Prescription Practice

  1. Morphines that can be opened and sprinkled on food, but cannot be crushed or chewed
    Kadian and Avinza
  2. Percocet: Schedule and generic name
    • Oxycodone/APAP
    • C-II
  3. Percodan generic name
    Oxycodone/ASA
  4. Tylenol #3
    • APAP 300mg and Codeine 30
    • Tablet: C-III
    • Liquid: C-V
  5. Dilaudid: schedule and generic
    • Hydromorphone
    • C-II
  6. Vicodin: schedule and generic
    • Hydrocodone/APAP
    • C-III
  7. Oxycotin: Schedule and generic
    • Oxycodone
    • C-II
  8. Combunox: schedule and generic
    • Oxycodone/Ibuprofen
    • C-II
  9. Opioids
    • Fentanyl
    • Methadone
    • Meperidine
    • Propoxyphene
  10. Demerol: schedule and generic
    • Meperidine
    • C-II
  11. Darvocet-N 100: schedule and generic
    • Propoxyphene Napsylate 100/APAP 650
    • C-IV
  12. Difference between Narvon and Narvon N?
    • Narvon: Propoxyphene HCl
    • Narvon N: Propoxyphene Napsylate
  13. Metabolite of meperidine?
    Normeperidine
  14. Darvon max dose?
    • 6 doses/day = 390mg/day
    • Darvon: Propoxyphene HCl 65mg
  15. Durgs used for opioid dependence?
    Buprenorphine and naloxone (C-III)
  16. Fiorinal/Fioricet: schedule and generic
    • Fiorinal: ASA, Butalbital, Caffeine (C-III)
    • Fioricet: APAP, Butalbital, Caffeine (Rx only)
  17. Ultram: schedule and generic
    • Tramadol
    • C-IV
  18. Ultram doses?
    • Ultram IR: 50mg
    • Ultram ER: 100, 200 and 300mg
  19. Ultram ER should not exceed...
    • 300mg/day
    • Tramadol IR max dose: 400mg/day (300mg/day in elderly)
  20. Nucynta: schedule and generic
    • Tapentadol
    • C-II
  21. Nucynta dose?
    • Nucynta (Tapentadol) 50, 75, 100mg tablets
    • Dose: 50-100mg Q4-6hs
    • Should not be used within 14 days of an MAOi
  22. Ultracet
    Tramadol/APAP
  23. Ghost tablet in the stool?
    Dilaudid (hydromorphone)
  24. Albuterol: brand name
    Proventil, Ventolin HFA
  25. Levalbuterol: brand name
    XOPENEX (R-isomer)
  26. Pirbuterol: brand name
    MAXAIR
  27. Salmeterol: brand name
    SEVERENT
  28. Formoterol: brand name
    FORADIL
  29. Albuterol dosage forms?
    • Tablets: 2mg, 4mg
    • ER tab: 4mg, 8mg
    • Syrup: 2mg/5mL
    • Aerosol: 17g (200 inhalations)
    • Solution for inhalation: 0.083%
  30. Proventil and Ventolin HFA. What is HFA?
    Propellant is HFA (hydrofluoroalkane) instead of CFC (chlorofluorocarbons)
  31. Which bronchodilators has aumohaler: MAXAIR, XOPENEX or SEREVENT?
    MAXAIR (Pirbuterol) - 14g (400 inhalations)
  32. Frequency of Serevent Diskus: 50mcg (60 inhalations)
    Q12hs
  33. Prior to dispensing store in refrigerator?
    FORADIL (Formoterol)
  34. Anticholinergics used for COPD?
    • Ipratropium
    • Tiotropium
  35. Atrovent: generic name
    Ipratropium (aerosol, solution for inhalation and nasal spray)
  36. Quaternary ammonium compound chemically related to atropine?
    Ipratropium, but less absorption and systemic effect than atropine
  37. Is contraindicated in pts with peanut allergy?
    • Ipratropium AEROSOL SPRAY, because it contains soy lecithin as suspending agent (same family as peanut).
    • Ipratropium in COMBIVENT, b/c contains soy lecithin as suspending agent.
  38. COMBIVENT: generic name
    Albuterol/Ipratropium combination
  39. SPIRIVA: generic name
    • Tiotropium (Handihaler: 18mcg)
    • Frequency: QD
  40. Mast cell stabilizers?
    • Cromolyn Sodium (TILADE)
    • Nedocromil (INTAL)
  41. MOA of action of mast cell stabilizers?
    Inhibit the degranulation of sensitized and nonsensitized mast cells that occur after exposure to specific allergens - act locally
  42. Theophylline therapeutic range?
    5-15mcg/mL
  43. CORTICOSTEROIDS?
    • Fluticasone (FLOVENT)
    • Flunisolide (AEROBID)
    • Budesonide (PULMICORT)
    • Beclamethasone (QVAR)
    • Triamcinolone (AZMACORT)
  44. Fluticasone + Salmeterol =
    • ADVAIR
    • Q12hs
    • Max dose: 500/50 q12hs
  45. Intranasal Spray: ADVAIR, FLONASE or PULMICORT?
    • FLONASE (fluticasone)
    • 2 sprays per nostril once daily
  46. Spacer devices?
    • INSPIREASE: blue accordion
    • AEROCHAMBER: open ended tube
  47. Montelukast lowest dose?
    • 4mg
    • Tabs:10mg
    • Chewable: 4mg, 5mg
    • Granules: 4mg
    • Frequency: QD
  48. Zafirlukast (ACCOLATE) dose and frequency?
    • Dose: 10 or 20mg
    • Frequency: BID (1hr before or 2hr after meals)
    • Hepatotoxicity precaution
  49. Unlabeled use for Singulair?
    Chronic urticaria
  50. Counsel for Fluticasone (FLONASE)?
    Use saline spray prior to use to reduce nasal irritation
  51. Care is needed for pts who are transferred from systemically to inhaled corticosteroids?
    • Fluticasone and Triamcilone
    • Caution HPA suppresion!
  52. Budesonide pregancy category?
    B
  53. Syrup available for children → risk of syncope
    Albuterol
  54. Use bronchodilator sprays first, then thecorticosteroid spray follows by how many minutes?
    5 minutes
  55. (R)- enantiomer of racemic albuterol(active isomer of Albuterol)
    • Levalbuterol (XOPENEX)
    • Solution for inhalation (unit dose of 3 ml):0.31 mg, 0.63 mg, 1.25 mg
  56. MOA of Ipratropium?
    Prevent increases in intracellular conc. of cGMP, which arecaused by interaction of Ach with muscarinic receptor onbronchial smooth muscle
  57. Use corticosteroid spray after Anticholinergic
    Wait 5 minutes
  58. Atrovent Nasal Spray: 0.03% is indicated for...
    relief of rhinorrheaassoc with allergic & non-allergic perennial rhinitis inpts > 6 y.o.
  59. Atrovent Nasal Spray: 0.06% is indicated for...
    relief of rhinorrheaassoc with common cold in pts > 5 y.o.
  60. Dose of Vicodin HP
    Hydrocodone 10 / APAP 660mg
  61. Dose of Vicodin ER
    Hydrocodone 7.5/APAP 750mg
  62. 100mg Parenteral Meperidine (DEMEROL) = _____mg PO
    300mg
  63. True or False?
    Tramadol should not be used in patients with CrCl <30ml/min or severe hepatic impairement
    TRUE
  64. Dose of methadone restricted to detox facilities?
    40mg
  65. Methadone Intensol?
    Concentrated oral solution
    10mg/ml
Author
STORM
ID
39812
Card Set
Prescription Practice
Description
Quiz: Opiates and COPD
Updated