-
type of sezure drug depend on?
- TOLERANCE
- PATTERN
- RESPONSE
-
PRECAUTIONS DRUGS CAN INCREASE SEIZURE...
TALK TO DOCTOR BEFORE STOPING A DRUG OR CHANGING DOSAGES
-
THERAPEUTIC BLOOD LEVELS IN SEIZURE..
START SLOW DOSE-- GRADUALLY INCREASE= REDUCE DROWSINESS
-
WHAT DRUG HELPS WITH TONIC CLONIC AND PARTIAL COMPLEX SEIZURE?
PHENYTOIN- DILANTIN
-
WHAT IS THE DOSAGE FOR PHENYL-D?
300MG MAX PER DAY IF PT HANDLE AT ONCE
OR 100MG 3X DAY
-
WHAT IS THE INFUSION RATE FOR PHENY IV?
50MG/MIN FOLLOW WITH NS
-
WHAT DOES PHENY TREAT?
EPILEPSY AND NEUROGICAL DISORDERS
-
WHAT IS THE SEIZURE DRUG OF CHOICE FOR NEONATALS?
PHENOBARBITAL
-
WHAT IS THE ACTING TIME OF BARBI?
LONG ACTING
-
WHAT SEIZURE DRUG CAUSES SEDATION AND DRAWSINESS?
PHENOBARBITAL
-
WHAT IS THE DRUG OF CHOICE FOR PEPIT MAL SEIZURE?
BARBI
-
WHAT IS THE DRUG OF CHOICE FOR STATUS EPILECTICOS?
DIEZEPAM-VALIUM
-
WHAT IS THE INFUSION RATE DOR DIAZEPAM?
5MG/MIN
-
WHAT IS THE PREUCATION FOR DIE-VALIUM?
'NOT COMPATIBLE WITH OTHER SEIZURE DRUGS!
-
WHAT DRUG CAUSE HIRSUTISM?
PHENY-DILATIN
-
WHAT DRUGA CAUSES GENGIVAL HYPERPLAISA AND NEED GOOD ORAL HYGENE?
PHENYL-D
-
VIT D AND FOLIC ACID DEFICIENCY IS PROBLEM WITH?
PHENY-D
-
WHAT SEIZURE DRUGS TREATS COMPLEX PARTIAL AND TONIC -CLONIC?
VALPROIC ACID
-
WHAT IS THE MAIN SE'S OF VALPROIC ACID?
- LOTS OF GI UPSET
- VOMIT
- TAKE WITH FOOD
-
WHAT SEIZURE DRUG IS ONTRAINDICATED ON PETIT MAL SEIZURE?
- VALPROIC
- NOT RECOMENDED FOR 2YEARS OLD AND UNDER
-
FOSPHYNITOIN IS A PRO DRUG, THAT CAN BE ..
USED IM AND IT CONVERTS INTO PHEYNOTOIN IN THE BODY
-
FOSPHEYNITOIN IS CONTRAINDICATED IN..
PREGANCY
-
WHAT DRUG CAUSED PLATELETS DYSFUCTIONS?
THROMBOCYTOPENIA-- CAUSED BY VALPROIC ACID
-
WHAT DRUG IS CONTRAINDICATE TO TAKE WITH ANTIACIDS?
GABAPENTIN
-
WHAT DRUG TREATS PARTIAL SIMPLE FOCAL SEIZURE?
VALPROIC ACID
-
WHAT DRUG CAUSED SONOLENCE AND FATIGUE?
GABAPENTIN
-
WHAT IS THE DRUG-DRUG INTERANTION OF GABAPENTIN?
AVOID USED ANTIACIDS
-
WHAT DRUG ARE USED FOR INTRACTABLE PAIN, NEUROPHATIC PAIN?
GABAPENTIN
-
WHAT DRUG COULD CAUSE ESTEN JOHNON RASH?
LAMOTRIGINE
-
CLINCAL USE FOR TRIGEMINAL NEURAGIA?
CARPAMAZEPINE
-
LAMOTRIGINE HAS DRUG -DRUG INTERACTION WITH MANY DRUGS EXCEPT?
GABAPENTIN
-
OTHER SE'S OF LAMOTRIGINE?
DIPLOPIA AND BLURED VISON
-
CARBAMAZEPINE USES ARE?
- BIPOLAR DISORDER
- TREAT TRIGEMINAL NERVE PAIN
-
MAZEPINE SE'S
- ATAXIA
- NYTAGMUS
- DIZZY
- *************LIVER INJURY
-
-
PHENYL IV INFUSION RATE?
50 MG /MIN
-
-
GABAPENTIN TREAT
POST HERPETIC VIRUS PAIN
-
GENGIVAL HYPERPLASIA ADVE EFFEC?
