| Term 
 
        | The advantages of morphine sulfate |  | Definition 
 
        | Analgesic, amensic +, reversible w/ Narcan, longer duration |  | 
        |  | 
        
        | Term 
 
        | Disadvantages of morphine sulfate |  | Definition 
 
        | Respiratory depression, longer duration |  | 
        |  | 
        
        | Term 
 
        | Morphine sulfate is used for... |  | Definition 
 
        | Pain relief, pacing, and Post ETT |  | 
        |  | 
        
        | Term 
 
        | The advantages of Fentanyl |  | Definition 
 
        | Analgesic, amnesic +, reversible w/ Narcan, short duration |  | 
        |  | 
        
        | Term 
 
        | Disadvantages of Fentanyl |  | Definition 
 
        | Respiratory depression, short duration |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Pain relief, pacing, and post ETT |  | 
        |  | 
        
        | Term 
 
        | Advantages of Versed (midazolam) |  | Definition 
 
        | Quick acting, IN/IM/IV, somnolence, amnesic ++++, short duration |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Combative pts, post ETT, pacing, and severe anxiety |  | 
        |  | 
        
        | Term 
 
        | Advantages of Valium (diazepam) |  | Definition 
 
        | Short acting, IV/IM, somnolence, and amnesic ++ |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Combative pts, post ETT, pacing, and sever anxiety |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Rapid onset, IV/IM, somnolence |  | 
        |  | 
        
        | Term 
 
        | Disadvantages of Haldol (hypnotic) |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Acute psychosis and aggressive pts |  | 
        |  | 
        
        | Term 
 
        | Advantages of Etomidate (hypnotic) |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Disadvantages of Etomidate |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | These are small-diameter afferent fibers that cause sensation of pain when activated. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This is the primary pain inducing neurotransmitter. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What do nociceptors release when stimulated? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These drugs act at the tissue site to reduce pain and inflammation by interfering with prostaglandin synthesis/release. |  | Definition 
 
        | Peripherally acting drugs |  | 
        |  | 
        
        | Term 
 
        | How do peripherally acting drugs reduce pain/inflammation? |  | Definition 
 
        | Interfere with prostaglandin synthesis/release |  | 
        |  | 
        
        | Term 
 
        | Centrally acting drugs are... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These neuro pathways, located in the dorsal horn of the spinal cord, release substance P upon nociceptor stimulation, which results in pain and analgesia system activation. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These neuro pathways, located in the spinal cord, release NE when stimulated, inhibiting Substance P. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Drugs or meds produced exclusively from opium. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Synthetic drugs that mimic opium products. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Any substance that induces a dream-like sleep. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What are the three types of opioid receptors? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These opioid receptors cause analgesia, respiratory depression, meiosis (pin-pt pupils, euphoria and physical dependence. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These opioid receptors are located primarily in the dorsal horn of the spinal cord, and produce analgesia by depressing pain transmission.  To a lesser degree, also produce miosis and sedation. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What are the benefits of targeting Kappa opioid receptors? |  | Definition 
 
        | They do not cause respiratory depression or euphoria. |  | 
        |  | 
        
        | Term 
 
        | These opioid receptors are poorly understood; may cause analgesia and respiratory depression. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This group of opioids exhibits a high affinity for Mu receptors, and a moderate affinity for Kappa receptors. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This is a commonly carried agonist opioid. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This opioid is 6-10x more potent than morphine sulfate. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This is a naturally occuring opioid, is 1/10th as potent as morphine, but is absorbed better orally. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Codeine is often combined with... |  | Definition 
 
        | ASA (aspirin) or APAP (tylenol) |  | 
        |  | 
        
        | Term 
 
        | This is an oral opioid that is less potent than codeine, and is a commonly abused street med. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This is a synthetic opioid that is 1/10th as potent as morphine, works well for extremity fractures, but was pulled due to manufacturing issues. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This is a short acting opioid, 100x more powerful than morphine, but short acting.  Commonly administered via IV. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This is an oral opioid analgesic, removed by the manufacture in 2003, often used illegally as a heroin substitute. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Why was LAAM discontinued? |  | Definition 
 
