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Pharmacology QMA

Study Set for QMA class

Tetracycline cycline examples: doxycycline, minocycline Precautions: dental problems (enamel discoloration)-fetus or before 8 yrs cannot be given with milk products/wait at least 1 to 2 hrs
Sources Plants-any part Animals Minerals Synthetic-man made Semi-synthetic-combination which can be a combo of man made and plants, animals or minerals
Plants any part can be used roots, leaves, seeds, oils and blooms Examples: digitalis, opium
Animals blood, urine, hormones, venom Examples: cortisone, insulin, thyroid
Minerals from the earth iron, magnesium
Synthetic man made aspirin, acetaminophen
Semi-synthetic-combination tylox ( acetaminophen and opium)
Psychoactive Meds Anxiolytics (Antianxiety) Antipsychotics (Neuro;eptics)
Anxiolytics (Antianxiety) Set 1 Benzodiazepenes Scheduled drugs Valium (diazepam) Ativan ( lorazepam) Xanax ( alprazolam)
Anxiolytics (Antianxiety) Set 2 Benzodaizepenes Non-scheduled Librium ( chlorodiazepoxide) Atarax, Vistaril (hydroxyzine) Buspar (buspirone hydrochloride)
Antipsychotics (Neuroleptics) Set 1 Mellaril ( thioridazine HCL) Zyprexa (olanzapine) Loxitane (loxapine) Geodon ( ziprasidone) **LONG TERM USE CAUSES TARDIVE DYSKINESIA**
Antipsychotics (Neuroleptics) Set 2 Seroquel (quetiapine) Trilafon (perphenazine) Prolixin ( fluphenazine) Stelazine (trifluoperazine) Navane (thiothixene) **LONG TERM CAUSES TARDIVE DYSKINESIA**
Antipsychotics (Neuroleptics) Set 3 Haldol ( haloperidol)- Controlled Substance Thorazine ( chlorpromazine)-Controlled Substance Risperdal ( risperidone)-Controlled Substance Abilify (apripiprazole)-Controlled Substance **LONG TERM USE CAUSES TARDIVE DYSKINESIA***
Manic Depressive Order Meds (BIPOLAR) Lithonate, Lithotabs (lithium) Depakote (divalproex sodium) - Anticonvulsant but often ordered by psychiatrist for bipolar tx
Antidepressants (TRICYCLIC) Set 1 Elavil (amitriptyline) Pamelor, Aventyl (nortrptyline hydrochloride) Paxil (paroxetine hydrochloride)
Antidepressants (TRICYCLIC) Set 2 Zoloft (sertraline hydrochloride) Prozac (fluoxetine hydrochloride) Lexapro ( escitalopram)
Antidepressants ( MONAMINE OXIDASE INHIBITORS-MAOI) Nardil (phenalzine sulfate) Parnate (tranylcypromine)
Antacids Neutralizes stomach acid Decreases rate of gastric emptying treats hyperacidity calcium salts--potential contipation aluminum salts--usually constipating magnesium salts--usually diarrhea combo of magnesium and aluminum semethacone
Antacids (ALUMINUM SATS) Amphojel Rolaids
Antacids (MAGNESIUM SALTS) Milk of Mag Alternagel
Antacids (COMBO OF MAGNESIUM AND ALUMINUM SALTS) Maalox Mylanta Gelusil **RIOPAN**--used to balance out the constipating laxative effect
Antacids (simetecone) Antiflatulance agent Mylicon-decreases gas formation often added tp antacids preventative med
Antiulcer Set 1 Prevents the release of gastric acid Tx or prevent stomach/duodenal ulcers Pepcid (famotidine) Axid (nizatidine) Zantac (ranitidine)
Antiulcer Set 2 Tagamet (cimetidine) Cytotec (misoprostol) Protonix (pantoprazole sodium)
Antacids Set 3 BEFORE MEALS Prilosec (omeprazole) Carafate (sucralfate)----dissolve in H20 Prevacid (lasnsoprazole) Nexium (esomeprazole magnesium)---adheres to the ulcerated area
Antiemectics Tx Nausea/Prevent Vomiting Acts on the brain control center Drowsiness Dramamine (dimenhydrinate) ***Monitor B/P Tigan (trimethobenzamide) ***Hypotension Antivert (meclizine) Phenergan ( promethazine hydrochloride) Compazine) (prochlorperazine)
