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PHARM blueprint
PHARM Exam 1 Blueprint, part 1 - Alison Miles
| Question | Answer |
|---|---|
| Primary goal of the medication Betaseron, when dealing with a patient with Multiple Sclerosis? | DECREASE RELAPSE RATE; reduce immune attacks in the brain and treat unfavorable symptoms; treat underlying causes of MS and decrease overall relapse rate |
| MAJOR adverse effect of seizure medication | SEDATION; CNS depression |
| The oldest and most prescribed seizure medication | Phenobarbital (inexpensive, long acting, usually produces few adverse effects; discovered in 1912 and still most commonly prescribed |
| Chronic pain | persists longer than 6 months, can interfere with daily activities, associated with feelings of helplessness or hopelessness |
| Which of narcotic opioid is referred to as the "representative" | morphine (it is the standard against which the effectiveness of every other opioid is compared) |
| MOST serious reaction of opioid intoxication | respiratory depression |
| What medication is likely to be used to treat opioid medication dependence | Methadone |
| What class of drugs is often the choice to treat migraines? | Triptans |
| Which drug is commonly used to treat migraines: | Sumatriptan (Imitrex) |
| What is the loss of sensation to an area of the body w/out loss of consciousness to the patient? | Local Anesthesia |
| Benzodiazepines that are used for conscious sedation | diazepam (Valium), lorazepam (Ativan), midazolam hydrochloride (Versed) |
| Intermediate acting insulin | peak 4-12 hrs; isophane insulin suspension - NPH, NPH Iletin II, Humulin N, Novolin N; also insulin zinc suspension - Lente Iletin II, Lente L, Humulin L, Novolin L |
| Sulfonylurea drugs (2nd generation) | used in treatment of depression; Wellbutrin (agitation, dry mouth, insomnia, headache, nausia, constipation, anorexia, weight loss); Effexor (nausea, sleepiness, dizziness, dry mouth, sweating, HA |
| hypothyroidism | decreased thyroid |
| condition treated primarily with alpha adrenergic blocker? what are they referred to as? | increased Blood Pressure (HTN); alpha blockers |
| what is at area at end of neuron to where nerve impulse travels? | synapse |
| synaptic cleft | space to cross to reach the next neuron |
| chemicals that allow nerve impulses to cross that synaptic cleft | neurotransmitters |
| two primary neurotransmitters of autonomic nervous system | norepinephrine and acetylcholine |
| acetylcholine receptors in ganglia (presynaptic neuron site) | nicotenic |
| acetylcholine receptors in postsynaptic neuron site in the PSNS | muscarinic |
| Norepinephrine (Sympathetic) receptors are in either two subtypes, what are the subtypes? | alpha and beta |
| nonselective beta blockers are used to treat what 3 conditions? | |
| what happens if beta blockers are discontinued abruptly | chest pain, HTN |
| NSAID Aspirin | fever, inflam, thromboembolic disorders, prevention of transient ischemic attacks and heart attacks; rectal form available |
| NSAID tramadol | causes less respiratory depression than morphine |
| NSAID torodol | also for allergic conjunctivitis, available in IM/IV forms |