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ABSITE-Pharm and Anesthesia
absite
26
Science
Post-Graduate
12/20/2012

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Cards

Term
Give an example of a drug which works by 0-order kinetics?
Definition
Alcohol (constant amount of drug eliminated regardless of dose)
Term
What does it mean for a drug to be metabolized by 1st order kinetics?
Definition
The drug is eliminated proportional to dose
Term
How many half lives until a drug reaches steady state?
Definition
5
Term
What is the bioavailability of an intravenous drug?
Definition
100%
Term
Name some INHIBITORS of P-450?
Definition
ketoconazole, erythromycin, cipro, flagyl, amiodarone, verapamil
Term
Name some INDUCERS of P-450?
Definition
EtOH, cigarette smoke, dilantin, WARFARIN
Term
In the treatment of gout, name the medication which binds tubulin and inibits migration?
Definition
Colchicine
Term
In the treatment of gout, name a xanthine oxidase inhibitor?
Definition
Allopurinol
Term
In the treatment of gout, name a medication which INCREASES renal secretion of uric acid?
Definition
Probenacid
Term
Important side effect of PHENERGAN?
Definition
tardive dyskinesia
(treat with benadryl)
Term
Mechanism of action of metoclopramide?
Definition
Dopamine receptor blocker (used to increase gastric/gut motility)
Term
Mechanism of action of zofran?
Definition
Serotonin receptor inhibitor
Term
Mechanism of action of DIGOXIN?
Definition
inhibits Na/K ATPase and increases myocardial Ca

(slows AV conduction, but increases atrial contraction rate, also an inotrope)
Term
Medication proven to reduce post-op MI (and A fib)?
Definition
Beta blockers
Term
Mechanism of action of leuprolide?
Definition
Is an analogue of GnRH and acts continuously, thereby inhbiting release of LH and FSH (which depend on intermittent GnRH release)
Term
Used to close a patent PDA?
Definition
Indomethacin
Term
Pathophysiology of NSAID related ulcer formation?
Definition
NSAIDS inhibit prostaglandin synthesis, leading to decreased mucous and bicarbonate secretion, increased acid production
Term
Pathophysiology of malignant hyperthermia?
Definition
altered calcium regulation in skeletal muscle
Term
First sign of malignant hyperthermia in an intubated patient?
Definition
INCREASED End tidal CO2
Term
Treatment of malignant hypertheermia?
Definition
Dantrolene

(Hyperventilation, end surgery if able)
Term
Important side effect of tacrolimus and cyclosporine?
Definition
renal dysfunction (Nephrotoxic)
Term
Mechanism of action of Gleevec?
Definition
tyrosine kinase inhibitor, active against BCR-ABL
Term
Depolarizing paralytic used?
Definition
Succinylcholine
Term
Why is succinylcholine contraindicated in burn patients?
Definition
Causes HYPERkalemia
Term
Mechanism of action of Aspirin?
Definition
IRReversibly binds cyclooxygenase
Term
Duration of action of Aspirin?
Definition
7 days (life of a platelet)
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