatory
Term
"lukasts" treat
Definition
chronic asthma
Term
"lukasts" side effects
Definition
HA, dizziness, insomnia, N/V, anorexia, liver dysfunction
Term
Mast cell stabilizers
Definition
-cromolyn
-nedocromil
Term
Mast cell stabilizers are used to treat
Definition
-chronic asthma
-chronic airway inflammation in allergic asthma
Term
Mast cell stabilizer side effects
Definition
cough, bronchospasm
Term
Glucocorticoid/LABA
Definition
-fluticasone/salmetrol
-budesonide/formoterol
Term
Glucocorticoid/LABA's are used to treat
Definition
long term management of asthma
Term
Glucocorticoid/LABA side effects: CNS
Definition
tremors, nervousness
Term
Glucocorticoid/LABA side effects: CV
Definition
increased BP, tachycardia with palpitations, angina
Term
Glucocorticoid/LABA side effects: resp
Definition
upper resp infxn, throat irritation, hoarseness, voice changes, thrush in mouth/throat, bronchitis, cough
Term
Glucocorticoid/LABA side effects: GI
Definition
N/V, anorexia
Term
Glucocorticoid/LABA side effects: immune
Definition
decreased immune function
Term
Methlyxanthines are
Definition
bronchodilators
Term
Methylxanthines
Definition
"phylline"
Term
Theophylline is given
Definition
PO
Term
theophylline peak
Definition
1-2 hours
Term
"phyllines" treat
Definition
-asthma
-chronic bronchitis
-emphysema
Term
optimal drug level for "phyllines"
Definition
5-15 mg/dl
Term
"phylline" toxicity
Definition
greater than 30 mcg/ml
Term
"phylline" side effects: CV
Definition
tachycardia, palpitations, ventricular dysrhythmias
Term
"phylline" side effects: GI
Definition
N/V, anorexia, GERD
Term
"phylline" side effects: GU
Definition
increased urination
Term
"phylline" side effects: endo
Definition
hyperglycemia
Term
signs and symptoms of "phylline" toxicity
Definition
v fib, convulsions
Term
First generation anti-histamines are
Definition
sedating
Term
First-gen antihistamines
Definition
-chlorpheniramine
-diphenhydramine
Term
Second generation antihistamines are
Definition
non-sedating
Term
Second-gen antihistamines
Definition
-cetizine
-levocetirizine
-fexofenadine
-loratadine
-desloratadine
Term
Intranasal anti-histamines
Definition
azelastine
olopatadine
Term
True or false: Intranasal anti-histamines are second gen anti-histamines
Definition
True
Term
oral anti-histamine side effects
Definition
sedation and anti-cholinergic effects
Term
nasal anti-histamine side effects
Definition
bitter taste
Term
antihistamines are given
Definition
orally, nasal
Term
glucocorticoids nasal sprays
Definition
-beclomethasone
-budesonide
-ciclesonide
-flunisolide
-fluticasone furoate
-mometasone
-triamcinolone
Term
nasal glucocorticoid side effects
Definition
nasal irritation, possible slowing of growth in children
Term
Nasal cromolyn treats
Definition
allergic rhinitis
Term
Cromolyn adverse effects
Definition
NONE
Term
first-line therapy for allergic rhinitis
Definition
H1 antagonists, glucocorticoids
Term
Cromolyn is best suited for
Definition
prophylaxis
Term
toxic levels of vanco
Definition
over 30mcg/ml
Term
most serious adverse effect of vanco
Definition
ototoxicity
Term
common adverse effect of vanco
Definition
thrombophlebitis
Term
rapid infusion of vanco can cause
Definition
red man syndrome
Term
what is red man syndrome
Definition
flushing, rash, pruritis, urticaria, tachycardia, hypotension
Term
vancomycin treats
Definition
c. diff, infxn with MRSA, treats other organisms for pts allergic to PCN's
Term
Cephalosporins are similar to
Definition
PCN's
Term
True or false: cephalosporins are broad spectrum abx
Definition
True
Term
True or False: cephalosporins are low toxicity
Definition
True
Term
How do cephalosporins change over generation?
Definition
-increased activity against gram neg bacteria
-increased resistance to destruction
-increased ability to reach CSF
Term
most cephalosporins are administered
Definition
IV or IM
Term
Why are most cephalosporins administered IV or IM?
