| Term 
 
        | GROUP Bile Acid Sequestrants 
 PROTOTYPE
 cholestyramine
 
 side effects
 |  | Definition 
 
        | “headache, anxiety, fatigue, drowsiness R/T serum changes in cholesterol” 
 “GI irritation”
 
 Vitamin A and D losses
 |  | 
        |  | 
        
        | Term 
 
        | GROUP HMG-CoA Reductase Inhibitors 
 PROTOTYPE
 atorvastatin
 
 Pharmacological effects
 |  | Definition 
 
        | “Works at cellular level blocks enzyme HMG-CoA “ 
 “If this enzyme is blocked serum cholesterol and LDL levels decrease because more LDLs are absorbed by the cells for processing into cholesterol”
 
 “Referred to as statins”
 |  | 
        |  | 
        
        | Term 
 
        | GROUP HMG-CoA Reductase Inhibitors 
 PROTOTYPE
 atorvastatin
 
 Side effects
 |  | Definition 
 
        | “headache, anxiety, fatigue, drowsiness R/T serum changes in cholesterol” 
 “GI irritation”
 |  | 
        |  | 
        
        | Term 
 
        | GROUP antiplatelet agents 
 PROTOTYPE
 aspirin
 
 Pharmaceutical
 |  | Definition 
 
        | “decrease the formation of the platelet plug by decreasing the responsiveness of the platelets to stimuli “ 
 “block receptor sites on platelet membranes”
 
 “Absorbed in liver and excreted in urine”
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Bile Acid Sequestrants 
 PROTOTYPE
 cholestyramine
 
 Pharmacological effects.
 |  | Definition 
 
        | “Decrease plasma cholesterol “ 
 “Bind with bile acids in the intestine to form and insoluble complex that is excreted in the feces”
 
 “Not absorbed systemically”
 |  | 
        |  | 
        
        | Term 
 
        | GROUP antiplatelet agents 
 PROTOTYPE
 aspirin
 |  | Definition 
 
        | “aspirin toxicity: hyperpnea, fever coma” 
 “GI bleeding, epigastric discomfort”
 
 “occult blood”
 
 “dizziness, tinnitus, difficulty hearing”
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Anticoagulants 
 PROTOTYPE
 heparin
 
 Pharm
 |  | Definition 
 
        | “Interferes with the normal coagulation process by interfering with the clotting cascade and thrombin formation“ 
 “Metabolized in the cells and excreted in urine ”
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Anticoagulants 
 PROTOTYPE
 heparin
 
 Side effects
 |  | Definition 
 
        | “bruising, chills, fevers” |  | 
        |  | 
        
        | Term 
 
        | Antihypertensive Agents 3 types |  | Definition 
 
        | Angiotension-Converting-Enzyme Inhibitors 
 Angiotension II-Receptor Blockers
 
 Calcium Channel Blockers
 |  | 
        |  | 
        
        | Term 
 
        | Angiotension-Converting Enzyme Inhibitors 
 Captopril
 |  | Definition 
 
        | “act in the lungs it prevent ACE from converting angiotensin I to angiotensin II which is a powerful vasoconstrictor and stimulator of aldosterone release. This action leads to a decrease in blood pressure and in aldosterone secretion” |  | 
        |  | 
        
        | Term 
 
        | Angiotension-Converting Enzyme Inhibitors 
 Captopril
 
 side effects
 |  | Definition 
 
        | “tachycardia, MI, rash, pruritis, gastric irritation and cough” |  | 
        |  | 
        
        | Term 
 
        | Angiotension II receptor blockers
 
 losartan
 Pharm
 |  | Definition 
 
        | “ARBS selectively bind with the angiotensin II receptors in vascular smooth muscle and in the adrenal cortex to block vasoconstriction and the release of aldosterone. These actions block the bp raising effects of the renin-angiotensin system and lower blood pressure” |  | 
        |  | 
        
