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Pharm2FinalXCV

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Term
Definition
LSD   Hallucinogen Lysergic Diethylamide Extremely potent-25-500mcg dose Initial effects-giddy start in 30min-2hr Psychogenic, 1-3hrs  
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Psilocin   Hallucinogen Like LSD but in mushrooms.  
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Bufotenin   Hallucinogen Toad Licking  
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Mescaline   Hallucinogen Found in cactus  
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MDMA   Hallucinogen And stimulant  
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Ibogaine   Hallucinogen Powerful-found in tabernathe african shrub May suppress heroin craving  
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Phencyclidine   PCP hyperfelxia and vertical nystagmus when overdosed  
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Riluzole   ALS Lou gherigs disease. orphan drug  
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N2O gas   GA MAC 105, cant put to sleep, sedation at 30%. Can change BP, dental anesthetic  
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Enflurane   GA contraindicated for epileptics May cause seizures  
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Isoflurane   GA Lowers bp Vasodialation  
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Desflurane   GA Irritating Gas, cough Must use IV GA  
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Sevoflurane   GA 99% eliminated through the lungs  
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MAC   Concentration of inhaled gas needed to work in 50% of patients  
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Propofol   IV GA Rapid acting, <1min Maybe Killed MJ Most common agent in US  
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Etomidate   IV GA  
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Ketamine   IV GA Profound analgesia, used in battlefield Emergence delirium increase BP decrease ventilation, bronchodialator  
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GA Adjuncts   Midazolam, pre op sedation and amnesia Opioids Fentanyl- complete incapacitation Dexmedeomidine- a2 agonist, sedates  
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Dantrolene   Treats Malignant Hyperthermia Muscles contract since rayonidine channels wont close. produces heat (108) and kills people. inhibits ryanodine receptors  
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Rocuronium   NMJ Blocker Rapid acting, 1-2min relaxe laranx and jaw for intubation  
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Atracurium   NMJ Blocker not metabolized by enzymes, good for ppl with liver/renal failure  
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Succinylcholine   NMJ Blocker opens NA channels and keeps them open causes fasiculations used for intubation  
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Epinephrine   Increases LA effects  
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Lidocaine   Amide LA Most widely used infiltration, nerve bock, epidural  
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Bupivacaine   Amide LA Longer duration of action Used during labor cardiotoxic if iv  
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Ropivacaine   Amide LA least motor effect. Useful in labor  
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Articane   Amide LA rapidly metabolized LA of choice for dentists  
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Benzocaine   Ester LA topical only  
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Cocaine Hydrochloride   Ester LA vasoconstrictive effects.  
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Reloxifene   SERM Estrogen agonist in bone to treat osteoporosis can cause thromboembolism and vasomotor symptoms  
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Clomiphene Citrate   Estrogen antagonist Induces ovulation in infertile women. Promotes FSH and LH  
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Leuprolide   GnRH Agonist treats androgen dependent prostate cancer, endometriosis, precocious puberty  
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Gonadotropins, menotropins   Increase fertility Spermatogenesis and ovulation  
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Oxytocin   Stimulates uterine contraction, milk release bonds to its receptor and causes calcium release in myometrial smooth muscle Estrogen increases oxytocin receptors  
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Dinoprostone   Prostaglandin for inducing pregnancy ripens uterus  
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Carboprost   Treats postpartum bleeding and can induce abortion in 2nd trimester  
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Misoprostol   Can terminate pregnancy with antiprogestin  
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Ergot Alkyloids   Cause strong uterine contractions Not used to induce labor, could kill the child Treats hemoraging  
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Terbutaline sulfate   B2 agonist stops uterine contractions increases cAMP not for diabetics receptors rapidly desensitize  
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Indomethicin   Stops prostaglandin synthesis  
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Mechlorethamine   Anti-cancer alkylizes N7 position on guanine, damages DNA in proliferative cells. Made from mustard gas, earliest agent  
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Cyclophosphamide   Alkylizing agent Longer half life than mustard drug immunosupressive treats wider range of cancers  
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Carmustine   Alkylating agent Nitrosourea Can treat brain tumors lipid soluble  
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Cisplatine   Alkylating Agent Platinum compound  
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Methotrexate   Antimetabolite S phase Inhibits dihydrofolate reductase Blocks ability to make deoxyuridylate and thymidylate Leucovorin bipasses need for this and protects normal cells. Also for psoriasis and RA  
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Mercaptopurine   Antimetabolite inhibits purine sythesis S phase metabolized by xanthium oxidase which is inhibited by allopurinol  
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Dox/Daunorubicin   Natural Anticancer come from streptomyces bind to DNA via intercalation Uncoil DNA Can cause CARDIOMYOPATHYYYYYYYy  
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Vinblastine/Vincristine   Natural Anticancer M phase specific disrupt mitotic spindle  
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Etoposide   Natural Anticancer Breaks DNA, G2 phase Semisynthetic podophyllotoxin FOR THE NUT  
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Dexamethasone/Prednisone   Anticancer steroids suppresses mitosis Cushing's syndrome  
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Tamoxifen   Hormonal anticancer Antiestrogen for ER positive breast cancer male breast cancer Causes menopasal symptoms  
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Imatinib Mesylte   Inhibits tyrosine kinase in BCR-Abl positive leukemia cells  
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Trastuzumab   anitbody for da boobeez. EGF  
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