Definition
poor GI absorption
Term
Drugs for all types of seizures
Definition
CaPhe
-CArbamazepine
-PHEnytoin/phenobarb
Term
Most frequent adverse effect to cephalosporins
Definition
hypersensitivity rxns
Term
Should patients with severe PCN allergy take cephalosporins?
Definition
NO
Term
Can patients with mild PCN allergy use cephalosporins?
Definition
YES
Term
How long does it take for IV heparin to start working?
Definition
works immediately, peaks immediately
Term
How long does it take SQ heparin to start working?
Definition
20-30 min
Term
SQ heparin peak
Definition
2-4 hours
Term
Lovenox is only given
Definition
SQ
Term
how long does is take for lovenox to start working?
Definition
3-5 hours
Term
lovenox peak
Definition
4-5 hours
Term
antidote for heparin OD
Definition
protamine sulfate
Term
Antidote for lovenox OD
Definition
protamine sulfate
Term
Warfarin is given
Definition
po
Term
Warfarin onset
Definition
24-72 hours
Term
Warfarin peak
Definition
4 hours
Term
warfarin OD antidote
Definition
vitamin k
Term
What other drugs combined with warfarin cause increased bleeding?
Definition
heparin, aspirin, acetaminophen
Term
Dabigatran is a
Definition
direct thrombin inhibitor
Term
dabigatran is given
Definition
po
Term
dabigatran onset
Definition
30 min- 2 hours
Term
dabigatran peak
Definition
1-2 hours
Term
In addition to bleeding and hemorrhage, dabigatran also causes
Definition
dyspepsia, nausea, upper abd pain, diarrhea
Term
dabigatran drug interactions
Definition
-rifampin
-keoconazole
-verapamil
-amiodaron
-quinidine
-clarithromycin
Term
Aspirin is a
Definition
COX inhibitor
Term
How long does it take aspirin to work?
Definition
15-30 min
Term
Aspirin 4 A's
Definition
-anti platelet
-anti inflammatory
-analgesic
-anti pyretic
Term
What should be monitored when on aspirin?
Definition
tinnitus, bleeding, stomach pain, thrombocytopenia
Term
Salicylate poisoning symptoms
Definition
fever, tinnitus, N/V, lethargy/excitability, hyperventilation, seizures, metabolic acidosis
Term
Clopidogrel is an
Definition
antiplatelet
Term
clopidogrel is given
Definition
po
Term
clopidogrel onset
Definition
1-2 hours
Term
clopidogrel peak
Definition
1 hours
Term
glycoprotein IIb/IIIa Antagonists
Definition
tirofiban
eptifibatide
abciximab
Term
glycoprotein IIb/IIIa antagonists are given
Definition
IV
Term
Glycoprotein IIb/IIIa Antagonists onset
Definition
1 hour
Term
tissue plasminogen activators
Definition
"ase"
Term
"ase" are given
Definition
IV
Term
"ase" onset
Definition
30 min
Term
"ase" peak
Definition
60 min
Term
thrombolytics are given when after an "event"?
Definition
2-6 hours
Term
what labs need to be monitored when using heparin?
Definition
APTT
Term
What labs need to be monitored when on warfarin?
Definition
PT, PT-INR
Term
Warfarin reacts with many
Definition
herbal products
Term
What type of medications may cause bleeding from gums, mucous membranes, nose?
Definition
thrombolytics
Term
Anti-anemic drug
Definition
epoetin alfa (procrit, epogen)
Term
Procrit is given
Definition
SQ, IV
Term
What labs should be monitored when on procrit?