        | Term 
 
        | Angiotension II receptor blockers
 
 losartan
 side effects
 |  | Definition 
 
        | “dizziness, headache, diarrhea, hypotension” |  | 
        |  | 
        
        | Term 
 
        | Calcium Channel Blockers 
 diltiazem
 
 Pharm
 |  | Definition 
 
        | “inhibit the movement of calcium ions across the membranes of the myocardial and arterial muscle cells, altering the action potential and blocking muscle cell contraction. This effect depresses myocardial contractility, slows cardiac impulse formation in the conductive tissues and relaxes and dilates arteries” |  | 
        |  | 
        
        | Term 
 
        | Calcium Channel Blockers 
 diltiazem
 
 side effects
 |  | Definition 
 
        | “dizziness,  light headedness, bradycardia, flushing” |  | 
        |  | 
        
        | Term 
 
        | Cardiac Glycosides 
 digoxin
 Pharm
 |  | Definition 
 
        | increases intracellular calcium and allows more calcium to enter myocardial cells during depolarization causing: increased force of myocardial contraction, increased cardiac output and renal perfusion, slowed heart rate and decreased conduction velocity through the AV node” |  | 
        |  | 
        
        | Term 
 
        | Cardiac Glycosides 
 digoxin
 
 Side effects
 |  | Definition 
 
        | “headache weakness drowsiness, arrhythmias” |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | “Hypotension, headache, dizziness, tachycardia, flushing, nausea, vomiting, sweating” |  | 
        |  | 
        
        | Term 
 
        | Nitrates 
 nitroglycerin
 Pharm
 |  | Definition 
 
        | “the nitrates relax and dilate veins, arteries and capillaries, allowing increased blood flow through the vessels and lowering systemic blood pressure because of a drop in resistance” |  | 
        |  | 
        
        | Term 
 
        | Beta Blockers 
 metoprolol
 pharm
 |  | Definition 
 
        | “used to block the stimulatory effects of the sympathetic nervous system.. Act competitively in heart and kidneys. ” |  | 
        |  | 
        
        | Term 
 
        | Beta Blockers 
 metoprolol
 Side effects
 |  | Definition 
 
        | “dizziness,  vertigo, arrhythmias,” |  | 
        |  | 
        
        | Term 
 
        | Calcium Channel Blockers 
 diltiazem
 Pharm
 |  | Definition 
 
        | inhibit the movement of calcium ions across the membranes of the myocardial and arterial muscle cells, altering the action potential and blocking muscle cell contraction. This effect depresses myocardial contractility, slows cardiac impulse formation in the conductive tissues and relaxes and dilates arteries” |  | 
        |  | 
        
        | Term 
 
        | Calcium Channel Blockers 
 diltiazem
 Side effects
 |  | Definition 
 
        | “dizziness,  light headedness, bradycardia, flushing” |  | 
        |  | 
        
        | Term 
 
        | Aminoglycosides 
 Gentamicin
 
 Pharm
 |  | Definition 
 
        | “inhibits protein synthesis is susceptible strains of gram-negative bacteria, disrupts functional integrity of the cell membrane and causes cell death” |  | 
        |  | 
        
        | Term 
 
        | Aminoglycosides 
 Gentamicin
 side effects
 |  | Definition 
 
        | “rash, risk of nephrotoxicity” |  | 
        |  | 
        
        | Term 
 
        | cephalosporins 
 Second generation cefaclor
 
 Pharmasutics
 |  | Definition 
 
        | “inhibits synthesis of bacterial cell walls, causes cell death” |  | 
        |  | 
        
        | Term 
 
        | cephalosporins 
 Second generation cefaclor
 
 Side effecst
 |  | Definition 
 
        | superinfections, bone marrow depression, risk for pseudomembranous colitis |  | 
        |  | 
        
        | Term 
 
        | fluoroquinolones 
 ciprofloxacin
 Pharm
 |  | Definition 
 
        | “inhibits with DNA replication in susceptible gram-negative bacteria preventing cell reproduction” |  | 
        |  | 
        
        | Term 
 
        | fluoroquinolones 
 ciprofloxacin
 Side
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Extended spectrum 
 Amoxicillin
 Pharm
 |  | Definition 
 
        | “inhibits synthesis of the cell wall is susceptible bacteria” |  | 
        |  | 
        
