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Jane
Misc Set 1 (including neuropharm & behavioral)
104
Other
Not Applicable
04/17/2006

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Cards

Term
Epinephrine
Definition
alpha 1
alpha 2
beta 1
beta 2

anaphylaxis
open angle glaucoma
asthma
hypotension
Term
Norpinephrine
Definition
alpha 1
alpha 2
beta 1

hypotension (but decreases renal perfusion)
Term
Isoproterenol
Definition
beta 1 = beta 2

AV block (rare)
Term
Dopamine
Definition
D1=D2>beta>alpha

shock (increases renal perfusion)
heart failure
Term
Dobutamine
Definition
beta 1> beta 2

shock
heart failure
Term
Phenylephrine
Definition
alpha 1 > alpha 2

pupil dilation
hypotension
nasal decongestion
Term
Albuterol
Terbutalne
Definition
beta 2 > beta 1

asthma
Term
Smudge cells
Definition
CLL
Term
Mets to liver
Definition
Breast, lung, colon
Term
Antidote to salicylates
Definition
Alkalinize urine & dialysis
Term
Antidote to Anticholinesterases, organophosphates
Definition
Atropine, pralidoxime
Term
Antidote to Antimuscarinic, anticholinergic drugs
Definition
Physostigmine, salicylate
Term
Antidote to Beta blockers
Definition
Glucagon
Term
Antidote to Digitalis
Definition
Lidocaine, anti-dig Fab fragments, Mg2+, normalize K+
Term
Antidote to Iron
Definition
Deferoxamine
Term
Antidote to Lead
Definition
CaEDTA, dimercaprol, succimer, penicillamine
Term
Antidote to Arsenic, mercury, gold
Definition
Dimercaprol (BAL), succimer
Term
Antidote to Copper, arsenic, gold
Definition
Penicillamine
Term
Antidote to Cyanide
Definition
Nitrite, hydroxocobalamine, thiosulfate
Term
Antidote to Methemoglobin
Definition
Methylene blue
Term
Antidote to Methanol, ethylene glycol (antifreeze)
Definition
Ethanol, fomepizole, dialysis
Term
Antidote to Benzodiazepines
Definition
Flumazenil
Term
TCAs
Definition
NaHCO3 (nonspecific)
Term
Antidote to Heparin
Definition
Protamine
Term
Antidote to Warfarin
Definition
Vitamin K, FFP
Term
Antidote to tPA, streptokinase
Definition
Aminocapoic acid
Term
Volume of distribution
Definition
Vd=(amount of drug in body)/(amount of drug in plasma)
Term
Clearance
Definition
Cl=(rate of elimination)/(plasma concentration)
Term
Half life
Definition
(.7XVd)/Cl
Term
Loading dose
Definition
Lodaing dose=(Target concentration)X(Vd/Bioavailability)
Term
Maintenance dose
Definition
Maintenance dose=Target concentrationX(Cl/Bioavailability)
Term
Collapsing pressure
Definition
(2Xtension)/radius
Term
Physiologic dead space
Definition
Anatomic dead space X ((alveolar PCO2 - expired PCO2)/alveolar PCO2)
Term
Oxygen consumption equation
Definition
Fick equation
O2 consumption=(Arterial O2 - Venous O2)XCO
Term
Lung cancer mets
Definition
Brain, bone, liver
Term
Which leukotriene is a neutrophil chemotactic factor?
Definition
LTB4
Term
Which prostaglandin inhibits platelet aggregation?
Definition
PGI2
Term
1st and 2nd generation histamine blockers (& tox)
Definition
1st: diphenhydramine, dimenhydrinate, chlorpheniramine
Use: Allergy, motion sickness, sleep
Tox: Sedating, antimuscarine, anti-alpha-adrenergic
2nd: loratidine, fexofenadine, desloratadine
Use: Allergy
Term
Beta 2 agonists for asthma
Definition
Albuterol - Acute
Salmeterol - Prophylaxis (tox tremor, arrhythmia)
Term
Theophylline
Definition
A methylxanthine used to treat asthma and COPD
Inhibits phosphodiesterase, causing less cAMP hydrolysis, causing bronchodilation
Also stimulates respiratory center
Metabolized by P450
Narrow therapeutic index with liver and kidney tox ("Methylxanthines methylates liver and kidney")
Term
Mechanism of corticosteroids in asthma treatment
