Shared Flashcard Set

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Pharm L6
randomness
15
Medical
Graduate
05/06/2009

Additional Medical Flashcards

 


 

Cards

Term
acetominophen
Definition
=Tylonol. Converted by Glucoronication to a non-toxic metabolite, or converted via CYP2E1 to a toxic metabolite, then converted to a nontoxic thing vis GST. Alcohol induces CYP2E1 --> liver toxicity. Clearance and effective dose increased with increased body weight.
Term
Alcohol
Definition
Induces enzyme that makes acetominophen into a toxic compound => liver damage
Term
Aspirin
Definition
interacts with Warfarin
Term
Chloroquine
Definition
treat malaria. Very high Vd, is bound in tissues. Side effects: nightmares and hearing loss.
Term
Codeine
Definition
is a prodrug, not active until converted to morphine. fast entry into brain, but metabolized in the liver by CYP2D6, so low addiction potention.
Term
Digoxin
Definition
= Digitalis. Binds in muscle (high Vd).↑ contractility, ↓ conductivity, ↓ heart rate. Acts by stimulating Ach release. use in CHF and atrial fib. inhibits K/Na ATPase and inhibits AV node conduction. Narrow TI can lead to Digoxin toxicity. Quick onset of action, long half life.
Term
Furosemide
Definition
Loop Diuretic, blocks TAL K/Na/Cl transporter. Treat CHF and HTN. Side effect: venodilator. 70 percent bioavailability.
Term
Gentamicin
Definition
Antimicrobial. Inhibits protein synthesis in bacteria. Cleared by kidney
Term
Isoniazid
Definition
Tuberculosis. Inhibits synthesis of microbial cell wall. Metabolized by NAT2: give lower dose to slow acetylators.
Term
Labetalol
Definition
Hypertension. Inhibit SNS (b1, b2, a1 antagonist). Decreases systemic vascular resistance. Give along with diuretics to a person with v high blood pressure. oral: 20 percent bioavail. rare side effect: liver failure.
Term
Propofol
Definition
Very fast acting anesthetic--dont think you had surgery. Lipid soulble, so quickly enters and leaves the brain to go to other fat tissues(30 mins).
Term
Propranolol
Definition
b blocker. HTN. also: local anesthesia and migrane prophylaxis
Term
Phenytoin
Definition
Anti-seizure drug. Hepatic clearance. low doses 1st order, high doses 2nd order. Long t1/2, peaks at 3-12 hrs. Give drug more times per day at a lower dose to avoid toxicity.
Term
Warfarin
Definition
anti-coagulant. narrow TI, bad adverse effects.
Term
Phenobarbital
Definition
barbituate, seditive. interacts with warfarin metabolizm via CYPs. Must give more Warfarin
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