        | Side-effect of severe ventricular dysrhythmia |  | 
        |  | 
        
        | Term 
 
        | This is used in Europe as a med, 3x more potent than morphine, high lipid solubility, and is metabolized to morphine. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These opioids bind to opioid receptors with varying affinity, but they do not exert agonist activity at any receptor (ex. Narcan). |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Blocks prostaglandin synthesis (analgesic), lowers temp by causing direct vasodilation (antipyretic), and 100 mg will inhibit platelet aggregation for the life span of the platelet |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Classic signs of Aspirin toxicity include febrile, tachycardia, and tachypnea; 400 mg/kg to reach LD50, and non-enteric coated forms clump in the stomach (slowing absorption) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Blocks prostaglandin synthesis (analgesic) and resets the hypothalamus (the body's thermostat/antipyretic) |  | 
        |  | 
        
        | Term 
 
        | Acetaminophen toxicity info |  | Definition 
 
        | Liver dies over the course of 7-8 days, treatment is with NAC w/in 24 hr, and levels are 15 g for an adult, 10 g for a child |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Block prostaglandin synthesis (analgesic); antipyretic effects are unclear. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Rare, takes 1255 mg/kg in mice, but may cause GI disturbances/bleeding and renal failure in extreme cases |  | 
        |  | 
        
        | Term 
 
        | These meds stabilize cell membranes to prevent the release of harmful bronchoconstricting substances and inflammation mediators. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Corticosteroids are indicated for... |  | Definition 
 
        | Severe chronic asthma and COPD |  | 
        |  | 
        
        | Term 
 
        | These meds prevent inflammation in the lungs, maintain bronchiole relaxation, decrease mucus production, and prevent vascular permeability. |  | Definition 
 
        | Antileukotrienes/Leukotriene Receptor Agonists (LTRAs) |  | 
        |  | 
        
        | Term 
 
        | These meds are indicated for prophylaxis and chronic treatment of asthma in adults and children older than 12. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Although drugs from this class are not recommended in the use of children under 12, this specific drug is acceptably used in children over 2 to treat chronic asthma and prophylaxis. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | T or F, antileukotrienes are indicated for acute asthma attack. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These drugs, used to prevent chronic bronchospasm, stabilize mast cells walls to limit degranulation, but possess ZERO direct bronchodilation properties. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Mast cell stabilizers are indicated for... |  | Definition 
 
        | Rx of severe, chronic asthma (but not acute asthma attacks) |  | 
        |  | 
        
        | Term 
 
        | These drugs, used to prevent and treat bronchospasm, work by stimulating cAMP action resulting in bronchodilation. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What are the respiratory effects of xanthine derivatives? |  | Definition 
 
        | -Stimulates medulla to stimulate respiratory activity -Relaxes bronchial smooth muscle
 -Decreases mast cell degranulation
 |  | 
        |  | 
        
        | Term 
 
        | What are the cardiovascular effects of xanthine derivatives? |  | Definition 
 
        | -Positive inotrope/chronotrope -Vasodilation
 |  | 
        |  | 
        
        | Term 
 
        | What are the CNS effects of xanthine derivatives? |  | Definition 
 
        | -Decreases drowsiness and fatigue -Improves concentration and clarity of thought
 -Interferes w/ delicate muscle coordination and timing
 |  | 
        |  | 
        
        | Term 
 
        | In addition to asthma Rx, xanthine derivatives can be used as _______. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Indications for xanthine derivatives: |  | Definition 
 
        | -Asthma -Chronic bronchitis
 -Chronic emphysema
 |  | 
        |  | 
        
        | Term 
 
        | These drugs, used in the Rx of bronchospasm, blocks the parasympathetic-controlled J receptors in the lungs that cause bronchoconstriction, and inhibits secretions. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What are the indications for anticholinergics? |  | Definition 
 
        | -Prevention of bronchoconstriction (asthma/COPD) -Early use in PNS-induced bronchospasm
 |  | 
        |  | 
        
        | Term 
 
        | Why do you not want to use anticholinergics in late stage asthma attacks? |  | Definition 
 
        | Inhibits secretions, which results in thicker mucus. |  | 
        |  | 
        
        | Term 
 
        | These drugs are used in the Rx of acute bronchospasm, they are nonspecific A and B agonists which increase the HR and have a potent vasoconstrictive effect (reduces swelling). |  | Definition 
 