        | Term 
 
        | Extended spectrum 
 Amoxicillin
 Side effects
 |  | Definition 
 
        | “nausea, vomiting, bone marrow suppression, rash, superinfections” |  | 
        |  | 
        
        | Term 
 
        | Sulfonamides 
 cotrimoxazole
 Pharm
 |  | Definition 
 
        | “leads to inability for cells to multiply” |  | 
        |  | 
        
        | Term 
 
        | Sulfonamides 
 cotrimoxazole
 Side effects
 |  | Definition 
 
        | “rash, Steven Johnsons syndrome, bone marrow suppression, nausea, vomiting. photophobia” |  | 
        |  | 
        
        | Term 
 
        | tetracycline 
 Tetracycline
 Pharm
 |  | Definition 
 
        | “inhibits protein synthesis, prevents cell replication” (Karch, 2011, p.119) |  | 
        |  | 
        
        | Term 
 
        | tetracycline 
 Tetracycline
 Side
 |  | Definition 
 
        | “rash, photosensitivity, discoloring and inadequate calcification of primary teeth of fetus or secondary teeth of children, bone marrow suppression, nausea, vomiting” |  | 
        |  | 
        
        | Term 
 
        | what dose the endocrine system do (5 things) |  | Definition 
 
        | Provides communication within the body Helps to regulate growth and development
 Helps to regulate reproduction
 Helps to regulate energy use
 Helps to regulate electrolyte balance
 |  | 
        |  | 
        
        | Term 
 
        | Hormones act in 2 different ways |  | Definition 
 
        | React with a specific receptor sites on the cell membrane to stimulate and effect within the cell. This reaction is very quick-often within seconds to produce an effect EXAMPLE: Insulin React with a specific receptor site on messenger RNS which then enters the cell nucleus and alters cell function.  This reaction is slower, can take quite a while to produce an effect EXAMPLE: Estrogen
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Coordinating Center, Constantly Monitoring, Coordinates Responses Regulates: Temp, thirst, hunger, water retention, BP, R, reproduction and emotional responses
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Hypothalamic-pituitary axis (HPA)  uses a series of negative feedback systems |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Widely used to suppress the immune system 
 Do NOT cure any inflammatory disorder
 
 Reserved now for short term use to relieve inflammation during acute stages of illness or for replacement therapy
 |  | 
        |  | 
        
        | Term 
 
        | Glucocorticoids 
 Prednisone
 Pharm
 |  | Definition 
 
        | “enters target cells…initiates complex reactions responsible for anti-inflammatory and immunosuppressive effects” |  | 
        |  | 
        
        | Term 
 
        | Glucocorticoids 
 Prednisone
 Side effects
 |  | Definition 
 
        | “increased weight gain, increased appetite, immuno-suppression” |  | 
        |  | 
        
        | Term 
 
        | Thyroid Hormones 
 levothyroxine
 Pharm
 |  | Definition 
 
        | “increases metabolic  rate of tissues… replacement hormone”
 |  | 
        |  | 
        
        | Term 
 
        | Thyroid Hormones 
 levothyroxine
 Side effects
 |  | Definition 
 
        | “tremors, headache, palpitations” |  | 
        |  | 
        
        | Term 
 
        | Antithyroid agents 
 propylthiouracil
 Pharmacokinetics
 |  | Definition 
 
        | “inhibits the synthesis of thyroid hormones…” (Karch, 2011, p.573) |  | 
        |  | 
        
        | Term 
 
        | Antithyroid agents 
 propylthiouracil
 Adverse Effects
 |  | Definition 
 
        | “vertigo, drowsiness, nausea, vomiting” (Karch, 2011, p.573)
 |  | 
        |  | 
        
        | Term 
 
        | Antithyroid agents 
 Strong iodine
 Pharmacokinetics
 |  | Definition 
 
        | “inhibits the synthesis of thyroid hormones…” (Karch, 2011, p.573) |  | 
        |  | 
        
        | Term 
 
        | Antithyroid agents 
 Strong iodine
 Adverse Effects
 |  | Definition 
 
        | “hypo-thyroidism” (Karch, 2011, p.573)
 |  | 
        |  | 
        
        | Term 
 
        | Antihypo-calcemic agents 
 calcitriol
 Pharmacokinetics
 |  | Definition 
 
        | “regulates absorption of calcium and phosphate from the small intestine” (Karch, 2011, p.579) |  | 
        |  | 
        
