http://quizlet.com/24533076/ch-20-psychotropic-medications-alcohol-and-drug-abuse-flash-cards/
http://quizlet.com/3545986/psychotropic-medications-swg-603-flash-cards/
Pharmacology
Oral Antidiabetics
Memory aide for ONSET, PEAK & DURATION.
I made up three stories to help me remember all this crazy information.
The Story of The Sleepy Princess (HUMALOG/NOVOLOG/APIDRA)
Once upon a time there was a princess who slept like a LOG. She could fall asleep in only 5 – 15 MIN, and she only stayed awake for 3 – 5 HOURS at a time. She was so sleepy because her bedroom was in the PEAK of a very high tower in a very tall castle, and it took 30 – 90 MIn. to climb up and down. She wasn’t perfect, she was HUMAn and had a LISP, ROse sounded like “wose” when she said it.
One day she started playing with the letters in her name and she noticed if she moved the last 2 letters to the front it spelled a new word. She thought it would be cool if everyone called her Princess RAPID from then on, or maybe even Princess ULTRA RAPID, which is super funny not just because she slept all the time, but also because when she pronounced it, it came out, “Pwincess Ultwa Wapid”.
No one could understand what the hell she was saying so she cut out the letters in her name to make a sign. She asked her sister where the glue was and her sister said, “APIDRA, THE GLUE LIES IN the desk drawer.”
The Sleepy Princess answered, “I don’t want you to call me that anymowe.” and her sistered replied “AS PART of the royal family I am casting a NO VOte on the name change.”
The Story of the 2 LINs (HUMULIN/NOVULIN R)(HUMULIN/NOVULIN N or NPH)
LIN R. thinks he’s SHORT. He’s 5’8″ so he’s actually pretty REGULAR. It only takes him a ½ HOUR – an HOUR to get ready to go out. He is 25 and at his PEAK.
LIN N. looks 16 but she is 24. She takes anywhere from an HOUR – 3 HOURS to get ready to go out. She lives at 612 PEAK ave. She is studying INTERMEDIATE Spanish this year.
He asked her to meet him at a bar called “The Syringe” . LIN R. was very CLEAR about the time, but LIN N.’s memory was CLOUDY with excitement, and she forgot. The information got MIXED, so LIN R. ended up going into the syringe before LIN N. even showed up. What a pendejo.
The War of Long Duration
Once upon a time in the underwater city of AtLANTUS, King GLARGINE had to fight against two evil sea witches named LEVEMIR and DETEMIR. The king thought the war would last 1 – 2 years tops, but he couldn’t be sure so he went to the oracle, and the oracle predicted the battle would have NO PRONOUNCED PEAK and would last 24 years.
THE END.
Hope that helps.
RENAL DRUGS for RENAL EXAM 09/30
Click on link below to download the wonderful drug table created by Xochitl. The drugs highlighted in green are the ones you need to know for Aileen’s test. 14 Urinary drugs in total. You should be able to name the class, action, side-effects and client teaching for these meds. Thank you Xochitl!
Drug Activity & Action
Metabolism & Excretion of Drugs
PHARM TEST List, OCTOBER 22ND
MUSCULO-SKELETAL
CLASS: MUSCLE RELAXANTS
1. Soma (carisoprodol) PO. Indicated for the relief of discomfort associated with acute, painful musculoskeletal conditions in adults.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=7c9184c0-7a2e-11df-8c8d-0002a5d5c51b
3. Robaxin ( methocarbamol) PO. A carbamate derivative of guaifenesin, is a central nervous system (CNS) depressant with sedative and musculoskeletal relaxant properties.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f039c8bf-8586-4467-b5c3-fe1c6e5846ac
9. Flexeril (cyclobenzaprine HCL) PO. Relieves skeletal muscle spasm of local origin without interfering with muscle function. It is ineffective in muscle spasm due to central nervous system disease.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=229f6824-0d00-411c-9220-4510ba85163d
CLASS: BIPHOSPHONATE
14. Fosamax (alendronate sodium) PO. Treatment of osteoporosis in post-menopausal women. Treatment to increase bone mass in men with osteoporosis.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=eff2b19e-2667-4b3c-9307-1c62f59b4cc3
GI SYSTEM
CLASS: ANTI-EMETIC
2. Tigan (trimethobenzamide HCL) PO, IM. indicated for the treatment of postoperative nausea and vomiting and for nausea associated with gastroenteritis.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=05845d9b-a9ce-42c8-8598-48a938d9ac38
4. Phenergan (promethazine hydrochloride) IV, Deep IM – WARNING can cause severe chemical irritation and damage to tissues regardless of the route of administration. Other classifications: Antihistamine, Antivertigo.