PHENYTOIN
-
IF THE PERSON HAS A RASH WHAT SHOULD BE DONE FIRST?
NOTIFY THE DOCTOR
-
WHAT IS ANOTHER CLINICAL USE FDA APROVAL?
- TRIGEMIANAL NEURAGIA
- BIPOLAR DISORDER
-
LEVO CONVERTS THYROID HORMONE INTO BODY
CONVERTS T4 INTO T3
-
LEVO- THYROID DRUG DOSE
75-125MG
-
VALPROIC ACID MUST BE TAKEN WITH
FOOD BECAUSE IT CAUSES GI DISTRESS
-
BLACK BOX FOR VALPROIC ACID
- LIVER TOXCITY
- DONT USE IN PETIT MAL SEZURE
-
METFORMIN DOSE
500-850MG DIABETES TYPE II
-
VALPROIC ACID ALSO TREATS
BIPOLAR DISORDER
-
HYDROCORTISONE WITH SODIUM SUCCINATE DOSAGE?
100-500MG CORTISTEROID
-
CHOLINERGIC DRUGS = PARASYMPATHETIC
1.PILO-- EYEDROP CONSTRIC PUPILS
2.NEO-- URINARY RETENTION-MUSCLE RELAXANT
-
ANTI-CHOLINERGETIC--PARASYNPATHETIC
1.ATROPINE= BRADYCARDIA
2.SCOLPO=MOTION SICKNESS PATCH
-
ADRENERGETIC--SYMPATHETIC
1.EPINE=ADRENALINE
2.NORE=POTENT VASOCONSTRITOR
3.PSEDO=SUDAFED NASAL REBOUND
-
ANTI-ADREN- SYMPHA DRUGS
1. METROL=CARDIOSELECTIVE
2. ERGO=ERGOSTISM
3.ATENO=DOENS'T PASS BBB-- LONG DURATION
4. B.BLOCKERS= USE FOR HYPERTENSION
-
BETA BLOCKERS-- SYMPA
1.PROPANOLOL=BLOCKS B1,2--SHORT DURATION
2.METOPROLOL= SAFE FOR COPD,CARDIOSELECTIVE--LONG ACTING
3. ATENOLOL=LONG DURATION** DOESN'T PASS BBB- NBO MUCH CNS EFFECTS
-
APHA CLINICAL USES
- ANGINA
- HYPERTENSION
- CARDIACT DISRRHITMIAS
- MIGRAINES
- OPEN ANGLE GLAUCOMA
-
ALPHA CAN BE DANGEROUS FOR PTS WITH?
-
HYPERTHYROID DRUGS-- TAKE WITH FOOD!
- HYDRO=SHORT ACTING
- PRED=INTERMEDIAN
- TRIAM=INTERMEDIAN
- DEXA=LONG ACTING** NO SODIUM RETENTION
-
HYDROCORTISONE
- ADISON DISEASE
- SHORT ACTING
-
PREDNISONE--METHYL IS THE INJECTABLE FORM
- * ANTIFLAMATORY
- INTERMEDIAN ACTING
-
TRIAMCINOLONE
- INTERMEDIAN ACTING
- TREAT
- JOINT INFLAMATION
- INHALERS
- ASHMA
-
IF YOU GIVE DIEZAPAN TOO FAST WHAT HAPPENS?
CARDIAC AND RESPIRATORY DEPRESSION! NO VERY SOLUBLE= DONT MIX ON DILUTE!
-
DIEZEPAM ANTICONVULSANT ACTING METABOLITE..