        | Term 
 
        | Antihypo-calcemic agents 
 calcitriol
 Adverse Effects
 |  | Definition 
 
        | “weakness, muscle pain, bone pain” (Karch, 2011, p.579)
 |  | 
        |  | 
        
        | Term 
 
        | Antihyper-calcemic agents 
 bisphosphonates
 Pharmacokinetics
 |  | Definition 
 
        | “slow or block bone reabsorption” (Karch, 2011, p.579) |  | 
        |  | 
        
        | Term 
 
        | Antihyper-calcemic agents 
 bisphosphonates
 Adverse Effects
 |  | Definition 
 
        | “headache, nausea, diarrhea, esophageal erosion” (Karch, 2011, p.579)
 |  | 
        |  | 
        
        | Term 
 
        | Antihyper-calcemic agents 
 Calcitonins
 Pharmacokinetics
 |  | Definition 
 
        | “balance effects of PTH” (Karch, 2011, p.579) |  | 
        |  | 
        
        | Term 
 
        | Antihyper-calcemic agents 
 Calcitonins
 Adverse Effects
 |  | Definition 
 
        | “flushing” (Karch, 2011, p.579)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Parathyroid hormone (PTH) Parathyroid hormone regulates serum calcium through its effects on the following tissues
 Bone
 Kidney
 Intestin
 |  | 
        |  | 
        
        | Term 
 
        | Antihyper-calcemic agents 
 Calcitonins
 Pharmacokinetics
 |  | Definition 
 
        | “balance effects of PTH” (Karch, 2011, p.579) |  | 
        |  | 
        
        | Term 
 
        | Antihyper-calcemic agents 
 Calcitonins
 Adverse Effects
 |  | Definition 
 
        | “flushing” (Karch, 2011, p.579)
 |  | 
        |  | 
        
        | Term 
 
        | Insulin 
 Humulin R
 Humulin N
 Humulin 30/70
 Pharmacokinetics
 |  | Definition 
 
        | “replacement of endogenous insulin” (Karch, 2011, p.593) |  | 
        |  | 
        
        | Term 
 
        | Insulin 
 Humulin R
 Humulin N
 Humulin 30/70
 Adverse Effects
 |  | Definition 
 
        | “hypo-glycemia” (Karch, 2011, p.593)
 |  | 
        |  | 
        
        | Term 
 
        | Sulfonylureas First Generation 
 chlorpropamide
 Pharmacokinetics
 |  | Definition 
 
        | “stimulates release of insulin from functioning beta cells” (Karch, 2011, p.599) |  | 
        |  | 
        
        | Term 
 
        | Sulfonylureas First Generation 
 chlorpropamide
 Adverse Effects
 |  | Definition 
 
        | “hypo-glycemia” (Karch, 2011, p.599)
 |  | 
        |  | 
        
        | Term 
 
        | Sulfonylureas Second Generation 
 glyburide
 Pharmacokinetics
 |  | Definition 
 
        | “stimulates release of insulin from functioning beta cells” (Karch, 2011, p.599) |  | 
        |  | 
        
        | Term 
 
        | Sulfonylureas Second Generation 
 glyburide
 Adverse Effects
 |  | Definition 
 
        | “hypo-glycemia” (Karch, 2011, p.599)
 |  | 
        |  | 
        
        | Term 
 
        | Biguanide 
 Metformin
 Pharmacokinetics
 |  | Definition 
 
        | “may increase peripheral use of glucose, increase production of insulin (Karch, 2011, p.601) |  | 
        |  | 
        
        | Term 
 
        | Biguanide 
 Metformin
 Adverse Effects
 |  | Definition 
 
        | “hypo-glycemia” (Karch, 2011, p.601)
 |  | 
        |  | 
        
        | Term 
 
        | Glucose Elevating Agents 
 glucagon
 Pharmacokinetics
 |  | Definition 
 
        | “accelerates the breakdown of glycogen into glucose” (Karch, 2011, p.603) |  | 
        |  | 
        
