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Final Cumulative-GI/heme/poisons
NA
55
Pharmacology
Graduate
03/19/2015

Additional Pharmacology Flashcards

 


 

Cards

Term
calcium carbonate (Tums)
Definition
Neutralizes acid (heartburn, gastritis, peptic ulcer disease)
Term
aluminum hydroxide/magnesium hydroxide (Maalox)
Definition
Neutralizes acid (heartburn, gastritis, peptic ulcer disease)
Term
cimetidine
Definition
competitive antagonist of H2 receptors on parietal cells (GERD, peptic ulcer disease)
Term
ranitidine
Definition
competitive antagonist of H2 receptors on parietal cells (GERD, peptic ulcer disease)
Term
omeprazole
Definition
proton pump inhibitor--irreversibly inactivates H+/K+ ATPase (GERD, peptic ulcer disease, gastrinomas including zollinger-ellison syndrome)
Term
sucralfate
Definition
aluminum salt of sulfated sucrose--forms protective barrier
Term
misoprostol
Definition
PGE1 analogue (prevent NSAID induced ulceration)
Term
bismuth subsalicylate (pepto bismol)
Definition
coats stomach, antibacterial activity, antidiurrhetic
Term
dietary fiber (Psyllium--metamucil)
Definition
bulk forming laxative, antidiurrhetic
Term
docusate (colace)
Definition
stool surfactant agent--detergent
Term
magnesium hydroxide (milk of magnesia)
Definition
osmotic laxative
Term
polyethylene glycol
Definition
osmotic laxative (colonic cleansing prior to diagnostic and surgical procedures)
Term
bisacodyl (dulcolax)
Definition
stimulant laxative (acute and chronic constipation, colonic cleansing with PEG prior to procedures)
Term
anthraquinone derivatives (Senna--SennaKot)
Definition
stimulant laxative (ex lax)
Term
metoclopramide (reglan)
Definition
prokinetic agent--dopamine D2 receptor antagonist and partial 5-HT agonist (gastroparesis, reflux esophagitis, antiemetic)
Term
loperamide
Definition
opioid, (antidiurrhetic)
Term
dicyclomine
Definition
anticholinergic antispasmodic (IBS)
Term
sulfasalazine (azulfidine)
Definition
topical aminosalicylate, immunosuppresive (IBD, RA-non biological DMARD)
Term
infliximab
Definition
monoclonal antibody against TNF alpha (Crohn's, RA-biologic DMARD)
Term
simethicone
Definition
antiflatulent
Term
aspirin
Definition
antiplatelet--irreversible COX inhibitor (MI, thrombosis)
Term
dipyridamole (persantine)
Definition
antiplatelet--phosphodiesterase inhibitor, platelet adhesion inhibitor (thrombosis)
Term
clopidrogel (plavix)
Definition
antiplatelet--irreversibly binds to ADP receptor (MI, stroke, vascular death)
Term
heparin (hep-lock)
enoxaparin sodium (lovenox)
Definition
anticoagulant--binds antithrombin III (venous/arterial thromboembolic disease, extracorporeal circulation, pregnancy, IV catheters)
Term
protamine sulfate
Definition
binds heparin (heparin overdose)
Term
warfarin sodium (coumadin)
Definition
anticoagulant--vit. K epoxide reductase inhibitor--inhibits factor II, VII, IX, X, protein C and S (venous/arterial thromboembolic disease, extracorporeal circulation, IV catheters)
Term
lepirudin (refludan)
Definition
anticoagulant--blocks thrombin (treatment for heparin-induced thrombocytopenia)
Term
urokinase (abbokinase)
Definition
fibrinolytic--cleaves plasminogen to plasmin (thrombosis, MI)
Term
alteplase (activase)
Definition
fibrinolytic--cleaves plasminogen to plasmin (thrombosis, MI)
Term
factor VIII (hemofil M)
Definition
hemostatic--converts prothrombin to thrombin (hemophilia A)
Term
factor IX (bebuline)
Definition
hemostatic--converts prothrombin to thrombin (hemophilia B)
Term
iron
Definition
iron deficiency in microcytic anemias
Term
folic acid
Definition
megaloblastic anemia
Term
vit. B12 (cyanocabalamin, hydroxocobalamin)
Definition
megaloblastic anemia, pernicious anemia
Term
epoetin alfa (erythropoietin, EPO, Epogen, procrit)
Definition
growth and differentiation of erythrocytes (chronic anemias--AIDS or cancer)
Term
filgrastim (G-CSF)
Definition
growth and differentiation of neutrophils (neutropenics from chemo or HIV)
Term
sargramostim (GM-CSF; leukine)
Definition
growth and differentiation of granulocytes and macrophages (cancer patients or after bone marrow transplant)
Term
oprelvekin (interleukin 11; neumega)
Definition
growth and differentiation of megakaryocytes and platelets (thrombocytopenia in cancer patients)
Term
deferoxamine mesylate (desferal)
Definition
iron overdose
Term
activated charcoal (charcoAid, liqui-char)
Definition
non-specific chelator --limits absorption (toxin ingestion) --must be w/i 4hrs of ingestion
Term
fomepizole (anitzol)
Definition
alcohol dehydrogenase inhitor (methanol/ethylene glycol intoxication)
Term
hydroxocobalamin (cyanokit)
Definition
combines w/ cyanide to produce vit. B12
Term
pralidoxime, 2-PAM (protopam chloride)
Definition
reactivates acetylcholinesterase (organophosphate/nerve antitoxin) --must be given immediately
Term
EDTA (disotate, endrate)
Definition
metal chelator (severe lead poisoning) --nephrotoxic, chills, fever, N/V
Term
succimer (chemet)
Definition
metal chelator (lead, arsenic, mercury poisoning)
Term
organophosphate insecticides/nerve agents
Definition
acetylcholinesterase inhibitor--SLUDGE, death w/ resp failure --treat w/ 2-PAM
Term
methanol (wood alcohol)
Definition
windshield washer or paint remover--metabolized to formaldehyde causing CNS depression, blindness, metabolic acidosis--give bicarb and fomepizole
Term
ethylene glycol
Definition
antifreeze--metabolized to oxalic acid causing hypocalcemia, CNS depression, renal crystals/oxalicaciduria--give Calcium and fomepizole
Term
arsenic
Definition
water supply--binds sulhydryl groups causing oxidative stress and disrupting proteins, causes rice water diarrhea, and garlic breath acutely, hyerkeratosis/exfoliative dermatitis chronically--give succimer
Term
lead
Definition
paint chips or contaminated water--molecular mimicry of other metals and inhibits Hgb synth., causes hypochromic microcytic anemia, weak wrist and ankle extensors, encephalopathy, colic, gout--give succimer, dexamethasone for encephalopathy, can also give EDTA
Term
methylmercury
Definition
contaminated fish and grain by fungicide--increases intra Calcium and binds metallothionein causing ataxia, blindness, deafness--give succimer
Term
carbon monoxide
Definition
product of combustion--out competes O2 for heme binding and decreases dissociation of O2 from heme causing HA, dizziness, death--put in hyperbaric oxygen
Term
cyanide
Definition
present in smoke and industrial byproducts--binds cytochrome oxidase inhibiting ETC causing bitter almond breath, LOC, seizures, coma--give hydroxocobalamin (cyanokit) produces vit B12 in presence of CN-
Term
asbestos
Definition
filamentous silica in old building materials, causes pleural effusions and mesothelioma lung cancer 15 yrs post exposure
Term
PCB's/dioxin
Definition
flame retardants, plasticizers, insulation, herbicides--causes chloracne
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