8. Zofran (ondansetron HCL) ODT, IV. Prevention of nausea and vomiting associated with radiotherapy and emetogenic chemotherapy.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d9a71b42-ddfc-49d5-7280-0fc0041dba41
10. Compazine (prochlorperazine maleate) PO, Rectal. For control of severe nausea and vomiting. For the treatment of schizophrenia.
http://dailymed.nlm.nih.gov/dailymed/search.cfm?query=compazine
CLASS: ANTACID
6. Mylanta (Al, Mg, Simethicone) PO. • heartburn • sour stomach • acid indigestion • upset stomach due to these symptoms • symptoms of gas SE: Diarrhea 2º Mg. CONTRA: Renal Failure 2º toxicity.
http://dailymed.nlm.nih.gov/dailymed/search.cfm?query=mylanta
CLASS: PPI
5. Prilosec (omeprazole Mg) PO. Short-term treatment of active duodenal ulcer in adults.
http://dailymed.nlm.nih.gov/dailymed/search.cfm?query=prilosec
CLASS: ANTI-DIARRHEAL
11. Kaopectolin Kaolin plus Pectin. Kaolin is an anti-diarrheal medicine additive for the adsorption of toxins. This adsorbent action helps relieve the irritation, discomfort and cramping associated with diarrhea. Pectin is a soluble dietary fiber naturally present in citrus fruits.
CLASS: ANTI-GAS
13. Simethicone relieves the symptoms of gas frequently caused by air swallowing or certain formulas or foods
CARDIOVASCULAR
CLASS: ANTI-PLATELET
20. Plavix (clopidogrel bisulfate) PO. Acute Coronary Syndrome (ACS). Recent MI, Recent Stroke, or Established Peripheral Arterial Disease.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=01b14603-8f29-4fa3-8d7e-9d523f802e0b
21. Aspirin http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a7f3686d-012a-41e2-aab1-0ed2ae93d054
22. Persantine (dipyridamole) IV. Alternative to exercise in thallium myocardial perfusion imaging for the evaluation of coronary artery disease in patients who cannot exercise adequately. PO. Adjunct to coumarin anticoagulants in the prevention of postoperative thromboembolic complications of cardiac valve replacement.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ca68879c-0214-4d7c-93b0-bdaf8ef23f8e
CLASS: ANTI-COUGULANT
24. Lovenox (enoxaparin sodium) SC. Prophylaxis of Deep Vein Thrombosis. Treatment of Acute Deep Vein Thrombosis. Prophylaxis of Ischemic Complications of Unstable Angina and Non-Q-Wave Myocardial Infarction. Treatment of Acute ST-Segment Elevation Myocardial Infarction.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5017a927-2a24-4f27-89f9-27c805bf7d59
CLASS: THROMBOLYTIC
17. Activase (alteplase) Instillation of Solution into the Catheter. For the restoration of function to central venous access devices as assessed by the ability to withdraw blood.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=91ecdef2-95ff-42dd-a31c-c8a09cab3ad9
CLASS: HEMATOPOIETIC
16. Procrit (erythropoietin) IV, SC. Anemia 2º CKD, Chemotherapy, peri-operative hemoglobin > 10 to ≤ 13 g/dL, zidovudine administered at ≤ 4200 mg/week in HIV-infected patients with endogenous serum erythropoietin levels of ≤ 500 mU/mL.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=0c721ba4-ae19-417f-aae1-221ed1a0866a
23. Epogen (erythropoietin) IV, SC. Anemia 2º CKD, Chemotherapy, peri-operative hemoglobin > 10 to ≤ 13 g/dL, zidovudine administered at ≤ 4200 mg/week in HIV-infected patients with endogenous serum erythropoietin levels of ≤ 500 mU/mL.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1f2d0b28-9cc5-4523-80b8-637fdaf3f7a5
- Do not shake. Shaking could cause (erythropoietin) not to work. If you shake, the solution in the vial may look foamy and should not be used.