        | Term 
 
        | Glucose Elevating Agents 
 glucagon
 Adverse Effects
 |  | Definition 
 
        | “nausea, vomiting, hypotension” (Karch, 2011, p.603)
 |  | 
        |  | 
        
        | Term 
 
        | Histamine-2 Antagonists 
 Cimetidine
 Pharmacokinetics
 |  | Definition 
 
        | “Inhibits action of histamine at H2 receptor sites of the stomach, inhibiting gastric acid secretion” (Karch, 2011, p.918) |  | 
        |  | 
        
        | Term 
 
        | Histamine-2 Antagonists 
 Cimetidine
 Adverse Effects
 |  | Definition 
 
        | “Dizziness, confusion, headache, cardiac arrhythmias, cardiac arrest, diarrhea” (Karch, 2011, p.918) |  | 
        |  | 
        
        | Term 
 
        | Antacids 
 Sodium Bicarbonate
 Pharmacokinetics
 |  | Definition 
 
        | “neutralizes or reduces gastric acidity, resulting in an increase in gastric pH” (Karch, 2011, p.920) |  | 
        |  | 
        
        | Term 
 
        | Antacids 
 Sodium Bicarbonate
 Adverse Effects
 |  | Definition 
 
        | “systemic alkalosis, gastric acid rebound” (Karch, 2011, p.920) |  | 
        |  | 
        
        | Term 
 
        | Proton Pump Inhibitors 
 Omeprazole
 Pharmacokinetics
 |  | Definition 
 
        | “Inhibits enzyme system on the secretory surface of the gastric parietal cells, blocking the final step in acid production and decreasing gastric levels” (Karch, 2011, p.922) |  | 
        |  | 
        
        | Term 
 
        | Proton Pump Inhibitors 
 Omeprazole
 Adverse Effects
 |  | Definition 
 
        | “headache, dizziness, vertigo” (Karch, 2011, p.923) |  | 
        |  | 
        
        | Term 
 
        | GI Protectants 
 Sucralfate
 Pharmacokinetics
 |  | Definition 
 
        | “Forms an ulcer adherent complex at the ulcer site” (Karch, 2011, p.924) |  | 
        |  | 
        
        | Term 
 
        | GI Protectants 
 Sucralfate
 Adverse Effects
 |  | Definition 
 
        | “Dizziness, dry mouth” (Karch, 2011, p.924) |  | 
        |  | 
        
        | Term 
 
        | Bulk Stimulants 
 Magnesium Citrate
 Pharmacokinetics
 |  | Definition 
 
        | “Increases the motility of the GI tract by increasing fluid in the intestinal contents, which enlarges bulk and stimulates local stretch receptors” (Karch, 2011, p.936) |  | 
        |  | 
        
        | Term 
 
        | Bulk Stimulants 
 Magnesium Citrate
 Pharmacokinetics
 |  | Definition 
 
        | “Diarrhea, abdominal cramps, bloating” (Karch, 2011, p.936) |  | 
        |  | 
        
        | Term 
 
        | Lubricants 
 Mineral Oil
 Pharmacokinetics
 |  | Definition 
 
        | “Forms a slippery coat on the contents of the intestinal tract” (Karch, 2011, p.937) |  | 
        |  | 
        
        | Term 
 
        | Lubricants 
 Mineral Oil
 Pharmacokinetics
 |  | Definition 
 
        | “Diarrhea, abdominal cramps, bloating” (Karch, 2011, p.936) |  | 
        |  | 
        
        | Term 
 
        | Gastrointestinal Stimulants 
 Metoclopramide
 Pharmacokinetics
 |  | Definition 
 
        | “Stimulates movement of the upper GI tract” (Karch, 2011, p.939) |  | 
        |  | 
        