Emetics TX Ingested Poison Induce vomiting (20-30 min)/Acts on brain control center Syrup of Ipecac ***Induces vomiting after ***20-30 min after admin
Antidiarrheals Absorbs excess fluids/Bacteria TX Diarrhea kaolin ***Monitor for constipation Pepto-Bismmol (bismuth) Apples (pectin) Kaopectate (kaolin and pectin)
Opiates ( slows instestinal motility) TX Diarrhea Reduce peristalsis Action on CNS---Diminishes secretions Paregoric (opiates)
Gastrointestinal Meds (Alter Motility) TX Spastic Colon, Diarrhea GERD Acts on ANS---Alter Persistalsis Blurred Vision Dry Mouth Heart Palpitations Urine Retention Constipation
Gastrointestinal Meds (Alter Motility) TX Spastic Colon, Diarrhea GERD Acts on ANS---Alter Persistalsis Lomotil (diphenoxylate/atropine) Atropine atropine sulfate
Gastrointestinal Meds (Alter Motility) TX Spastic Colon, Diarrhea GERD Acts on ANS---Alter Persistalsis Donnatal (phenobarbital) scopolamine kaolin
Gastrointestinal Meds (Alter Motility) TX Spastic Colon, Diarrhea GERD Acts on ANS---Alter Persistalsis Immodium (loperamide) Bentyl (dicyclomine) Apples (pectin)
Laxatives-Cathartics Stimulates Intestinal Peristalsis ***Suppositories act faster ***Monitor for diarrhea Abdominal cramping Nausea Diarrhea
GI MEDs----Enhance Intestinal Motility Reglan (metoclopramide) ***Give before meals rather than with food ***Monitor V/S & UO
Saline Laxatives---Pulls fluids into the Lg Intestine Acts within 8 hours Milk of Mag---Shake SUSPENSION well **Monitor for good fluid intake after admin ***Diarrhea/Cramping
Lubricant Laxatives---Increases H2O retention in stools --- Stimulating evacuation **May interfere with ABSORPTION OF VITAMINS **NOT LONG TERM/WITH MEALS **Abdominal cramping Mineral Oil---Admin empty stomach --- 2-6 hours --- Give with fruit juice ( desguises taste) Haley's MO Glycerin Suppository--- Retained for at least 15 min (best results)
Laxatives---Stool Softener--- 1-3 days to soften Moisten Fecal Matter **Promote regular bowl evacuation **Mild Abdominal Cramping--Diarrhea Surfak ( docusate calcium) Colace (docusate sodium) Fiber Con (calcium polycarbophil) ***Notify NURSE of diarrhea****
Laxatives--INCREASE BULK Absorbs H2O expands to INCREASE BULK/MOISTURE content of STOOL SUGAR FREE FROMULA--DIABETICs **Admin with 8oz pleasant tasting liquid **12hrs to 3 days ** Encourage additional fluids N/ V Diarrhea---excessive use Obstuction--esophageal, gastric, small intestine, and rectal
LAXATIVES--INCREASE BULK Metamucil (psyllium) Citrucel (methylcellulose)
Lactulose--Uses as laxative **TX Liver Disease **Pulls liquids into the small intestine=distention=peristalsis **Store at RM TEMP **JUICE/ FOOD Chronulac Enulose **Abdominal cramping, Diarrhea, Flatulance**
ENEMAS---Hypertonic--Draw fluid into the bowel **Prepackaged/Disposable** **DO NOT USE WHEN DWHYDRATED** Fleets Enema ( sodium phosphates) **IF large hemorrhoids/anal excoriation, notify nurse
Residents are protected form health care malpractice and negligence by the _____________ law Duty of Care Law
Antacid is used to tx ____________ Antiulcer is used to TX___________ Neutralization of gastric acid to settle stomach ad lib Used daily to control the gastric acid
Amioderone Stay out of the sun Grayish/Bluish skin
Created by: sstaggs82



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