Term
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Definition
| Phenobarbital (Nembutal) |
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Term
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Definition
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Term
| Misc CNS Depressant Prototype |
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Definition
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Term
| Contraindications to alprolazam therapy |
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Definition
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Term
| Contraindications to Chlorpromazine (Thorazine) |
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Definition
| Alcohol w/d, comatose, Reyes syndrome, lactation |
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Term
| S/E of Phenothiazines (Anti-psychotic) |
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Definition
| Extrapyramidal, Neuroepileptic Malignant Syndrome (NMS), orthostatic HTN |
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Term
| Phenothyazine Patient Teaching |
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Definition
| baseline vitals, underlying disorders, report EPS or NMS, document daily dose on calendar, do stop abruptly |
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Term
| Nonphenothiazine Prototype |
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Definition
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Term
Atypical Antipsychotic Prototype (Drug of Choice for Schiz) |
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Definition
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Term
| Clozapine Adverse Effects |
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Definition
| Agranulocytosis, seizures, dizziness, fever, salivation, flu-like symptoms, tachycardia |
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Term
| TCA Prototype - inhibits reuptake of serotonin and norepinephrine |
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Definition
| Amitriptyline (Elavil), Imipramine (Trofanil) |
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Term
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Definition
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Term
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Definition
| Orthostatic Hypotension, insomnia, diarrhea, tyramine interaction |
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Term
SSRI Prototype Selectively targets serotonin reuptake |
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Definition
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Term
| SSRI S/E - greater safety |
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Definition
| Sexual dysfunction, nausea, weight gain, anxiety, insomnia, SES |
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Term
|
Definition
| dry mouth, blurred vision, urinary retention, constipation |
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Term
|
Definition
| increased heart rate and hypertension |
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Term
| SS of Withdrawal from BZDs |
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Definition
| Anxiety, tremors, respiratory depression, death |
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Term
Mood Stabilizer Prototype Treatment for Bipolar Disorder |
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Definition
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Term
|
Definition
| Vomiting, diarrhea, slurred speech, decreased coordination, muscle weakness, twitching |
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Term
| MAOI/tyrmine interaction reversal |
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Definition
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Term
| Bile Acid Resins Administration |
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Definition
| Give one hr before, 4-6 after other meals, mix w cool liquids, |
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Term
| Lithium S/E (acts like sodium) |
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Definition
| Dizziness, fatigue, s/t memory loss, increased urination, dry mouth, loss of appetite |
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Term
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Definition
| Do not avoid salt (reduces drug secretion), keep all lab visits, changes in diet or fluid intake can effect levels, avoid ETOH, OTC and herbals, drink plenty of fluids |
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Term
Atypical antipsychotic S/E (Drug of choice for Schizophrenia) |
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Definition
| Leukopenia and agranulocytis, osteoporosis, decreased libido, weight gain, do not cause EPS |
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Term
| BZD Reversal drug (antagonist) |
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Definition
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Term
|
Definition
| Orthostatic Hypotension, sedation, anticholinergic, seizures, sexual dysfuntion |
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Term
Antihyperlipidemic - HMG-CoA reductase inhibitors |
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Definition
| Statins - First line of treatment |
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Term
Class - Statins (think "liver") Inhibits cholesterol production |
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Definition
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Term
|
Definition
| Rhabdomyolysis (break down of skeletal tissue), weakness and pain, abdominal cramps, elevated liver enzymes, interact with graprefruit |
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Term
|
Definition
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Term
|
Definition
| Take w/food, report muscle pain/weakness, avoid acohol and grapefruit |
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Term
| Class - Bile Acid Resins(binds to bile acids and makes them too large to be absorbed) |
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Definition
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Term
|
Definition
| Niacin - high dose of Vitamin B3 |
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Term
Class - Fibric Acid Agents (DO NOT GIVE WITH STATINS) |
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Definition
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Term
| Anticoagulants - Prevents Clot formation (II, VII, IX, X) |
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Definition
Coumadin, Heparin prevent Venous thrombi from enlarging; do not lyse clots, are not blood thinners |
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Term
| Coumadin (anti-coagulant) |
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Definition
| inhibits sythesis of vitamin K dependent clotting factors |
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Term
|
Definition
| INR (2.0 - 3.5) and PT (1-2x pt baseline) |
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Term
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Definition
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Term
|
Definition
| No systemic effects, gas, NVD, vitamin absorption deficiency (take multivitamin) |
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Term
|
Definition
| Many drugs, ETOH, antibiotics |
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Term
|
Definition
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Term
|
Definition
| Avoid alcohol, consume consisten amts of vitamin K, lab work |
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Term
| Heparin (anticoagulant)mech of action |
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Definition
| Low dose prevents conversion of prothrombin to thrombin; high dose prevent conversion of fibrinogen to fibrin |
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Term
|
Definition
| Sub Q or IV, quicker onset |
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Term
| Heparin lab and therapeutic level |
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Definition
| aPTT; 1.2 - 2.5 baselin aPTT; 20-45 seconds, monitor plateletts for HIT, wrong dose can be fatal for peds |
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Term
|
Definition
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Term
|
Definition
| Concurrent w/LMWH (fatal), thrombocytepnia |
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Term
| Low Molecular Weight Heparin (LMWT) |
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Definition
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Term
| Anticoagulants considerations |
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Definition
| same time every day, assess for bleeding, transition from Heparin to Coumadin, both taken for 2-3 days, avoid ASA or NSAIDS |
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Term
|
Definition
ASA (Aspirin) ADP Receptor blockers (Plavix) |
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Term
| Antiplatelet action (arterial circulation) |
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Definition
| prevents platelette aggregation |
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Term
|
Definition
| bleeding, neutropenia, TTP (clots forming everywhere) |
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Term
| Antiplatet considerations (dose 325 mg) |
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Definition
| monitor CBC, Avoid ASA and NSAIDS |
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