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NAPLEX2

QuestionAnswer
Duragesic Fentanyl Mu AgonistTransdermal
Actiq Fentanyl Mu AgonistLozenge
Fentora Fentanyl Mu AgonistODT
Dilaudid Hydromorphone Mu AgonistTablet/Liquid/Injection
Levo-Dimoran Levorphanol Mu AgonistTab/Inj
Demerol Meperidine Mu AgonistObstetric use/Metabolite=seizures
Dolophine Methadone Mu AgonistTdP
Methadose Methadone Mu AgonistTdP
Roxanol Morphine Mu AgonistImmediate Release
Duramorph Morphine Mu Agonist
Astramorph Morphine Mu Agonist
Avinza Morphine Mu AgonistControlled Release Tab
Kadian Morphine Mu AgonistControlled Release
MS Contin Morphine Mu AgonistControlled Release
Oramorph Morphine Mu AgonistControlled Release
Roxicodone Oxycodone Mu AgonistMild pain
OxyIR Oxycodone Mu AgonistImmediate release/mild pain
RoxiCodone Oxycodone Mu Agonistmild pain
Magnacet Oxycodone+APAP Mu Agonistmild pain
Roxicet Oxycodone+APAP Mu AgonistMild Pain
Tylox Oxycodone+APAP Mu AgonistMild pain
OxyContin Oxycodone Mu Agonistmild painControlled release
Oxymorphone Oxymorphone Mu Agonist
Opana Oxymorphone Mu Agonistimmediate release
Opana ER Oxymorphone Mu agonistcontrolled release
Reprexin/Vicodin/Lortab/Hycet/Zydone/Vicoprofin HydroconeAPAP or IBU mild-moderate pain
DarvcetNDarvon Propoxyphene Mild-moderate painwk analgesic and increased ADR
Talwin Pentazocine Agonist/AntagonistPartial AgonistDetox
Talwin NS Pentazocine+Naloxone Agonist/AntagonistPartial AgonistDetox
Talwin Compound Pentazocine+ASA Agonist/AntagonistPartial AgonistDetox
Stadol Butorphanol Agonist/AntagonistPartial AgonistDetox Injection/Nasal
Nalbuphine Agonist/AntagonistPartial AgonistDetox Injection
Buprenex Buprenorphine Agonist/AntagonistPartial AgonistDetox Injection
Narcan Naloxone Opioid antagonist
Revia Naltrexone Opioid antagonisttabletEtOH
Vivitrol Naltrexone Opioid antagonistinjectionEtOH
Voltaren Diclofenac NSAID
Cataflem Diclofenac NSAID
Lodine Etodolac NSAIDLow GI risk
Indocin Indomethacin NSAIDHigh GI risk
Relafen Nabumetone NSAIDLow GI risk
Tolectin Tolmetin NSAID
Clinorial Sulindac NSAID
Meclomen Meclofenamate NSAID
Feldene Piroxicam NSAIDHigh GI risk
Nalfon Fenoprofen NSAID
Ansaid Flurbiprofen NSAID
MotrinAdvil IBU NSAID
OridisOruvil Ketoprofen NSAID
NaprosynAleve Naproxen NSAID>12 yo
Daypro Oxaprozin NSAID
Celbrex Celexocib Cox2 inhibitor
Toradol Ketorlac NSAID
Dolobid Diflunisal NSAID
Mobic Meloxicam NSAIDLow GI risk
Ponstel Mefenamic Acid NSAID
Diuril Chlorothiazide Thiazide DiureticIncrease BG, Decrease K, sun sensitive
Hygroton Chlorthiazidone Thiazide DiureticIncrease BG, Decrease K, sun sensitive
Hylidone Chlorthiazidone Thiazide DiureticIncrease BG, Decrease K, sun sensitive
HydroDiuril HCTZ Thiazide DiureticIncrease BG, Decrease K, sun sensitive
Mykrox Metolazone Thiazide DiureticIncrease BG, Decrease K, sun sensitiveEffective when GFR<30
Zaroxolyn Metolazone Thiazide DiureticIncrease BG, Decrease K, sun sensitive Effective when GFR<30
Lozol Indapamide Thiazide DiureticIncrease BG, Decrease K, sun sensitive