        | Non-selective Adrenergics |  | 
        |  | 
        
        | Term 
 
        | What are the indications for use of non-selective adrenergics? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These non-selective adrenergics are mainly used for group in peds as its primary benefit is the reduction of swelling. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These drugs, used in the Rx of acute bronchospasm, cause rapid relaxation of smooth muscle in the bronchioles adn the GI tract via stim of B2 receptors. |  | Definition 
 
        | Non-selective Beta-agonists |  | 
        |  | 
        
        | Term 
 
        | What are the indications for use of non-selective beta-agonists? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Used for the Rx of acute bronchospasm, this is a rapid onset, short duration drug with rapid tolerance development. |  | Definition 
 
        | Non-selective Beta-Agonists |  | 
        |  | 
        
        | Term 
 
        | These drugs, used in the Rx of acute bronchospasm, stimulate B2 receptors resulting in relaxation of the smooth muscles of the airway and bronchial dilation. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What are the indications for B2 selective agonists use? |  | Definition 
 
        | -Asthma attack -Exacerbated COPD Pts
 -Allergic rxn
 -Toxic inhalation
 -Pneumonia (off-label use)
 -Cardiac asthma (off-label and controversial)
 |  | 
        |  | 
        
        | Term 
 
        | T or F, you should not give Beta2's to CHF Pts w/ reflex bronchospasm. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These drugs, used to Rx acute bronchospasm, block Ca++ through smooth muscle Ca++ channels, resulting in smooth muscle relaxation. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What are the indications for smooth muscle dilators? |  | Definition 
 
        | -Bronchospasm refractory to B2 agonists and oxygenation |  | 
        |  | 
        
        | Term 
 
        | HA, nausea, diahhrea and liver dysfunction are side-effects of... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Nervousness/restlessness/insomnia, tremors, myocardial irritability, and seizures refractory to anticonvulsants are side-effects of... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What kind of side effects do non-selective adrenergics have? |  | Definition 
 
        | Significant cardiovascular side-effects |  | 
        |  | 
        
        | Term 
 
        | What are the side-effects of non-selective beta-agonists? |  | Definition 
 
        | Positive inotrope, chronotrope, and dromotrope (and increases BP) |  | 
        |  | 
        
        | Term 
 
        | What drugs are used in the prevention of bronchospasm? |  | Definition 
 
        | -Corticosteroids -Antileukotrienes/LRTAs
 -Mast Cell Stabilizers
 -Xanthine Derivatives
 -Anticholinergics
 |  | 
        |  | 
        
        | Term 
 
        | What drugs are used in the Rx of acute bronchospasm? |  | Definition 
 
        | -Non-selective Adrenergics -Non-selective Beta-agonists
 -Beta2 Selective Agonists
 -Smooth Muscle Dilators
 |  | 
        |  | 
        
        | Term 
 
        | These meds block the Pt's physiologic repsonses to intubation, minimizing bradycardia, hypoxia, cough/gag relex, increases in intracranial, intraocular, and intragastric pressure. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | T or F, you would not use pre-sedation meds in peds or Pts with head injury. |  | Definition 
 
        | False (these are the circumstances you WOULD use them) |  | 
        |  | 
        
        | Term 
 
        | This medication is thought to blunt the rise of ICP associated with intubation, and is given to Pt's with suspected head injury. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the pre-sedation dosage of lidocaine? |  | Definition 
 
        | 1.5-3 mg/kg (avg 100 mg) given 3 min prior to intubation |  | 
        |  | 
        
        | Term 
 
        | This pre-sedation drug minimizes vagal effects (which minimizes bradycardia and secretions). |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the pre-sedation dosage of atropine? |  | Definition 
 
        | 0.02 mg/kg, minimum 0.1 mg IV, max 1 mg, three minutes prior to intubation |  | 
        |  | 
        
        | Term 
 
        | T or F, children develop profound bradycardia during intubation. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What drug would be used to minimize bradycardia in a child? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Used to decrease muscle fasciculations caused by depolarizing agents and attenuates rise in ICP. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What does a defasciculating dose consist of? |  | Definition 
 
