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Break Time?
Exam 2
71
Other
Graduate
01/19/2012

Additional Other Flashcards

 


 

Cards

Term
Missed weekly dose
Definition

Take first thing tomorrow

if >1 day, skip dose for week

Continue on original schedule

Term
Missed monthly dose
Definition

if >7 days to next dose, take next morning

go back to original schedule

Don't take >1 per 7 days.

Term

Counseling for Bisphosphonates

(Alendronate & Risedronate)

Definition
  • 30 minutes before food/drinks
  • with 8oz water
  • Sit/stand for 30 minutes
  • No other drugs for 60 mins.
Term
Alendronate
Definition

Bisphosphonate (PO)

10mg QD

CRCL <35

Term
Risedronate
Definition

(Actonel) Bisphosphonate (PO)

5mg QD

Term
Ibandronate
Definition

(Boniva) Bisphosphonate (PO/IV)

2.5mg QD

60 minutes

Term
Zoldronic Acid
Definition

(Reclast) Bisphosphonate (IV)

QY

Term
Raloxifene
Definition

(Evista) Estrogen agonist/antagonist (PO)

Risk: Blood clot

 

Term
Calcitonin
Definition

(Fortical) Nasal

5 year post menopause

 

Term
Denosumab (Prolia)
Definition

Binds to RANKL (SC)

Osteoclast apoptosis

 

Term
Teriparatide (Forteo)
Definition

Recombinant PTH Builds bone (SC)

Post menopause + highest risk

2 years max, osteosarcoma

 

Term

BMD

  • Who?
Definition
  • women ≥65 & Men ≥70
  • Postmenopausal/Risk/Fracture  ≥50
  • Bone degenerative med
Term

T scores

  • Normal
  • Osteopenic
  • Osteoperotic
  • Severe:

 

Definition
  • Normal: -1 or above
  • Osteopenic: -2 to -2.5
  • Osteoperotic: < -2.5
  • Severe: -2.5 + fracture history

 

 

 

Term

25(OH) D

  • Deficient
  • Insufficient
  • Normal

 

Definition
  • Deficient: ≤20
  • Insufficient: 21-29
  • Normal: ≥30

 

Term

Daily amount for adults over 50

Calcium

Definition
Calcium: 1200 mg
Term

Daily amount for adults over 50

Vitamin D

Definition
Vitamin D: 800-1000 IU
Term
  • C
  • D
  • E
  • F
  • G
Definition
  • Ca
  • D vitamin
  • Exercise
  • Fall prevention
  • Good habbits
Term
Calcium Carbonate
Definition

1000 = 400

WF BID

Term
Calcium Citrate
Definition

1000 = 210

Citrical

(Food not important)

Term

Delayed On

No On

 

  • Characteristics
  • Solution
Definition

Delayed response or minimal response to previously adequit

  • Give on an empty stomach
  • Switch to IR/crush
  • Increase dose
  • Reduced dietary protein
  • Add DA agonist (Apomorphine)
Term

Wearing off

  • Characteristics
  • Solution
Definition

Decreased duration

  • Change to CR
  • Add MAO/COMT inhibitor
  • Add IR at the end
  • Oral liquid formulations
  • LA at PM to prevent awakening
Term

On/Off

  • Characteristics
  • Solution
Definition

Fluctuates good - poor movement

(Brain adapting to varying blood levels)

  • Add DA agonist
  • Change to CR
  • Add MAO/COMT inhib
  • NO drug holiday
Term

Dyskinesias

  • Characteristics
  • Solution
Definition

Abnormal jerking (Too much DA)

  • ↓DA, ↑ frequency or CR
  • Add amantadine

 

Term

Freezing

  • Characteristics
  • Solution
Definition

Unable to move lower extremities

  • ↑ Dose, agonist, MAOb
  • Gait modification (Walker)
Term

Dystonias

  • Characteristics
  • Solution
Definition

sustained muscle contractions AM (low DA)

  • Add DA agonist
  • CR HS
  • Baclofen
Term

Myoclonus

  • Characteristics
  • Solution
Definition

Repetative jerking PM

  • ↓ PM dose
  • Clonazepam (Benzodiazepine)
Term
Akathisia
Definition

restless feeling, restless leg

(wearing off of levodopa)

  • Add PM DA med
  • Clonazepam
Term
This DA agonist needs dose adjustment for renal impairment
Definition

Pramipexole

(Difficulty to P)

Term
This DA agonist needs a test dose, and pretreatment with what agent?
Definition

Apomorphine

pretreatment with Trimethobenzamide (Tigan)

(Antes de la Tigra)

Term
This DA agonist has a SE of pulmonary fibrosis
Definition

Bromocriptine

(Kryptonite)

Term
Which DA agonist can act as rescue therapy
Definition

Apomorphine

(Antes de muerto)

Term
Which class of drugs are best for treating drug induced PD
Definition

Anticholinergics

Amantadine

 

Term
Which drug classes are not intended for >75?
Definition

Anticholinergics

Amantadine

Term
Benztropine
Definition

(Cogentin)

Anticholinergic

Term
Trihexyphenidyl
Definition

(Artane)

Anticholinergic

Term
Selegiline
Definition

(Eldepryl, Zelapar)

MAO-B inhibitor

Term
Tolcapone
Definition

(Tasmar)

COMT Inhibitor

  • CNS & Periphery
  • Liver damage
Term
Akinesia
Definition

Loss of normal muscle responsiveness

(Akon can pop lock)

Term
Akathisia
Definition

Sense of inner restlessness, constant movement

(Although I am sedated, I feel restless since they put a catheter in me)

Term
Bradykinesia
Definition

Difficulty initiating movement

 

 

Term
Dysarthria
Definition

Unclear pronunciation

(What are you saying Arthyr?)

