ATI Pharm Flashcards

adverse effects
Terms Definitions
S&S of Salicylism:
resp alkalosis
PTT range for a pt on coumadin therapy:
60-80 sec
What are gold salts used for and what are two potential adverse effects of gold salts:
Gold salts are antirheumatics.

Watch for renal toxicity and stomatitis/mouth sores
propylthiouracil is for what and what are its effects:
PTU is for treating hyperthyroidism.
- lower serum T4
- lower HR
Toradol (ketorolac):
- for short term pain
- not anti-inflammatory
- if used with opioids, analgesia is enhanced and adverse opioid effects are eliminated
2 major adverse effect of ACE inhibitors:
- dry cough
- hyperkalemia
Lipitor (atorvastatin) adverse effects:
- hepatotoxicity
- myopathy (check, CK lvls)
- peripheral neuropathy
therapeutic digoxin levels should be:
0.5-2.0 ng/ml
3 major adverse effects of SSRI's:
- sexual dysfxn
- weight gain
- serotonin syndrome (confusion, agitation, anxiety, tremors, hallucin.)
how should tetracyclines be taken?
- on an empty stomach
- avoid all antacids, iron, milk, etc
what is echinacea used for?
what's Compazine used for?
- non-psychotic anxiety
- schizo
- severe N/V
what's Tigan used for?
post-op N/V associated with gastroenteritis
digitalis toxicity can be caused by a combo of digoxin and what serum electrolyte imbalances?
- low K and Mg
- high Ca
T/F. Lactated Ringer is a colloid solution.
It's a crystalloid solution.
what are the 2 types of antihistamines and what do they do?
- H1-blockers decrease smooth muscle constriction
- H2-blockers decrease gastric secretions
Is benadryl a 1st-gen or 2nd-gen antihistamine? and what does that mean?
Benadryl is 1st-generation, which means anticholinergic symptoms such as dry mouth & drowsiness.
What class is Allegra and Claritin?
2nd-generation antihistamine
besides pain, what else do narcotics suppress?
what's Benadryl used for?
- nasal congestion
- cough
- sleep problems
- itching
Contraindications for Benadryl:
- asthma
- liver problems
- pregnancy, breastfeeding
- narrow-angle glaucoma
- alcohol, other depressants
Side effects of Robitussin:
dizziness and drowsiness
T/F. Robitussin suppresses respirations as well as coughs.
It suppresses coughs but not respiration. It's a nonnarcotic, but pts should avoid alcohol and narcotics and other depressants.
Clonidine (Klonopin) lower BP and belongs to what general class?
it's an alpha-agonist.
what class is Albuterol?
beta agonist
besides being the antidote to Tylenol overdose, what else does Mucomyst do?
liquifies and loosens thick mucus (mucolytic)
T/F. sympathomimetics, anticholinergics, and glucocorticoids can all be used for COPD Tx.
Methylxanthines such as caffeine and theophylline can increase the risk of which 2 toxicities?
- digitalis toxicity
- lithium toxicity
Atrovent belongs to what class?
Given an anticholinergic, a B-agonist, and a steroid, what order should they be given to treat COPD?
1. beta-agonist
2. anticholinergic
3. steroid
What class is Singulair? and what does it do?
- Leukotriene receptor antagonist
- inhibits smooth muscle contraction
T/F. Singulair is only for prophylactic and maintenance use, not for acute asthma attacks.
is cocaine a stimulant or depressant?
Is nicotine a stimulant or depressant?
is amphetamine a stimulant or depressant?
is opioid a stimulant or depressant?
What are the general actions of cannabis?
- slows down brain
- speeds up cardio & resp systems

MOOD: relaxation and disinterest
inhalants are stimulants or depressants?
CNS depressants
T/F. Reglan is a cholinergic.
It speeds up GI motility.
fight or flight drug class:
T/F. Atropine is a cholinergic.
It's an ANTIcholinergic and increases the HR.
T/F. Anticholinergics can be used to treat Parkinson tremors.
what other drug do you avoid when taking Albuterol?
(to avoid hypertensive crisis)
T/F. Dopamine is an adrenergic.
Adderall belongs to what class? and is used to treat what?
- class: amphetamines
- treats ADHD and narcolepsy
Dexedrine belongs to what class? and is used to treat what?
- class: amphetamines
- treats ADHD and obesity (anorexiant)
what's the antagonist to benzodiazepines?
Ramazicon (flumazenil)
Ativan and Valium belong to what drug class? and are used for what?
- class: benzodiazepine sedative
- used to treat anxiety and insomnia
- often ends in "-am" or "-pam"
Ambien is a sleep aide that belongs to what class?
a non-benzo sedative
Diprivan (Propofol) and Versed (Midazolam) belong to what class? What do you monitor for Diprivan?
- Class: short-term IV anesthetic
- For Diprivan, monitor for microbial growth (it's lipid based)
Lidocaine (Xylocaine) belongs to what class?
local anesthetic (allows consciousness)
inhalation (general) anesthetics often end in what?
"-thane" or "-rane"
how do narcotic and nonnarcotic analgesics differ in terms of their target system?
- narcotic acts on CNS
- nonnarcotic acts on PNS
generic names for narcotic antagonists begin with what?
(e.g. Naloxone, Naltrexone)
antidote for narcotics is:
narcan (naloxone)
What do you give first to control seizure activity? followed by what else?
- Ativan for immediate control of convulsions (sedative)
- followed by Dilantin for maintenance (antiepileptic)
What is a common urine characteristic when taking anticonvulsants?
red-brown pee
What oral problem can Dilantin cause?
gingival hyperplasia
what class of drugs can improve cognitive fxning of alzheimers?
ACE inhibitors
(e.g. Cognex/Tacrine)
How should you take Levodopa?
PO, with food
Anticholinergics and Dopaminergics for treating Parkinsons is bad for what eye condition?
Elavil belongs to what drug class? what should you watch out for?
- class: TCA (antidepressant)
- watch for EPS, anticholinergic effects, cardiac toxicity, and ortho hypotension
MAOI's can cause hypertensive crisis if used with what?
- CNS stimulants / sympathomimetics
- tyramine rich foods
- ginseng and st. john's wort
T/F. Prozac may cause suicidal ideations.
Prozac belongs to what drug class?
SSRI antidepressant
antidepressants are contraindicated for what condition?
(due to anticholinergic effects)
T/F. Asian and Hispanic pts need higher doses of antidepressants.
THey need lower doses.
Lithium therapy depletes which electrolyte?
T/F. Metallic taste and edema are side effects of lithium therapy.
What OTC drug can prevent traveler's diarrhea by coating the GI and absorbing toxins?
What is Phenergan?
what do you watch out for?
- pre-op or post-op antihistamine antiemetic