        | Non-depolarizing blocking agents usually 1/10 standard dose |  | 
        |  | 
        
        | Term 
 
        | These are agents administered at doses capable of producing unconsciousness, and should nearly always be used when paralyzing a Pt. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Which sedative agent has minimal hemodynamic effects, and can be used on hypotensive Pts? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This sedative is a non-barbituate hypnotic that decreases ICP/IOP, and has a rapid onset/short duration. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the intubation dose of etomidate? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This sedative is a dissociative anesthetic, has rapid onset/short duration, is a potent bronchodilator and increases secretions. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This sedative increases ICP/IOP/IGP and emergence phenomenon can occur, though rarely in children less than 10 y/o. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Would you use Ketamine in a Pt with a head injury? |  | Definition 
 
        | No (increases ICP/IOP/IGP) |  | 
        |  | 
        
        | Term 
 
        | What is the sedative dose of Ketamine? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This sedative has a slower onset, does not increase ICP, but does cause respiratory/cardio depression. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the sedative dose of midazolam? |  | Definition 
 
        | 2-5 mg (adults), 0.1 mg/kg (peds) |  | 
        |  | 
        
        | Term 
 
        | This sedative is moderate/long lasting, but has a longer onset than Midazolam.  May be more beneficial for post-ETT sedation. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the sedative dose of diazepam? |  | Definition 
 
        | 5-10 mg (adult), 0.2-0.3 mg/kg (ped) |  | 
        |  | 
        
        | Term 
 
        | These opiates are used as sedatives. |  | Definition 
 
        | Fentanyl and Morphine Sulfate |  | 
        |  | 
        
        | Term 
 
        | This is a rapid acting sedative, with a short duration (30 min).  It can be reversed with naloxone, and may decrease tachycardia/hypertension associated with ETT. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the sedative dosage of fentanyl? |  | Definition 
 
        | 25-50 mcg (adult), 2-5 mcg/kg (ped) IV |  | 
        |  | 
        
        | Term 
 
        | This opiate sedative has a longer onset and duration (4-6 hr), but may not blunt tachycardia, HTN, and ICP as well as Fentanyl. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the sedative dose of morphine sulfate? |  | Definition 
 
        | 2-5 mg (adult), 0.2-0.3 mgkg (ped) IV |  | 
        |  | 
        
        | Term 
 
        | What are the two types of paralyzing agents? |  | Definition 
 
        | Depolarizing and Non-depolarizing Agents |  | 
        |  | 
        
        | Term 
 
        | These paralyzing agents bind with ACh receptors at the NMJ, causing sustained depolarization. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These paralyzing agents bind to ACh receptors in a competitive, non-stimulatory manner preventing depolarization. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What type of paralyzing agent is succinylcholine? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | With this paralyzing agent, you must be cautious of malignant hyperthermia and trismus. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This paralyzing agent stimulates nicotinic/muscarinic receptors, has a 45 sec onset, an 8 min duration and is the standard for paralytics. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | How is masseter spasm treated? |  | Definition 
 
        | BVM and non-depolarizing NMJB |  | 
        |  | 
        
        | Term 
 
        | Pancuronium, vecuronium, and rocuronium are what type of paralytics? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the dosage of succinylcholine? |  | Definition 
 
        | 1.5 mg/kg (adult) and 2.0 mg/kg (ped) |  | 
        |  | 
        
        | Term 
 
        | What is the dosage for pancuronium? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the dosage for vecuronium? |  | Definition 
 
        | 0.1 mg/kg, priming dose 0.01 mg/kg |  | 
        |  | 
        
        | Term 
 
        | What is the dosage for rocuronium? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | If you needed a longer lasting non-depolarizing paralytic, which drug would you use? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What drugs can be used to reverse non-depolarizing agents? |  | Definition 
 
        | Edrophonium or neostigmine |  | 
        |  | 
        
        | Term 
 
        | List the pre-sedation drugs. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | List the drugs used for sedation. |  | Definition 
 
        | Etomidate Ketamine
 Midazolam
 Diazepam
 Fentanyl
 Morphine
 |  | 
        |  | 
        
        | Term 
 
        | List the drugs used for post-ETT sedation. |  | Definition 
 
        | Midazolam Diazepam
 Fentanyl
 Morphine
 |  | 
        |  | 
        
        | Term 
 
        | List the drugs used as paralyzing agents. |  | Definition 
 
        | Succinylcholine Vecuronium
 Pancuronium
 Rocuronium
 |  | 
        |  | 
        
        | Term 
 
        | Discuss asthma in pregnant Pts. |  | Definition 
 
        | Those with a Hx of asthma tend to have an increase in bronchospasm, but Rx remains the same. |  | 
        |  | 
        
