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Stack #206366
| Question | Answer |
|---|---|
| Methotrexate | DMARD: enzyme inhibition: anti cancer agent (hepatic, gi, blood (thrombocytopenia), not used with renal dysfunction) folic acid may decr adv effects |
| DMARD | For active infl disease. Goal to stop infl and jnt destruction |
| Thrombocytopenia | Due to immune dysfunction |
| Secondary Thrombocytosis | •Anemia due to iron deficiency •Cancer •Inflammation or infection •Surgery |
| Anti cytokines (TNF) | Enbrel; Anti cytokines bind with tnf and deactivate it; TNF directly involved with RA inflatmmation |
| DMARD drug names | Leflunomide (Arava) Infliximab (remicade) Anakinra(kineret) |
| Cyclosporine (Neoral) | DMARD; htn, nephrotoxicity; drug interxns (CA blockers, antibiotics, corticosteroids, antifungals) RA rx |
| Gold therapy | efx (blood disorders, renal dysfxn, dermatitis) tolerated better orally |
| Osteoporosis | Vit D facilitates Ca uptake; |
| Vit D analogue | Calcitrol, cod liver oil |
| Bisphonate | inhibit resorption w/o affecting formation |
| Alendronate (fosamax)risedronate (actonel) | BisphonateGI problems, myalgias, esophageal lesionsMust be taken hour before breakfast; remain standing or sitting hour after breakfast |
| Etidronate (Didronel) | Bisphonatefor Paget's disease and SCI heterotopic ossification |
| Calcitonin | reduces osteoclasitic activity; paget's disease; pain, myalgias, headaches |
| Teriparatide (Forteo) | has PTH and Raloxifene (Evista) a antiestrogen agent; osteoporosis in postmen women; hot flashes, leg cramps |
| Nitrates | Vasodilation; decr BP; decr work of heart; relief of coronary vasospasm; dizziness, headache, reflex tachycardia; Call EMS if no relief after 3 tablets |
| Angina | Nitrates, B Blockers, CA blockers, Anti Anxiety rx w/o cardiac effects (Zoloft, Paxil, and Ativan) |
| Diuretics | treat htn; hyperglycemia, hypokalemia |
| Thiazides | Hydrochlorothiazide; inhibit tubular reabsorption of NA and CL; not used with renal dysfunction |
| Loop Diuretics | furosemide (Lasix), Bumex, Edecrin; works on loop of henle; more effective than thiazides; safe use with elderly |
| Potassium Sparing Diuretics | Prevent hypokalemia; Aldactone, Dyrenium, Midamor; weak diuretics; may lead to hyperkalemia |
| Beta blockers | decr CO by slowing HR; avoid use with COPD, some types of angina, and DM; |
| Beta blockers | propanolol (inderal), nadolol, penobutolol (levatol) |
| B-Blocker side effects | depression, disorientation, cold extremities |
| C-Channel Blocker Names | Procardia, Cardizem, verapamil, norvasc |
| C-Channel Blocker function | decr Ca influx; decr heart contractilty, HR, and resistance to blood flow (causes vasodilation), dilated coronary arteries |
| C-Channel Blocker | Bradycardia, perip vasodilation caus flushin, headache, andkle swelling and reflex tachycardia |
| Reflex Tachycardia | Ca Channel Blockers, Nitrates |
| A-1 Blocker | prazosin (Minpress)block a-1 receptor sin sm muscle --> arterial and v. vasodilation;Syncope, headache, palpitations |
| A-2 Blockers | clonidine (catapres) methyldopa (aldomet) ; a-2 brain receptors (decr HR, BP); dry mouth, sedation, depression |
| A-2 adv rxns | clonidine (rebound htn on sudden w/drawal); Aldomet (mental acuity & hemolytic anemia) |
| warfarin | antagonist of Vit K; 3-6 days for effect; (hemorrhage,microemobli, not used with pregnancy) |