Definition
Inhibit cytokine synthesis
Inactivates NFkB, the transcription factor that induces the production of TNF-alpha
1st line for chronic
Term
Sensitivity
Definition
(true pos)/(all with dz)
Probability of a positive test given that a person has dz
False negative=1-sensitivity
Not dependent on prevalence
a/(a+c)
Term
Specificity
Definition
(true negative)/(all dz free)
Probability of negative test if pt doesn't have dz
False positive=1-specificity
Not dependent on prevalence
d/(b+d)
Term
Positive predictive value
Definition
(true positive)/(all who tested positive)
Probability of having condition given a positive test
Dependent on prevalence (higher prevalence = higher PPV)
a/(a+b)
Term
Negative predicitive value
Definition
(true negatives)/(all who tested negative)
Probability of not having condition given neg test
Dependent on prevalence (higher prevalence = lower NPV)
d/(c+d)
Term
Odd ratio
Definition
(odds of having dz if exposed)/(odds of having dz if unexposed)
=Relative risk if prevalence not too high
ad/bc
Term
Relative risk
Definition
(dz risk in exposed)/(dz risk in unexposed)
(a/(a+b))/(c/(c+d))
Cohort studies
Term
Attributable risk
Definition
(a/(a+b)) - (c/(c+d))
Term
Positive skew
Definition
mean>median>mode
Term
Volume of distribution
Definition
Vd=[amt in body]/[amt in blood]
Term
Clearance
Definition
Cl=(rate of elimination)/[plasma drug]
Term
Half-life
Definition
t1/2 = 0.7Vd/Cl
1 half-life:50%
2 half lives: 75%
3 half lives: 87.5%
4 half lives: 94%
Term
Loading dose
Definition
Loading dose=[desired plasma]X(Vd/Bioavail)
Term
Maintenance dose
Definition
Maintenance dose=[desired plasma]X(Cl/Bioavail)
Term
Myesthenia gravis drugs
Definition
Anticholinesterases
Dx: Edrophonium
Tx: Pyridostigmine, neostigmine
Term
Beta 1 blockers
Definition
"A BEAM"
Acebutolol (partial)
Betaxolol
Esmolol (short acting)
Atenolol
Metroprolol
Term
Anticholinesterase poisoning
Definition
DUMBBELSS
Diarrhea, urination, myosis, bronchospasm, bradycardia, excitation of CNS & skeletal mm, lacrimation, salivation, sweating
(Tx: pralidoxime & atropine)
Term
Glaucoma drugs
Definition
-Cholinomimetics (carbachol, pilocarpine, physostigmine, echothiophate)
-Beta-blockers (timolol, betaxolol, carteolol)
-Alpha-agonists (epinephrine, brimonidine)
-Prostaglandin (latanoprost / PGF2alpha)
-Diuretics (acetozolomide)
Term
Echinacea (use, toxicity)
Definition
Common cold
Tox: GI, HA, dizziness
Term
Ephedra (use, toxicity)
Definition
Weight loss, allergy
Tox: CNS & cardiovascular stim (Arrhythmia, stroke, seizure)
Term
Feverfew (use, toxicity)
Definition
Migraine
Tox:Mouth ulcers, anti-plt, GI
Term
Gingko (use, toxicity)
Definition
Claudication
Tox: anti-plt, axniety, insomnia, HA, GI
Term
Kava
Definition
Chronic anxiety
Tox: Phototox, dermatotox, hepatotox, ataxia, sedation, GI
Term
Milk thistle
Definition
Viral hepatitis
Tox: loose stools
Term
Saw palmetto
Definition
BPH
Tox: Decreased libido, hypertension, GI
Term
St. John's Wort (use & toxicity)
Definition
Depression
Tox: Phototox, serotonin syndrome, GI, inhibits P450
Term
Dehydroepiandrosterone (use & toxicity)
Definition
Sx improvement in women with SLE or AIDS
Tox: Androgenization (premenopausal), estrogenic effects (postmenopausal), feminization (yound men)
Term
Melatonin (use & toxicity)
Definition
Jet lag, insomnia
Tox: Suppresses midcycle LH, hypoprolactinemia, sedation
Term
Nx change in anxiety
Definition
Increased NE
Decreased GABA & 5HT
Term
Nx change in depression
Definition
Decrease in NE & 5HT
Term
Nx change in Huntigton's
Definition
Decreased GABA & Ach
Term
Drug intoxication associated w/ nystagmus