NOT LONG..MY HAVE TO REPEAT DOSE IF SEIZURE COME BACK
5MG/MIN
-
HYPER-GLUCOS-- TAKE WITH FOOD
DRUG-DRUG INTERACTIONS
- ANTICOAGULANTES
- ANTIDIABETICS
- SALICYLATES-ASPIRIN
-
SYMPHA- FIGH OR FLIGHT--- ADRENERGIC
- A & B BLOCKERS
- COPE WITH STRESS
- **NOREPINEPRINE= NEUROTRASMITER
-
PARA=CHOLINERGETIC-- CONSERVATION-RESTAURATION
FEED-BREED
NEURATRASMITER=ACETYLCHOLINE
-
PARA-CHOLINERGIC CAUSES SE'S
- BRANDY
- HYPO
- SWEAT
- SALIVATION
- VOMIT
- DIARRHEA
- CRAMPS
-
PARA=CHOLI CLINICAL USES
- RESTORE MUSCLE TONE
- ANTOGONIZE EFFECTS OF CURARE
- CONSTRICT PUPILS
- STIMULATE BLADDER- INTESTINES
-
PILO AND NEO ARE
CHOLINERGIC DRUGS-- PARASYMPHATETIC
-
PILO AND NEO ARE PARA-CHOLINERGICS
- DECREASE HR, BP
- INCREASE SWEAT, SALIVA
- CAUSE DIARRHEA
-
SYMPA
- INCREASES EVERYTING-- LIKE RUNING FOR A LION- FIGHT OR FLIGHT
- HR
- BP
- DECREASEGI MOTILITY
-
ANTI-CHOLINERGIC-- PARA
- RELAX MUSCLE
- ***DILATE PUPILS
- PARALISE ACCOMODATION MUSCLE PRIOR RO EYE EXAME
-
PARA --ANTI-CHOL CLINICAL USES
- PRE ANESTHESIC TO REDUCE SALIVATION
- SINUS BRANDYCARDIO BLOCK VAGUS NERVES
- ANTISPASMODIC-- REDUCE BLADDER STIMULATION
- PARKISON DISEASE- REGULATE MUSCLE CONTROL
- EYE EXAME-- MYDRIATIC AND CYCLOPEDIA
-
MEYSTANIA GLAVIS USE
- LOOK LIKE CURARE POISONING,== PARALYZE MUSCLES.
- USED IN SURGERY TO PREVENT MUSCLE FORM MOVING.
-
ANTI-CHOL ADVERSE EFFECTS
- DRY MOUTH
- BLURRED VISON
- URINARY RETNETION
- CONSTIPATION
- PALPITATION
-
ANTI-CHOL CONTRA INDICATIONS
- NARROW ANGLE GLAUCOMA
- PROSTATIC HYPERTROPHY
-
ANTROPINE-- ANTI-CHOLI= PARA
- HELPS WITH BRANDYCARDIA
- STIMULATE HEART RATE
-
SCOPO--ANTI-CHOL= PARA
MOTION SICKNESS PATCH
-
ADRENERGETIC=SYMPA
IT HAS ALPHA AND BETA EFFECTS!
ALPHA= VASOCONSTRICTION
BETA= VASODILATION
-
ALPHA ACTIVITY
- VASOCONTRICTOR
- PUPIL DILATION
- RELAX GI
-
BETA ACTIVITY
- VASODILATION
- HEART BEATS FAST MORE CONTRACTS
- BROCHIAL RELAX
- ULTERUS RELAX
-
-
BETA 2
- BROCHIOLES
- ARTERIAL SMOOTH MUSCLES
-
ADREN- DRUGS- SYMPA
- EPINEPHRINE= ADRENALINE
- NOREPINEPHRINE= POTENT VASOCONSTRICTOR
- PSEUDOEPHEDRINE= SUDAFED- REBOUND CONGESTION
-
CLINICAL USES OF EPINE
- ACCUTE ASHMATIC ATACK
- ANAPHILATIC SHOCK
- CARDIAC ARREST
-
-
NORE-- USES
- POTENT VASOCONSTRICTOR
- ** ACUTE HYPOTHESIOON
- BE CAREFUL WITH HYPERTHYROIDISM-- THEIR BLOOD PRESSURE IS ALREDY ELEVATED
- PREUCATIONS
- TACKCARDIA
- SOB
-
PSEUDO- SUDAFED
SIDE EFFECTS-- NERVOUSNESS ANXIETY-INSOMIA
- PREUCATION-- REBOUNG CONGESTION
- NASAL DESOGESTIONAT
- BRONCHODILATOR
-
ANTI-ADREN==SYMPA
ALPHA BLOCKER
ERGOTAMINE
-
ERGO
- ALPHA BLOCKER
- TREAT-- MIGRANES ** DUE TO INDIRECT EFFECT NOT NOT NOT ALPHA!
ADVERSE EFFECT -- ERGOTISMO
-
ERGO SE
- HOLY FIRE.. POINESS NUMBNESS OF TOES LEADS TO GANGRENE
- MUSCLE PAIN
- WEAKNESSS
-
ERGO CLINICAL USES
VASCONSTRICTING- CEREBRAL VESSELS IN MIGRAINE
-
ERGO
OXYTOSE EFFECT ON ULTERUS STIMULATION
-
ANTI-ADREN --SYMPA NOT INDICATED
-
ANTI-ADREN-SYMPA
BETA BLOCKERS-- CLINICAL USES
- ANGINA
- CARDIAC DISRRHTIMIAS
- HYPERTENSION
- MIGRAINES
- OPEN ANGLE GLAUCOMA
-
ANTI- ADREN- SYMPA ADVERSE EFFECTS
- N/V
- CNS EFFECTS
- CARDIAC EFFECTS
- BRONCHISPAMS
- HYPOGLYCEMIA
-
ANTI-ADREN-SYMPA CONTRAINDICATION PREUCATIONS.
