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Pharm2FinalXCV
Term | Definition |
---|---|
LSD | Hallucinogen Lysergic Diethylamide Extremely potent-25-500mcg dose Initial effects-giddy start in 30min-2hr Psychogenic, 1-3hrs |
Psilocin | Hallucinogen Like LSD but in mushrooms. |
Bufotenin | Hallucinogen Toad Licking |
Mescaline | Hallucinogen Found in cactus |
MDMA | Hallucinogen And stimulant |
Ibogaine | Hallucinogen Powerful-found in tabernathe african shrub May suppress heroin craving |
Phencyclidine | PCP hyperfelxia and vertical nystagmus when overdosed |
Riluzole | ALS Lou gherigs disease. orphan drug |
N2O gas | GA MAC 105, cant put to sleep, sedation at 30%. Can change BP, dental anesthetic |
Enflurane | GA contraindicated for epileptics May cause seizures |
Isoflurane | GA Lowers bp Vasodialation |
Desflurane | GA Irritating Gas, cough Must use IV GA |
Sevoflurane | GA 99% eliminated through the lungs |
MAC | Concentration of inhaled gas needed to work in 50% of patients |
Propofol | IV GA Rapid acting, <1min Maybe Killed MJ Most common agent in US |
Etomidate | IV GA |
Ketamine | IV GA Profound analgesia, used in battlefield Emergence delirium increase BP decrease ventilation, bronchodialator |
GA Adjuncts | Midazolam, pre op sedation and amnesia Opioids Fentanyl- complete incapacitation Dexmedeomidine- a2 agonist, sedates |
Dantrolene | Treats Malignant Hyperthermia Muscles contract since rayonidine channels wont close. produces heat (108) and kills people. inhibits ryanodine receptors |
Rocuronium | NMJ Blocker Rapid acting, 1-2min relaxe laranx and jaw for intubation |
Atracurium | NMJ Blocker not metabolized by enzymes, good for ppl with liver/renal failure |
Succinylcholine | NMJ Blocker opens NA channels and keeps them open causes fasiculations used for intubation |
Epinephrine | Increases LA effects |
Lidocaine | Amide LA Most widely used infiltration, nerve bock, epidural |
Bupivacaine | Amide LA Longer duration of action Used during labor cardiotoxic if iv |
Ropivacaine | Amide LA least motor effect. Useful in labor |
Articane | Amide LA rapidly metabolized LA of choice for dentists |
Benzocaine | Ester LA topical only |
Cocaine Hydrochloride | Ester LA vasoconstrictive effects. |
Reloxifene | SERM Estrogen agonist in bone to treat osteoporosis can cause thromboembolism and vasomotor symptoms |
Clomiphene Citrate | Estrogen antagonist Induces ovulation in infertile women. Promotes FSH and LH |
Leuprolide | GnRH Agonist treats androgen dependent prostate cancer, endometriosis, precocious puberty |
Gonadotropins, menotropins | Increase fertility Spermatogenesis and ovulation |
Oxytocin | Stimulates uterine contraction, milk release bonds to its receptor and causes calcium release in myometrial smooth muscle Estrogen increases oxytocin receptors |
Dinoprostone | Prostaglandin for inducing pregnancy ripens uterus |
Carboprost | Treats postpartum bleeding and can induce abortion in 2nd trimester |
Misoprostol | Can terminate pregnancy with antiprogestin |
Ergot Alkyloids | Cause strong uterine contractions Not used to induce labor, could kill the child Treats hemoraging |
Terbutaline sulfate | B2 agonist stops uterine contractions increases cAMP not for diabetics receptors rapidly desensitize |
Indomethicin | Stops prostaglandin synthesis |
Mechlorethamine | Anti-cancer alkylizes N7 position on guanine, damages DNA in proliferative cells. Made from mustard gas, earliest agent |
Cyclophosphamide | Alkylizing agent Longer half life than mustard drug immunosupressive treats wider range of cancers |
Carmustine | Alkylating agent Nitrosourea Can treat brain tumors lipid soluble |
Cisplatine | Alkylating Agent Platinum compound |
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 |
Mercaptopurine | Antimetabolite inhibits purine sythesis S phase metabolized by xanthium oxidase which is inhibited by allopurinol |
Dox/Daunorubicin | Natural Anticancer come from streptomyces bind to DNA via intercalation Uncoil DNA Can cause CARDIOMYOPATHYYYYYYYy |
Vinblastine/Vincristine | Natural Anticancer M phase specific disrupt mitotic spindle |
Etoposide | Natural Anticancer Breaks DNA, G2 phase Semisynthetic podophyllotoxin FOR THE NUT |
Dexamethasone/Prednisone | Anticancer steroids suppresses mitosis Cushing's syndrome |
Tamoxifen | Hormonal anticancer Antiestrogen for ER positive breast cancer male breast cancer Causes menopasal symptoms |
Imatinib Mesylte | Inhibits tyrosine kinase in BCR-Abl positive leukemia cells |
Trastuzumab | anitbody for da boobeez. EGF |