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Pharm 1.1
| Question | Answer |
|---|---|
| Diphenhydramine is a antagonist of what receptor | H1 receptor antagonist |
| Uses of diphenhydramine | allergies, cold sx, vertigo/motion sickness, parkinsons, insomnia, urticaria |
| Adverse effects of diphenhydramine | anticholinergic effects (dry mouth, tachycardia, urinary retention, hypotension, blurred vision) |
| Contraindications to diphenhydramine | Under 2, narrow angle glaucoma, GI obstruction, acute asthma |
| Furosemide is a | Loop diuretic, works faster via IV |
| Side effects of furosemide | Hypokalemia, hypotension, dizziness, fatigue, tinnitus, ototoxic |
| Contraindications to furosemide | Severe fluid/electrolyte imbalances, anuria, hepatic coma |
| Interactions with furosemide | Amphotericin B, corticosteroids, can cause hypokalemia |
| what does furosemide do to insulin? | Diminished the hypoglycemic effects of insulin |
| What labs can furosemide increase? | BUN, serum amylase, cholesterol, triglyceride, serum electrolytes |
| Hawthorn and ginseng effects on furosemide | hawthorn can cause hypotension, ginseng decreases effects of loop diuretic |
| what receptors does morphine bind? | mu and kappa receptors. |
| When is morphine used? | Relieves SOB and MI pain, and used preanesthesia |
| SE of morphine | Constipation, N/V, dizziness, itching, CNS/resp depression |
| Contraindications to morphine | Hepatic/renal issues, acute asthma, gi obstruction, early term delivery, caution with elderly. |
| What medicaitons should u be aware of with a patient on morphine? | All downers, alcohol, antidepressants, kava, valerian, st johns wort |
| SE of naloxone | increased BP, tremors, hyperventilation, N/V, drowsiness |
| When is naloxone administered? | RR less than 10 for patients on opiates |
| Buprenoprhine; where does it produce agonism? | delta and partial agonism at kappa receptors |
| Tramadol | weaker opiod agonist and SNRI, weaker effect on mu and kappa. |
| What is buprenorphine used for? | Buprenorphine is used for moderate pain and opiod weaning |
| SE of tramadol | trad opiod, hepatotoxic, hypotension, hyponatremia |
| contraindications to tramadol | children under 12, bowel obstruction, pregnancy, |
| What is CYP450 | enzyme in liver responsible for metabolizing drugs |