OsmitrolResectisol Manitol Osmotic diuretic Increase K, pulmonary edema
Bumex Bumetanide Loop diureticIncrease BG, Decrease K, ototoxicity, use for Class C HF; sulfa
Lasix Furosemide Loop diureticIncrease BG, Decrease K, ototoxicity, use for Class C HF; sulfa
Demadex Torsemide Loop diureticIncrease BG, Decrease K, ototoxicity, use for Class C HF; sulfa
Edecrin Ethacrynic acid Loop diureticIncrease BG, Decrease K, ototoxicity, use for Class C HF
Midamore Amiloride K+ SparingIncrease K, Increase BG, sexual dysfunction
Dyrenium Triamterene K+ SparingIncrease K, Increase BG, sexual dysfunction
Aldactone Spironolactone Aldosterone Receptor Blocker OR Aldosterone AntagonistHF/LVEF, increase K, gnecomastic, irregular menses
Inspra Eplerone Aldosterone Receptor Blocker OR Aldosterone AntagonistHF/LVEF, increase K, gnecomastic, irregular menses
Hylorel Guanadrel PG Adrenergic Blocker (alpha2 Ag)
Ismelin Guanathidine PG Adrenergic Blocker (alpha2 Ag)
Serpasil Reserpine PG Adrenergic Blocker (alpha2 Ag)
Catapress Clonidine Alpha2 AgonistSedation, fluid retention, sexual dysfunction, rebound HTN
Wytensin Guanabenz Alpha2 AgonistSedation, fluid retention, sexual dysfunction, rebound HTN
Tenex Guafacine Alpha2 AgonistSedation, fluid retention, sexual dysfunction, rebound HTN
Aldomet Methyldopa Alpha2 AgonistSedation, fluid retention, sexual dysfunction, rebound HTN
Cardura Doxazosin Alpha1 Blocker(VD)QHS, priapsm, peripheral edema
Minipress Prazosin Alpha1 Blocker(VD)QHS, priapsm, peripheral edema
Hytrin Terzosin Alpha1 Blocker(VD)QHS, priapsm, peripheral edema
Tenormin Atenolol BBMigrain Prevention, Cardio,rebound HTN, Increase BG, sexual dysfunction
Zebeta Bisoprolol BBHF indication, Cardio,rebound HTN, Increase BG, sexual dysfunction
Lopressor Metoprolol tartrate BBMigrain Prevention, Cardio,rebound HTN, Increase BG, sexual dysfunction
Toprol XL Metoprolol succinate BBMigrain Prevention, Cardio,rebound HTN, Increase BG, sexual dysfunction, HF indication
Corgard Nadolol BBrebound HTN, Increase BG, sexual dysfunction
Inderal Propranolol BBMigrain Prevention, sedation,rebound HTN, Increase BG, sexual dysfunction
Blocadren Timolol BBMigrain Prevention, rebound HTN, Increase BG, sexual dysfunction
Coreg Carvidilol BBHF indication, rebound HTN, Increase BG, sexual dysfunction
NormodyneTrandate Labetolol rebound HTN, Increase BG, sexual dysfunction
Apresoline Hydralazine Direct VDTachycardia, fluid retention
Loniten Minoxidil Direct VDTachycardia, fluid retention, hirsutism
Cardizem, Dilacar, Tiazac Diltiazem Non-CCB (- inotrope)-Gingival hyperplasia, edema
Calan, Isoptan, Covera HS, Valeran PM Verapamil Non-CCB (- inotrope)-Gingival hyperplasia, edema
Norvasc Amlodipine Di-CCBGingival hyperplasia, edema
Plendil Felodipine Di-CCBGingival hyperplasia, edema
Dynacirc Isradipine Di-CCBGingival hyperplasia, edema
Cardene Nicardipine Di-CCBGingival hyperplasia, edema
Procardia, Adalat Nifedipine Di-CCBGingival hyperplasia, edema
Lotensin Benazepril ACEI-angioedema, category X, increase K, cough
Capoten Captropil ACEI-angioedema, category X, increase K, cough