Definition
CBC w/diff, serum iron, platelets
Term
Procrit side effects
Definition
HTN, HA, N
Term
Granulocyte Stimulating Colony Factor
Definition
-filgrastim (Neupogen)
-pegfilgrastim (Neulasta)
Term
Granulocyte stim factors adverse effects
Definition
bone pain, leukocytosis
Term
granulocyte-macrophage stim factor
Definition
sargrastim (leukine)
Term
sargrastim adverse effects
Definition
D, weakness, bone pain, leukocytosis, thrombocytosis
Term
Thrombopoietic Growth factor
Definition
oprelvekin (interluekin II)
Term
interleukin II side effects
Definition
fluid retention, dysrhythmias, conjuctivitis, visual blurring, papillaedema
Term
True or false: Epoetin alfa, filgrastim, sargramostim, and oprelvekin stimulate proliferation of bone marrow cells
Definition
True, use w caution for pts with cancers of bone marrow origin
Term
-profen
-proxen
Definition
NSAIDS
Term
celebrex onset
Definition
1 hour
Term
celebrex peak
Definition
3 hours
Term
celebrex side effects
Definition
pulmonary edema, increased risk for MI or stroke, gastric ulceration, bleeding, renal impairment
Term
True or false: celebrex reacts with warfarin
Definition
True
Term
Can celebrex be used during pregnancy?
Definition
NO
Term
adsorbents can cause what side effects
Definition
costipation, dark stools, twitching, confusion
Term
narrow spectrum penicillinase sensitive
Definition
penicillin g
penicillin v
Term
narrow spectrum penicillinase resistant
Definition
methcillin
nafcillin
oxacillin
dicloxacillin
Term
Broad spectrum abx
Definition
ampicillin
amoxicillin
Term
Extended spectrum abx
Definition
ticracillin
piperacillin
Term
common PCN side effects
Definition
N/V/D, abd pain
Term
PCN drug interactions
Definition
aminoglycosides
Term
PCN combinations are made up of
Definition
PCN/beta-lactamase inhibitor
Term
cephalosporin drug interactions
Definition
probenecid
alcohol
calcium
ceftriaxone
drugs that promote bleeding
Term
carbapenems can cause drug induced
Definition
seizure activity
Term
Monobactam
Definition
Aztreonam (Azactam)
Term
Fosfomycin side effects
Definition
N/D, headache, vaginitis
Term
Fosfomycin can treat what in a single dose?
Definition
UTI
Term
Oral PCN effectiveness is decreased by
Definition
tomato juice, colas, citrus fruits, fruit juice, caffeine
Term
tetracycline is used to treat
Definition
chlamydia, gonorrhea, acne
Term
watch for what when on tetracycline
Definition
D, heartburn, photosensitivity, epigastric discomfort, superinfection, hepatic, renal ototoxicity
Term
what should be avoided when on tetracyclines?
Definition
milk products, iron preparations, antacids
Term
tetracyclines should be taken with
Definition
6-8 oz of water
Term
Macrolides
Definition
"mycins"
Term
"mycins" are
Definition
broad spectrum
Term
Macrolides adverse effects
Definition
N/V/D, QT prolongation, sudden cardiac death, superinfection
Term
macrolides should be taken
Definition
after a meal/snack
Term
macrolides interact with
Definition
protein-bound drugs
Term
clindamycin side effects
Definition
hepatic toxicities, blood dyscrasias, diarrhea, hypersensitivity rxns
Term
Linezolid (abx) side effect
Definition
N/V/D, HA, myelosupression
Term
linezolid interacts with MAOI
Definition
Term
Chloramphenicol (Chloromycetin)
Definition
broad spectrum abx
Term
Chloramphenicol is only used for
Definition
life-threatening infxns where safer drugs cannot be used or did not work
Term
Chloramphenicol adverse effects
Definition
Reversible bone marrow depression
Fatal aplastic anemia
Gray baby syndrome
GI effects
Peripheral neuropathy
Term
Aminoglycosides
Definition
Gentamicin (Garamycin)
Tobramycin (Nebcin)
Amikacin (Amikin)
Neomycin
Kanamycin (Kantrex)
Streptomycin
Paromomycin
Term
aminoglycosides are used for
Definition
serious infxns
Term
aminoglycoside side effects
Definition
rash, pruritis, urticaria, tremors
Term
when on aminoglycosides
Definition
peak & trough need to be done
Term
sulfonamides
Definition
"sulfa"
Term
sulfonamides side effects
Definition
hemolytic/aplastic anemia, thrombocytopenia, photosensitivity, rash, N/V/D, pancreatitis, convulsions, HA, urticaria
Term
Trimethoprim-Sulfamethoxazole adverse effects
Definition
N/V, rash, blood dyscrasias, kernicterus, renal damage
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