- ASTHMA
- CHF
- BETA-BLOCKERS WITHDRAWL
-
ANTI-ADREN-SYMPA--- BETA BLOCKERS DRUGS
PROPANOLOL--INDERAL PROTOTYPE-- SHORT ACTING
METOPROLOL--CARDIOSELECTIVE= SAFE FOR COPD, BETTER THAN PROPA-- LONG ACTING
- ATENOLOL-- CARIDIOSELECTIVE
- LONG DURATION
- DONT PASS BBB
- 1X DAY DOSE GOOD COMPLIENCE
- NO MUCH CNS EFFECT
- MOST PREFERRED
-
HYPOTHYROIDISM DRUGS
- THYROID DESSICATE
- LEVOTHYROIDXINE (T4)** DRUG OF CHOICE
- LIOTHTYROIDNINE(T3) REQUIRES MULTIPLE DOSES
-
LEVO ADVANTAGES
- CONVERTS INTO T3 IN BODY
- LONG 1/2 LIFE
-
LEVO SE'S
- GI AND CARDIO STIMULATION
- INSOMNIA
- WEIGHT LOSS
-
LEVO PREUCATIONS
WITH PT WITH CARDIO DISEASES
-
LIO --DISAVANTAGES
- REQUIRES MULTIPLE DOSING
- DIFICULT IN MONITORING LEVELS
- ** MORE CARDIAC EFFECTS
-
HYPERTYROIDISM---GRAVES DISEASE
SYMPTOMS:
- CARDIAC STIMULATION
- WEIGHT LOSS
- RESTLESSNESS
- ***BULGING EYE
-
TREATMENT FOR HYPERTHYROIDISM
- PTU- DRUG--INHIBITS SYNTHESIS OF HORMONES
- RADIACTIVE IODINE
- SURGERY
-
PROPYL (PTU) DRUG FOR HYPERTHYROIDISM
- INHIBITS SYNTHESIS OD THYROID HORMONE
- IF WEEL CONTROLLED 6-12MOTNHS DONE!
-
PROPYL-PTU HYPERTHYROID DRUG ADVERSE EFFECTS:
- LOST OF TASTE
- N/V
- DIZZINESS
- LEUKOPENIA
- ADRUNOLOCYTOSIS
- PREGNANCY CROSS PLACENTA NEW BORNS WITH HYPOTHYROIDISM
-
GLUCACORTICOIDS
3 CLASSES OF ADRENAL CORTEX HORMONES
- CLUCORTICOIDS--CORTISOL
- MINERACORTICOIDS-ALDOESTERONE
- ANDROGENS
-
CLUCOCORTICOIDS-- DISEASES
ADRENAL INSUFICIENCY-- ADDISON'S DISEASE
CUSHING'S SYNDROME: OVERPRODUCTION OF CORTISOL
-
GLUCORTICOIDS PHARMACOLOGIAL EFFECTS
- ANTIFLAMATORY
- IMMUNOSUPPRESSIVE
- SODIUM RETENTION WITH POTASSION LOSS
- METABOLIC - FAT, CHO,PROTEIN METABOLISM
-
WHAT CAUSES ADRENAL SUPPRESSION?
SUDDEN WITHDRAWAL OF STEROIDS MAY CAUSE ACUTE ADRENAL ISSUFICIENCY
-
TO MINIMIZED ADRENAL SUPPRESSION:
- ALTERNATE DAY THERAPY
- EARLY MORNING ADMINISTRATION
-
GLUCORTICOIDS DRUG-DRUG INTERACTIONS
- ORAL ANTICOAGULATES-- ALTER BLOOD-- WAFARIN,
- ANTIDIABETIS- DECREASE BS
- SALICYLATES- ASPIRING THINS BLOOD
-
CLUCOS DRUGS
- HYDROCORTISONE
- PREDNISONE
- TRIAMCINOLONE
- DEXAMETHASONE
-
HYDRO--SHORT ACTING
LEAST POTENT- ACT LIKE NATURAL HORMONES
-
TRIAM-- INTERMEDIAN ACTING
- USED IN ORTHOPECICS
- DERMATOLOGY
- INHALERS
- NO SODIUM RETENTION
- INTRAOCULAR INJECTION IN JOINT
-
PRED- INTERMEDIAN ACTING
- LESS SODIUM RETENTION
- PROTOTYPE
- MORE ANTIFLAMATORY
-
DEXA--LONG ACTING
- POTENT ANTIFLAMATORY
- NO SODIUM RETENTION
- TREAT CEREBRAL EDEMA
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