Vasote Enalapril ACEI-angioedema, category X, increase K, cough
Monopril Fosinopril ACEI-angioedema, category X, increase K, cough
Univasc Moexipril ACEI-angioedema, category X, increase K, cough
Accupri Quinapril ACEI-angioedema, category X, increase K, cough
Altace Rampipril ACEI-angioedema, category X, increase K, cough
Mavik Tranodopril ACEI-angioedema, increase K, cough, category X
Prinivil, Zestril Lisinopril ACEI-angioedema, category X, increase K, cough
Atacand Cardesartan ARB-angioedema, increase K, category X, HF indication
Tevetan Eprosartan ARB-angioedema, increase K, category X
Avapro Irbesartan ARB-angioedema, increase K, category X
Cozaar Losartan ARB-angioedema, increase K, category X
Micardis Telmesartan ARB-angioedema, increase K, category X
Diovan Valsartan ARB-angioedema, increase K, category X, HF indication
Benicar Olmesartan ARB-angioedema, increase K, category x
Tekturna Aliskiren Direct Renin Inhibitor-angioedema, increase K, category X, D
AntiHTN Migraine Px Timolol, propranolol, atenolol -
AntiHTN HF indication Diovan, Atacand, Metoprolol, carvidiol, bisoprolol -
AntiHTN Decrease K Thiazide diuretic, Loop diuretic -
AntiHTN Increase K K+ Sparing, ACEI, ARB, Direct Renin, Osmotic diuretic, Aldosterone Ant -
AntiHTN angioedema ACEI, ARB, Direct Renin Inhibitor -
AntiHTN edema CCB, Direct VD, alpha1 blocker, alpha2 agonist -
AntiHTN sedation alpha2 agonist, propranolol -
AntiHTN gingival hyperplasia CCB -
AntiHTN priapsim alpha1 blocker -
AntiHTN rebound HTN alpha2 agonist, BB-
Class I Antiarrythmic Quinidine, procainamide, disopyramide, morcinzine, lidocaine, tocainide, mexiletine, flecainide, propafenone Ear/eye=Qunidine; -inotrope/ anticholinergic = disopyramide; seizures + CNS toxicity = lidocaine; metallic taste = propafenone ; increase mortality in HF; negative inotrope; TdP
Class II Antiarrythmic BB-Metoprolol, Propranolol, Esmolol RATE control; rebound HTN; Caution HF, Asthma, DM
Class III Antiarrythmic Amiodarone (Cordarone/Pacerone), Sotolol (Betapace), Ibutiloide (Covert), Dofetilide (Tikosyn) RHYTHM, TdP; amiodarone = visual, liver, cardiac, pulmonary, photo
Class IV Antiarrythmic Verapamil & Diltiazem RATE, negative inotrope t/f avoid in HF
Atopen Atropine Anticholinergic to increase CO, dry secretions, 5HT ant
Adenocard Adenosine Slows conduction (VD)
Epinephrine Relax Smooth muscle
Lanoxin, Lanoxicaps Digoxin + inotrope; CV, GI, neurological, DI, TDM (>2=tox), renal
Vasodilators Nitropursside (Nipride), Nitroglycerin (Nitro-Bid, Nitrostat), Nesiritide (Natrecor) Hypotension and HA, nitroprusside tox (cyanide), nesiritide increases diuresis and tachycardia; NTG tachycardia and tolerance
Intotropes Dopamine (Intropin), Dobutamine (Dobutrex), Milrinone (Primacor) Dobutamine for hypotensive pts, adjust milrinone for renal insufficiency
Antiarrythmic - inotrope Class I, Class IV -
Antiarrythmic + inotrope Digoxin, Dobutamine, Dopamine, milrinone -
Antiarrythmic CI HF Class I, Class II, Class IV -
Antiarrythmic TdP Class I, Class III -