Term
Dysphagia
Definition
Difficulty swallowing
Term
Hypomimia
Definition

"masked face"

expressionless

(I met my girlfriend Mimi at a mascarade party)

 

Term
Hypophonia
Definition
Quiet speech
Term
Dystonia
Definition

Sustained muscle contractions usually in the AM

(He sure has good muscle tone)

Term
Dyskinesia
Definition

Tremors or tics

(Kinetics)

Term

Focal Seizures

(First Line)

 

Definition
  • Carbamazepine
  • Lamotrigine
  • Levetiracetam
  • Oxcarbazepine
  • Phenobarbital
  • Phenytoin
  • Topiramate

(L2 P2 COT)

Term

focal Seizures

(Second Line)

 

Definition
  • Gabapentin
  • Primidone
  • Valproic Acid

(Secon'd time around I should Go put my P in her V while she is unconscious)

Term

Focal Seizures

(Adjunct)

 

Definition
  • Lacosamide
  • Pregabalin
  • Tiagabine
  • Rufinamide
  • Zonisamide

(Due to my Lack of protection, she is now Pregnant.  We have a wild child like Rufio which plays with the tigers and Zebras

Term

Generalized Tonic Clonic Seizures

(First Line)

 

Definition
  • Carbamazepine
  • Lamotrigine
  • Levetiracetam
  • Phenobarbital
  • Topiramate
  • Valproic Acid

(He's having a seizure, what should we do?

Look 2 Captain V)

the Barbarian

Term

Generalized Tonic Clonic Seizures

(Second Line)

 

Definition
  • Oxcarbazepine
  • Phenytoin
  • Primidone

(If all else fails, ask my POP)

 

Term

Absence Seizure

(First Line)

 

Definition
  • Ethosuximide
  • Phenobarbital
  • Valproic Acid

(Every time I watch Alice in wonderland I want to put my P in her V)

Term

Absence Seizure

(Second Line)

 

Definition
  • Lamotrigine
  • Primidone

(And she would say Please no)

Term

Absence Seizure

(Adjunct)

 

 

Definition
  • Kepra 

(the only thing that can save her is the 1 magician with his spell levetiracetam)

Term

Atonic Seizure

(First Line)

 

Definition
  • Valproic Acid

(Loss of muscle tone, only solution is to wear the new Vespar set)

Term

Atonic Seizure

(Adjunct)

 

Definition
  • Carbamazepine
  • Tiagabine

(CT scans are necesary, especially if the patient trys to fight a tiger)

Term

Myoclonic Seizure

(First Line)

 

Definition
  • Valproic Acid

(First choice for protection from a jerk is the Vespar Armor set)

Term

Myoclonic Seizure

(Adjunct)

 

Definition
  • Carbamazepine
  • Ethosuximide
  • Kepra
  • Tiagabine
  • Zonisamide

(We are at the zoo with Tigers and Zebras, give me a seck, I want to join in on the jitter bug dance)

Term

Which drugs have an Idiosyncratic SE of Acute Hepatic Failure?

 

Definition
  • Felbamate
  • Valproic Acid

 

Term
Drugs that work by blocking Na channels
Definition
  • Carbamazepine
  • Oxcarbazepine
  • Phenytoin
  • Rufinamide
  • Topiramate
  • Zonisamide
  • Lacosamine

 

Term
Drugs that work by blocking Ca channels
Definition
  • Ethosuximide
  • Zonisamide
Term

Drugs that work by blocking GABA

 

Definition
  • Felbamate
  • Phenobarbitol
  • Tiagabine
  • Topiramate
  • Vigabatin

When I saw Gabriella, I Fap to the photos of her tits & Vag

Term
Prodrug
Definition
Oxcarbazepine
Term
Transient Leukemia
Definition

Rufinamide

Carbamazepine

Term
Vision loss
Definition
Vigabatin
Term
Pancreatitis
Definition
Valproic acid
Term
  • A
  • U
  • S
  • T
  • I
  • N

 

Definition
  • Aggravated by activities
  • Unilateral
  • Sensitivity to light/sound
  • Throbbing
  • Intensity
  • Nausea

 

 

Term

Status Epilepticus

0-10 minutes

Definition
  • Lorazepam
  • Diazepam
Term

Status Epilepticus

10-30 minutes

Definition
  • Phenytoin (IV)
  • fosphenytoin (IM)
Term

Status Epilepticus

30-60 minutes

Definition
  • Phenytoin (IV)
  • fosphenytoin (IM)
Term

Status Epilepticus

> 60 minutes

Definition
  • Phenobarbitol
  • Valproate
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