| Warfarin drug interactions | CHF, hepatic dysfxn, and malnutrition may decr VIT K-clotting factors and incr drug effect |
| Heparin | naturally occuring in body; Fragmin, Lovenox, and Innohep; less frequent dosing and not need to monitor prothrombin times |
| Aspirin | Antiplatelet; irreversibly inhibits platelets agrregating at injury; tx for CAD, angina, and MI |
| Clopidogrel (plavix) | antiplatelet: same as aspirin; used with PVD |
| Ticlopidine (Ticlid) | antiplatelet: same as aspirin: TIAs and stroke (GI symptoms, dizzines) ( |
| Diazepam | Valium; m relaxant; acts |
| Aspirin | Antiplatelet; anti-inflammatory, anti-pyretic, analgesic; (GI upset, nausea, gastritis) |
| NSAIDS-general | COX1&2 inhibitors ; Ibuprofen(advil, motrin) efx(edema, less GI irritation than aspirin) |
| COX-2 NSAIDS | Celecoxib (VIoxx, Celebrex, Bextra); were indicated for RA and DJD; inhibit COX-2 inflammation prostaglandins; antipyretic, anti inflammatory, and analgesic |
| Glucocorticosteroids | endogenouse (cortisol, hydrocortizone) synthetic (prednisone, dexamethasone) |
| Glucocorticosteroids | Inhibit capillary dilatin, edema, & migration of leukocytes and macrophages to affected area |
| Glucocorticosteroids ADV RXN | sudden w/drawal: fever, malaise, althralgia; depression, anxiety, euphoria, mood swings, nervous, cataracts, Cushingoid symptoms, edema, hyperglycemia, osteoporosis, myopathy, GI disturbances |
| Diazepam | Valium: m. relaxant; acts centrally; tx spasm |
| Tizanidne | Zanalfex: m. relaxant; acts at spinal cord; tx spascticity; efx(hypotension) |
| Chlorzoxaone (Parafon Forte) cyclobenzaprine (flexeril carisprodol (soma) methocarbamol (robaxin) orphenadrine (norflex) | act at brain stem/ spinal cord; temp relief of local, acute spasm; flexeril efx(tachycardia, blurry vision, dry mouth) |
| baclofen | lioresal: m. relaxant; act at brain and SC inhibitin NT substance P; reduce inflamm and pain ; tx spasticity and painful spasms; efx (drowsiness, incr seizures with epilepsy pt) |
| Dantolene | Dantrium: m. relaxant; act olcally on m fiber, blocks Ca; tx chronic spasticity; efx (dizziness, dryness, diarrhea) |
| opiod narcotics | morphine, codeine, hydrocodone (vicodin) methadone, oxycodone (percodet, percodan, oxycontin) meperidine (demerol)hydromorphone (dilaudid) |
| opiod narcotic effects | analgesia, antitussive, dyspnea (MI, acute pulm edema, LVF), antidiarrheal; efx (drowsinesss, nausea, vomiting) |
| Fentanyl | duragesid, actiq: opiod narcotic for stable, chronic pain |
| Non-opiod narcotic | acetaminophen (tylenol); mild pain relief; antipyretic; efx (sever liver damage and fatal effects in overdosed quantities |
| ACE inhibitors | Pril's; Quinipril (accupril) captopril (capoten) fosinopril (monopril) benazepril (lotensin):arteriolar vasodilation, decr perip resistance, incr blood flow |
| ACE inhibitor | efx (non productive dry cough, decr taste perception) (excessive hypotension, hyperkalemia, angioedema) |
| Digoxin | Lanoxin; tx systolic dysfunction and arrhythmias, used with CHF; incr force of contraction w/o incr oxygen demand; adv efx (GI problems and confusion) |
| Vasodilator | Hydralazine (apresoline) and minoxidil; efx (GI, headache, flushing, nasal congestion) adv efx (Lupus like, arthralgia, skin rash, reflex tachycardia--> angina attack) |