CLASS: NITRATE VASODILATOR
15. Nitro paste (Nitro-bid) Prevention of angina pectoris due to coronary artery disease. The onset of action of transdermal nitroglycerin is not sufficiently rapid for this product to be useful in aborting an acute anginal episode.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=30934ddc-0823-4097-8699-d10988011d7c
18. Isorsobide (isorsobide mononitrate) IMDUR, ISMO, MONOKET PO. Prevention and treatment of angina pectoris due to coronary artery disease. The onset of action of oral isosorbide mononitrate is not sufficiently rapid for this product to be useful in aborting an acute anginal episode.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d8f4202c-5103-40dc-9309-dcf72da02d0d
(isorsobide dinitrate) DILITRATE-SR, ISO-BID, ISODRIL PO, SL.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=11fa7725-cb19-46f6-9468-01a0a430492c
CLASS: PERIPHERAL VASODILATOR / ANTI-HYPERTENSIVE
28. Apresoline (hydralazine HCL) IV. Severe essential hypertension when the drug cannot be given orally or when there is an urgent need to lower blood pressure. PO. Treatment of HF as an adjunct to standard therapy in self-identified black patients to improve survival, to prolong time to hospitalization for heart failure, and to improve patient-reported functional status.
http://dailymed.nlm.nih.gov/dailymed/search.cfm?query=HYDRALAZINE+HYDROCHLORIDE
CLASS: ANTI-LIPIDEMIC
19. Zetia (ezetimibe) PO. Lipid-altering agent. One component of multiple risk factor intervention in individuals at significantly increased risk for AVD 2º hypercholesterolemia.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a773b0b2-d31c-4ff4-b9e8-1eb2d3a4d62a
26. Zocor (simvastatin) PO. Lipid-altering agent. One component of multiple risk factor intervention in individuals at significantly increased risk for AVD 2º hypercholesterolemia.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=fdbfe194-b845-42c5-bb87-a48118bc72e7
27. Crestor ( rosuvastatin calcium) PO. Adjunctive therapy to diet to reduce elevated Total-C, LDL-C, ApoB, nonHDL‑C, and triglycerides and to increase HDL‑C in adult patients with primary hyperlipidemia or mixed dyslipidemia.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=bb0f3b5e-4bc6-41c9-66b9-6257e2513512
CLASS: CALCIUM CHANNEL BLOCKER
25. Cardizem (diltiazem HCL) PO. Management of chronic stable angina and angina due to coronary artery spasms. Essential HTN. IV. A-FIB, A-Flutter, Supra-Ventricular Tachycardia.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=461fe23f-4453-4e3f-9621-0e3fda057d14
CLASS: ANTI-ARRHYTHMIC
29. Quinidine (quinidine gluconate) PO, IV. Restoring normal sinus rhythm in patients with symptomatic atrial fibrillation/flutter whose symptoms are not adequately controlled by measures that reduce the rate of ventricular response.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5023f053-fcc4-4c2c-aa59-9ec198ad185e
30. Pronestyl ( procainamide HCL) IV. Treatment of documented ventricular arrhythmias, such as sustained ventricular tachycardia, that, in the judgement of the physician, are life-threatening. 2º to proarrhythmic effects of procainamide, its use with lesser arrhythmias is generally not recommended. Treatment of patients with asymptomatic ventricular premature contractions should be avoided.
http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=17e47845-daad-434c-a784-6d3875b0d704
CNS
CLASS: ANALGESIC
12. Salicylates any salt or ester of salicylic acid. Most commonly, aspirin. Advise patients that use or overuse of seemingly benign OTC medications is sometimes dangerous. The ready availability of aspirin and aspirin-containing products does not establish the safety of aspirin.
http://en.wikipedia.org/wiki/Salicylic_acid
CLASS: ANTI-CONVULSANT
7. Phenytoin (fosphenytoin sodium) IV – CEREBYX – control of generalized tonic-clonic status epilepticus and prevention and treatment of seizures occurring during neurosurgery. Can also be substituted, short-term, for oral phenytoin. PO – DILANTIN – control of generalized tonic-clonic and complex partial (psychomotor, temporal lobe) seizures and prevention and treatment of seizures occurring during or following neurosurgery. Phenytoin serum level determinations may be necessary for optimal dosage adjustments
http://dailymed.nlm.nih.gov/dailymed/search.cfm?query=phenytoin
Learning Never Exhausts The Mind 