Definition
PCP
Term
Which intoxications and withdrawls cause psychosis?
Definition
Intox: Hallucinogens cocaine, alcohol, amphetamine
Withdrawl: Benzos, barbs, alcohol
Term
Sumatriptan mechanism, contraindication
Definition
5HT1D agonist --> vasoconstriction for ~2hrs
Contraindicated in CAD or Prinzmetal's
Term
Tonic clonic first line
Definition
Phenytoin, valproate, carbamazepine
Term
Most wide spectrum anticonvulsant
Definition
Valproate
Term
Anticonvulsant for myoclonic seizures
Definition
Vaproate
Term
Anticonvulsant for pregnant women and children
Definition
Phenobarbital ('pregnant Barbie')
Term
Anticonvulsant peripheral neuropathy
Definition
Gabapentin
Term
Anticonvulsant for trigeminal neuralgia
Definition
Carbamazepine
Term
First line drug status acute epilepticus
Definition
Diazepam, lorazepam
Term
First line drug status epilepticus prophylaxis
Definition
Phenytoin
Term
Anticonvulsant least likely to cause cognitive slowing
Definition
Valproate
Term
Tox of phenytoin
Definition
SLE like syndrome, nystagmus, gingival hyperplasia in kids, hyponatremia, hirsutism, ataxia, diplopia, megalobastic anemia, P450 induction
Term
Heterocyclic antidepressants (and mechanisms)
Definition
"you have to have BUtane in your VEINs to MURder for a MAP of alcaTRAZ"
Bupropion (unknown; seizures in bulimics)
Venlafaxine (inhibit reuptake of NE, 5HT, DA; also tx GAD)
Mirtazapine (alpha antagonist that decreases the release of NE & 5HT, 5HT2 & 5HT3 rec antagonist)
Maprotiline (blocks NE reuptake)
Tranzodone (inhibits 5HT reuptake)
Term
Tricyclic toxicity
Definition
Coma, convulsions, cardiotoxicity
Term
Tricyclic w/ least anticholinergic effect
Definition
Nortriptyline (use in elderly)
Term
Tricyclic for OCD
Definition
Clomipramine
Term
Lithium toxicity
Definition
LMNOP
Lithium:
Motor (tremor), Nephrogenic diabetes insipidus, hypOthyroidism, Pregnancy problems (teratogenic)
Weight gain, long term kidney damage
Term
Chi-squared
Definition
Difference between two or more percentages, frequencies, or proportions (not means)
Term
ANOVA
Definition
Difference between means of 3 or more samples
Term
Inhaled anesthetic associated with nephrotoxicity
Definition
Methoxyflurane
Term
Inhaled anesthetic associated with convulsions
Definition
Enflurane ("En your brain")
Term
Inhaled anesthetic associated with convulsions
Definition
Enflurane ("En your brain")
Term
Local anesthetic with severe CV tox
Definition
Bupivacaine
Term
Brain region w/ most concentrated NE
Definition
Locus ceruleus
Term
Brain region w/ most concentrated 5HT
Definition
Dorsal raphe nucleus
Term
Brain region where most Ach produced
Definition
nucleus basalis of Meynert
Term
Neuropsych effects of lesion in frontal lobe
Definition
Mood elevation (rt), mood depression (lt), problems with motivation, concentraion, problem solving (dosolateral convexities), personality & judgement (orbitofrontal), Broca's (lt)
Term
Neuropsych effects of lesion in temporal lobe
Definition
Memory, psychomotor seizures, Wernicke's (lt)
Term
Neuropsych effects of lesion in hippocampus
Definition
Poor new learning
Term
Neuropsych effects of lesion in amygdala
Definition
Kluver-Bucey syndrome (decreased aggression, increased sexuality, orality), decreased fear, problems interpreting facial expressions
Term
Neuropsych effects of lesion in parietal lobes
Definition
Poor visual-spatial, poor writing & math, can't tell from right
Term
Neuropsych effects of lesion in occipital
Definition
Visual hallucinations, inability to find camouflaged objects, blindness
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