        | Term 
 
        | This condition is characterized by HTN, proteinuria, and edema (at least 2 of 3) in Pt of 20 wk or more gestation. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | In pregnancy, HTN is defined as... |  | Definition 
 
        | BP of 140/90, or a rise of at least 20 mmHg in systolic or 10 mmHg diastolic above pre-pregnancy levels. |  | 
        |  | 
        
        | Term 
 
        | Rx for HTN in pregnant Pts. |  | Definition 
 
        | Labetolol or hydralazine are preferred, nitroglycerin may be used in some systems. |  | 
        |  | 
        
        | Term 
 
        | This is pre-eclampsia with generalized seizure or coma. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Drug use/dosage to prevent eclampsia seizures |  | Definition 
 
        | MgSO4, admin 4-6 g (in 50 mL) over 20-30 min |  | 
        |  | 
        
        | Term 
 
        | Primary drug use/dosage for Rx of eclampsia seizures |  | Definition 
 
        | MgSO4, admin 2-4 g (in 50 mL) over 2 min |  | 
        |  | 
        
        | Term 
 
        | What is option #2 for Rx of eclampsia seizures? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the Rx of pediatric bradycardia? |  | Definition 
 
        | Usually caused by hypoxia, Rx involves oxygenation and ventilation, epi or atropine admin (>12 y/o epi is the drug of choice). |  | 
        |  | 
        
        | Term 
 
        | What is the Rx of pediatric tachycardia? |  | Definition 
 
        | Rx is fluid, rather than drugs (10-20 cc/kg).  For PSVT use adenosine and cardioversion, and treat ventricular dysrhythmias with electiricity. |  | 
        |  | 
        
        | Term 
 
        | What tends to cause pediatric tachycardia? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These are the physiological changes in geriatric pts that influence pharmacological interventions... |  | Definition 
 
        | -Decreased muscle mass/body wt -Slower metabolizm
 -Reduced liver/kidney fxn
 -Alterations in receptor site fxn
 -Reduced proteins (for drugs to bind to)
 -Reduced cognition/memory
 |  | 
        |  | 
        
        | Term 
 
        | This occurs when a Pt is taking multiple meds for the Rx of several medical disorders. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What are the med considerations for geriatric Pts? |  | Definition 
 
        | Doses not altered for geriatric Pts, but desired action may be delayed or hindered due to physiological changes/polypharmacy issues. |  | 
        |  | 
        
        | Term 
 
        | These are used primarily for Rx of HTN, but some are also used to maintain kidney fxn. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These diuretics inhibit carbonic anhydrase (an enzyme in RBCs) and NaCl reabsorption in the DCT. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These diuretics increase Ca++ reabsorption, which can decrease cardiac fxn. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Basically, thiazides stop _____ reabsorption. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Thiazides may also cause _______ in the proximal tubule. |  | Definition 
 
        | Natriuresis (excessive excretion of sodium in the urine) |  | 
        |  | 
        
        | Term 
 
        | This type of diuretics inhibits the Na+/K+2Cl- transport system in the luminal membrane of the ascending Loop of Henle. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These diuretics inhibit NaCl reabsorption, which leads to increased Mg++ and Ca++ excretion. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These diuretics antagonize the effects of aldosterone in the collecting tubules and ducts. |  | Definition 
 
        | Postassium-sparing Diuretics |  | 
        |  | 
        
        | Term 
 
        | This type of diuretic is most useful in Pts taking Digitalis. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This is the major side-effect of potassium-sparing diuretics. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These are the three types of meds used in the Rx of UT infections. |  | Definition 
 
        | Antimicrobials, antispasmodics, and antiseptics |  | 
        |  | 
        
        | Term 
 
        | This type of drug, used to Rx UT infections, blocks DNA transcription or weakens bacterium cell walls. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These drugs, used to Rx UTIs, have parasympatholytic properties which cause an increase in bladder capacity, thus decreasing UTI related incontinence. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This class of drug, used to Rx UTIs, produces high levels of formaldehyde to kill bacteria. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Hyponatremia is defined as Na+ levels less than _____. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Hyperkalemia is defined as K+ levels greater than ______. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Dilution, cardiac/renal/liver failure, sepsis and SIADH can all cause... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the Rx of hyponatremia? |  | Definition 
 