Antiarrythmic eye Qunidine, amiodarone, dig -
Antiarrythmic ear qunidine -
Antiarrythmic liver amiodarone -
Antiarrythmic kidney dig and milrinone -
Antiarrythmic photosensitive amiodarone -
Ranexa Ranolazine Management of chronic stable angina
Plavix Clopidogrel Antiplatelet, increase bleed
Ticlid Ticlopidine Antiplatelet, increase bleed, thrombocytopenia, neutropenia, liver
ReoPro Abciximab Antiplatelet (GLY IIb/IIIa), thrombocytopenia, renal, long DOA, PCI, allergy
Integrilin Eptifibate Antiplatelet (GLY IIb/IIIa), thrombocytopenia
Aggrastat Tirofiban Antiplatelet (GLY IIb/IIIa), thrombocytopenia
Aggrenox ASA + Dipyridamole Antiplatelet
Lovenox Enoxaparin LMWH, Factor Xa, Bleed, thrombocytopenia, epidural/spinal anetheisa warning, renally eliminated
Fragmin Dalteparin LMWH, Factor Xa, Bleed, thrombocytopenia, epidural/spinal anetheisa warning
Arixtra Fondaparinux Factor Xa Inhibitor, bleed, thrombocytopenia
Angiomax Bivalirudien Direct Thrombin Inhibitor
Argatroban DTI
Iprivask Desirudin DTI
Refludan lepirudin DTI
Protamine - -
Coumadin Warfarin Anticoagulant...
Streptase Streptokinase Thrombolytic
Alteplase tPA tissue plasminogen activator thrombolytic
Retevase Reteplase Thrombolytic
TNKase Tenectase Thrombolytic
Bleed warfarin, ASA, clopidogrel, Ticlid, Abc/tiro/ept, thrombolytics, hep, LMWH, fondaparinux -
Thrombocytopenia LMWH, Fondaparinux, Hep, Ticlid, Abc/ept/tiro Use DTI
Renal Enoxaprin, ABC, ASA -
Liver Ticlid -
Paroxysmal supraventricular Tachycardia Adenosine -
Sinus bradycardis Atropine -
AV Block Atropine -
Atrial Fibrillation Rhythm (young/ hemodynamically unstable/ no HF)=Class III AADRate+Warfarin (stroke, embolism, TIA< >75, HTN, DM, LF, HF)=Class II Or IV or Dig No P Wave
Premature Ventricualar Contraction (PVC) If HF=BBDofetilide (Tikosyn) -
Ventricular Fibrillation Life Support, Epi, Vasopressor Scarry teeth, sudden cardiac death
Ventricular Tachycardia CPR, Epi, Vasopressor Wide QRS
Torsades de Pointes Mg, K Twist QRS
Stable Angina Treatment Treat if greater than 1 episode per day=BB, CCB, LA nitrate, Ranexa, AntiPLT, ACEI, lipid; NTG for acute attach -
Unstable Angina Treatment Invasive=MONA+AntiCOAG+Plavix+Abc; Conservative=MONA+AntiCOAG(LMWH/UFH)+Plavix+EPT/TIRO -
STEMI MONA+Reperfusion(CABG /PCI <90min /Thrombolytics <30 min) + AntiCOAG Discharge=BB+ACEI+Statin+SC +NTG+ASA
ID Quality Indicators for MI ASA @ arrival, BB @ arrival, Thrombolytic (30) for STEMI, PCI (90), ASA @ DC, BB @ DC, ACEI/ARB for LVD, Smoking cessation -
AntiPLT duration of therapy ASA 81 mg indefinantly; 325 PCI X1 month BMS, X3 month SES, X6 month PES Clopidogrel LD 300-600mg then 75mg daily X
Lower LDL Statin, Niacin, Resin, Omega3FA -
Increase HDL Niacin, Fibrinic Acid -
Lower TG Niacin, Fibrinic Acid, Omega3FA -
LFT Statin, Niacin, Fibrinic Acid, Cholesterol Inhibitor -
Glucose Niacin -
Uric acid Niacin -
CI>TG BAS -
Myopathy Statin, Niaci, Fibrinic Acid -
Sublimaze Fentanyl Mu AgonistInjection
Created by: ambermassey07 on 2010-06-01



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