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Nap Kap Transplant
NAPLEX
15
Pharmacology
Post-Graduate
09/02/2019

Additional Pharmacology Flashcards

 


 

Cards

Term
List common transplanted organs
Definition
liver, heart, kidney, pancreas, and lung
Term
Terms: Allograft transplant
Definition
same species, but not genetically identical
Term
Terms: Acute graft rejection
Definition
occurs w/in in 6mo of transplant
Term
Terms: Hyperacute graft rejection
Definition
occurs w/in minutes to hours of transplant
Term
Terms: Chronic organ rejection
Definition
lifetime risk; prevent w/ maintenance immunosupression
Term
Terms: Induction therapy
Definition
higher levels of drugs used during initial post transplant period
Term
Pearls: antithymocyte globulin
Definition
Brand: Thymoglobulin (rabbit)
Dosing: IV
*No live vaccines
** refrigerate; stable for 24h after reconstituted
Term
Pearls: prednisone
Definition
Class S/E: risk of infection, hypergylcemia, osteoperosis, increase appetite, irritability, insomnia, weight gain, PUD, HTN
Taper if d/c after long period of use
Term
Pearls: mycophenolate mofetil
Mycophenolic Acid
Definition
Brand: MM = Cellcept, MA = Myfortic
Dosing MM = IV/PO, MA = PO
DI: Bile acid sequestrants, cholestyramine
*Take on empty stomach
Term
Pearls: cyclosporine
Definition
Brand: Neoral, Gengraf, SandIMMUNE
Dosing: IV + PO
**Monitored by trough concentrations (100-400)
Term
Pearls: tacrolimus
Definition
Brand: Pprograf, Astagraf, Hecoria
Dosing: PO + IV
**Monitored via trough concentrations (5-20)
***3A4 substrates
***Can take w/ or w/o food, but need to be consistent
Term
Pearls: sirolimus
Definition
Brand: Rapimune
Dosing: PO
DI: incr nephro tox when combined w/ calcinurin inhibitor
**Monitored via serum drug conc. (15-25)
Term
Pearls: everolimus
Definition
Brand: Afinitor, Afinito, Disperz, Zortress
Dosing: PO
**Monitor whole blood trough concentrations (5-15)
Term
Pearls: belatacept
Definition
Brand: Nulojix
Dosing: IV
Term
List of live vaccines
Definition
Tuberculosis (BCG)
Oral Polio Vaccine
Measles, mumps, rubella (MMR combined vaccine)
Rotavirus
Smallpox
Chickenpox (Varicella)
Yellow fever
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