        | IV of sodium solutions, possible diuretics. |  | 
        |  | 
        
        | Term 
 
        | What are the four meds used to Rx hyperkalemia? |  | Definition 
 
        | Calcium chloride, Bicarb, D50W, and Beta-adrenergic Agents (albuterol) |  | 
        |  | 
        
        | Term 
 
        | What is the MOA, dose and route of calcium chloride admin? |  | Definition 
 
        | MOA-antagonizes K+ (doesn't alter levels, just overcomes negative effects) Dose-250-500 mg slow IVP
 Route-IV
 |  | 
        |  | 
        
        | Term 
 
        | What is the MOA, dose and route of bicarb admin? |  | Definition 
 
        | MOA-tends to reduce serum K+ by driving it into cells Dose-50-100 mEq
 Route-IV
 |  | 
        |  | 
        
        | Term 
 
        | What is the MOA, dose and route of D50W? |  | Definition 
 
        | MOA-increases blood sugar, triggering pancreas to release insulin which drives K+ into cells Dose-25-50 g
 Route-IV
 |  | 
        |  | 
        
        | Term 
 
        | What is the MOA, dose and route of abluterol (used to Rx hyperkalemia)? |  | Definition 
 
        | MOA-drives K+ into the cell equivalent to insulin Dose-@ least 10 mg, and must keep it coming
 Route-Nebulizer
 |  | 
        |  | 
        
        | Term 
 
        | These classes of meds are used to Rx hyperacidity. |  | Definition 
 
        | -Protein pump inhibitors -H2-Receptor blockers
 -Cytoprotective agentgs
 -Antacids
 |  | 
        |  | 
        
        | Term 
 
        | This class of drug is used for Rx of esophageal reflux and both chronic/acute erosive esophagitis. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This class of drug is used to Rx esophageal reflux/ulcers.  Works by inhibiting actions of hydrochloric acid producing cells in the stomach. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This class of drugs, used to Rx hyperacidicty, does not decrease acidity, rather it binds w/ stomach proteins to form a barrier over exposed tissue ulcerations. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Through various buffers, this class of meds neutralizes excessive acid in the stomach (temp relief only). |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These drugs work locally, irritating gastric mucosa and centrally stimulating the emetic center in the medulla to induce vomiting. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These meds are used to treat NV, and variously work by blocking neurotransmitters in the emetic center of the brain, or at the end of the vagus nerve; and some block histamine, serotonin, or dopamine. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | When do anti-emetics tend to work best? |  | Definition 
 
        | Before the Pt experiences NV |  | 
        |  | 
        
        | Term 
 
        | Drugs that Rx IBS block serotonin centrally and peripherally.  How does this Rx the hyperkinetic state of IBS? |  | Definition 
 
        | -Decreases NV (centrally) and decreases peristaltic activity (peripherally) |  | 
        |  | 
        
        | Term 
 
        | What are the two different actions of anti-diarrheal meds? |  | Definition 
 
        | -Block ACh to limit peristaltic activity -Bind with toxins to eliminate peristaltic activity
 |  | 
        |  | 
        
        | Term 
 
        | This class of drugs tends to have generic names that end in "-one" or "-ide. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This class of drugs tends to end in "-phylline". |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | T or F, anticholinergics are effective in the Rx of late stage asthma attacks. |  | Definition 
 
        | False, won't stop chem mediators that are causing bronchospasm, and will inhibit secretions, causing mucus to become a thick glob. |  | 
        |  | 
        
        | Term 
 
        | This drug is used to Rx croup. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Bronchosol, albuterol and levalbuterol belong to what class of drug? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Albuterol has two parts, S. albuterol and R. albuterol.  Which part is responsible for side-effects, and often results in reflex bronchospasm 2-6 hr after taking large amts of albuterol? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Racemic means that two drugs are... |  | Definition 
 
        | Mirror images of each other. |  | 
        |  | 
        
        | Term 
 
        | Which is responsible for bronchodilation, S. albuterol or R. albuterol? |  | Definition 
 | 
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