Class, Indication
Indication and class of albuterol
What is Bronchospasm, rescue med for asthma/COPD AND beta-adrenergic agonist (SABA)?
MOA of Spironolactone AND where the drug acts in the nephron
What is aldosterone antagonist of the aldosterone receptors in the DCT/collecting duct?
Results in Na+ and H2O excretion without K+ loss
Priority teaching for Prednisone (Medrol).
Do not discontinue suddenly--may cause adrenal insufficiency if not tapered.
Other answers: monitor CBG closely if diabetic, avoid sick people.
Contraindication for digoxin
Daily Double: MOA of digoxin
What is concurrent use of anti-arrythemics, use of loop diuretics/thiazide diuretics?
DD: MOA: inhibition of Na+/K+ ATPase pump, leading to influx of Ca++ via uninhibited Na+/Ca++ pump->stronger cardiac contractility
ADR/SE for Ipratropium Bromide (Atrovent).
What is (localized) hoarseness, bitter taste, airway irritation/dryness? Systemic: anticholinergic fx; blurry vision, constipation, urinary retention, dry mouth.
Indication and class of famotidine (Pepcid)/Rantidine (Zantac)
What is GERD, peptic ulcer disease AND H2 receptor antagonist?
MOA of Hydrochlorothiazide.
What is: prevention of resorption of Na+ in DCT, resulting in Na+ and H2O excretion in urine?
Priority teaching for Spironolactone.
What is: check BP for adherence to parameters before administration OR monitor for hyperkalemia Sx--arrhythmias
Contraindication for Furosemide (Lasix)
What is: SULFA allergy, hepatic insufficiency, E- deficiency, pregnancy/lactation?
Symptoms of salicylate toxicity, and the common OTC medication that causes it.
What is tinnitus, confusion, headache, hyperventilation AND Aspirin (ASA)?
Class, indication of cromolyn (Intal)
What is mast cell stabilizer, anti-asthematic AND mild-moderate asthma, exercise induced asthma?
MOA of Prochloroperazine.
What is: blocks dopamine-2 receptors in CTZ, blocking nausea from vomiting reflex?
Causes dopamine, histamine, cholinergic inhibition: Sx?
Priority teaching for theophylline (Elixophylline).
What is: high toxicity risk, drink plenty of fluid for excretion?
OR: Tobacco smoking reduces serum lvl, food interactions (avoid tannins), toxicity Sx: N/V/D, older adults may have increased fall risk.
Contraindication for Sulfasalazine (Azulfadine)
DD: Drug class and indication.
DD: DMARD, UC/Crohns/RA
Most critical ADR for Montelukast.
What is suicidal ideation?
Other ADRs: fatigue, headache, rash
Class and indication of Prazosin (Minipress)
What is alpha 1 adrenergic antagonist, AND BPH, nightmares, HTN?
MOA of Amlopidine (Norvasc)
What is inhibition of transport of calcium within heart/vascular smooth muscle, resulting in the slowing of action potentials and the reduction of HR/BP?
Symptoms to monitor for when taking Digoxin.
What is toxicity Sx: yellow-green halo, abdominal pain, bradycardia, other arrhythmias?
Contraindication for lisinopril
What is prior angioedema, renal artery stenosis, pregnancy?
ADR/SE for Lisinopril
What is angioedema, hypotension, dry cough, hyperkalemia?
What causes angioedema, and why is it important?
Class and indication of prochlorperazine (Compro)
DD: Name three ADRs
What is anti-emetic AND N/V d/t surgery/sedation/chemo/toxins?
DD: Parkinsonian movement disorders, extrapyramidal Sx, anticholingeric Sx, sedation, hypotension
MOA of aspirin AND how long to hold before surgery.
What is inhibition of fibrin (anti platelet fx), inhibition of prostaglandins (antipyretic, anti-inflammatory fx)?
AND: Hold for 2 weeks before surgery
What is watch for fluid extraversion--may cause tissue necrosis, abscesses, gangrene if not properly secured within vein?
Contraindication for promethazine (Phenergan).
What is atrial fibrillation, uncontrolled HTN, angina, respiratory depression, children under 2 years old?
Why is respiratory depression a contraindication (hint: what is the MOA of promethazine?)
Contraindication of ondansetron (Zofran)
What is arrhythmia, E- abnormalities, prolonged QT interval, severe HF?
What is the MOA of Zofran--what NT binds to CTZ?