- watch for EPS and resp depression
What's Zofran for?
antiemetic, esp for chemo
Caster oil can be used as what?
what's the treatment of choice for anaphylactic shock?
besides its use as a topical anesthetic, what else is Lidocaine used for?
treat ventricular dysrhythmias (also local anesthetic effects on heart)
What is indicated for thyroid storm, A-fib, pulseless V-tach and V-fib?
What F&E imbalance is sodium bicarbonate used to treat?
metabolic acidosis
Dopamine is used to treat hypotensive shock states not caused by what?
not cause by hypovolemia
which drug is usually administered with epinephrine for anaphylactic shock?
Benadryl - antihistamine
(to treat histamine-induced tissue swelling)
What is given to treat insulin-induced hypoglycemia or insulin shock?
- Dextrose 50% IV bolus
- Glucagon (IV, IM, SQ) for severe cases, or when Dex50% is unavailable or no IV line
What's Nitroprusside for?
to treat hypertensive emergencies

- immediate vasodilation
- BP increases as soon as it is discontinued
WHat can be used to treat thyroid storm?
- beta blocker
- iodine
- amiodarone
what is used to treat myxedema coma?
- cortisol
- glucose
- IV synthroid
- electrolytes
name 2 adverse effects of amionoglycosides:
- nephrotoxicity
- ototoxicity
how should you take quinolones?
- empty stomach
- no antacids or iron (decreases absorption of quinolones)
what class is Ciprofloxacin?
quinolones are the 1st line tx for what?
what contraindicates cephalosporin use?
penicillin allergy
2 adverse effects of cephalosporins:
- nephrotoxicity
- bleeding
who should not take tetracyclines?
- kids under 8
- pregnant ppl
- ppl with liver or renal disease
Sulfonamides (TMP, SMZ, bactrim, septra) are used for ppl allergic to what?
what to monitor for when taking TMP, SMZ, or bactrim?
- monitor UO
- increases bleeding w/ warfarin
3 adverse effects of vancomycin?
- redman syndrome
- nephrotoxicity
- ototoxicity
what do you always give along with Rifampin to prevent peripheral neuropathy?
vit B6
Acyclovir (for Herpes), when taken with what can increase risk for nephro- and neuro-toxicity?
what adverse effects do you watch for when on Levoquine (Levofloxacin?
tendon rupture
T/F. You can take ampicillin if you're allergic to penicillin.
what must you verify before giving an osmotic diuretic?
T/F. thiazides (HCTZ) can cause hyperglycemia.
T/F. dopamine, epinephrine, norepinephrine, and dobutamine can all be used to correct hypertension.
They can all be used to correct hypotension.
what's the drug that causes a flat line then fixes the dysrhythmia?
what are 6 side effects to digoxin?
- yellow vision
- photophobia
- bradycardia
- drowsiness
- N/V
- anorexia
what's the antidote for digoxin?
what's the antidote for heparin?
protamine sulfate
frequent use of what can increase risk of DM, cataracts, and osteoporosis in elderly?
1 fluid ounce equals how many ml?
30 ml
how many fluid ounces are in cup?
8 fluid ounces = 1 cup
1 quart = how many liters?
1 quart = 1 liter
how many mls are in 1 tablespoon?
1 Tbsp = 15 mls
how do you calculate the child dose from the adult dose?
child dose = adult dose x kid's BSA / 1.73
how does Singuilar and other leukotriene receptor antagonists help to treat asthma?
- reduces inflammation in lungs
- decreases mucus, airway edema, and bronchoconstriction
T/F. leukotriene receptor antagonists can be used to treat exercise-induced asthma in kids.
how many tablespoons are in 8 fluid oz?
16 Tbsp = 8 fl oz = 1 cup

2 Tbsp = 1 fl oz
1 pint = how many fl oz?
1 pint = 16 fl oz
normal PT range:
12-15 sec
normal PTT range:
30-45 sec
therpeutic INR range when on Warfarin:
when treating asthma, do glucocorticoids induce bronchodilation?
Glucocorticoids decrease airway inflammation only.
taking viagra and ImDur together can cause what adverse effect?
severe hypotension
T/F. Respiratory depression is an adverse effect of Diazepam (Valium).
/ 120

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