        | Term 
 
        | Gastrointestinal Stimulants 
 Metoclopramide
 Adverse Effects
 |  | Definition 
 
        | “Diarrhea, extrapyramidal effects” (Karch, 2011, p.939) |  | 
        |  | 
        
        | Term 
 
        | Antidiarrheals 
 Loperamide
 Pharmacokinetics
 |  | Definition 
 
        | “Inhibits intestinal peristalsis” (Karch, 2011, p.941) |  | 
        |  | 
        
        | Term 
 
        | Antidiarrheals 
 Loperamide
 Adverse Effects
 |  | Definition 
 
        | “Constipation, abdominal cramps, distention or discomfort” (Karch, 2011, p.941) |  | 
        |  | 
        
        | Term 
 
        | Phenothiazines 
 prochlorperazine
 Pharmacokinetics
 |  | Definition 
 
        | “depresses various areas of the CNS, including CTZ in the medulla” (Karch, 2011, p.953) |  | 
        |  | 
        
        | Term 
 
        | Phenothiazines 
 prochlorperazine
 Adverse Effects
 |  | Definition 
 
        | “drowsiness, blurred vision” (Karch, 2011, p.953) |  | 
        |  | 
        
        | Term 
 
        | Non Phenothiazines 
 metoclopramide
 Pharmacokinetics
 |  | Definition 
 
        | “slows GI activity” (Karch, 2011, p.953) |  | 
        |  | 
        
        | Term 
 
        | Non Phenothiazines 
 metoclopramide
 Pharmacokinetics
 |  | Definition 
 
        | “drowsiness, fatigue, extrapyramidal effects” (Karch, 2011, p.953) |  | 
        |  | 
        
        | Term 
 
        | 5-HT3 Receptor Blockers 
 ondansetron
 Pharmacokinetics
 |  | Definition 
 
        | “blocks specific receptor sites associated with nausea and vomiting” (Karch, 2011, p.955) |  | 
        |  | 
        
        | Term 
 
        | 5-HT3 Receptor Blockers 
 ondansetron
 Adverse Effects
 |  | Definition 
 
        | “headache, dizziness, drowsiness” (Karch, 2011, p.955) |  | 
        |  | 
        
        | Term 
 
        | GROUP salicylates PROTOTYPE aspirin
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | “Inhibit synthesis of prostaglandins” (Karch, 2011, p.248) “treat mild to moderate pain” (Karch, 2011, p.248)
 ‘inhibit platelet aggregation” (Karch, 2011, p.248)
 Hepatic metabolism
 Urine excretion
 |  | 
        |  | 
        
        | Term 
 
        | GROUP salicylates PROTOTYPE aspirin
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | “nausea, vomiting, heartburn, epigastric discomfort, occult blood loss, dizziness, tinnitus” (Karch, 2011, p.248) |  | 
        |  | 
        
        | Term 
 
        | GROUP nonsteroidal anti-inflammatory agents PROTOTYPE ibuprofen
 
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | “relief of signs and symptoms” (Karch, 2011, p.257) “relief of mild to moderate pain” (Karch, 2011, p.257)
 “fever reduction” (Karch, 2011, p.257)
 Hepatic metabolism
 Urine excretion
 |  | 
        |  | 
        
        | Term 
 
        | GROUP nonsteroidal anti-inflammatory agents PROTOTYPE ibuprofen
 
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | “Headache, dizziness, somnolence, bleeding” (Karch, 2011, p.257) |  | 
        |  | 
        
        | Term 
 
        | GROUP related agents PROTOTYPE tylenol
 
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | “Mild to moderate pain” (Karch, 2011, p.258) “Fever” (Karch, 2011, p.258)
 Hepatic metabolism
 Urine and bile excretion
 |  | 
        |  | 
        
        | Term 
 
        | GROUP related agents PROTOTYPE tylenol
 
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | Liver toxicity and failure |  | 
        |  | 
        
        | Term 
 
        | GROUP narcotic agonists PROTOTYPE morphine
 
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | Act at a specific receptor site in the CNS to produce analgesia, sedation and a sense of well-being Relief of severe acute or chronic pain
 Hepatic metabolism
 Urine and bile excretion
 |  | 
        |  | 
        
        | Term 
 
        | GROUP narcotic agonists PROTOTYPE morphine
 
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | Relate to their effects on various opioid receptors Respiratory depression
 Light headed, dizziness, sedation, nausea, vomiting
 |  | 
        |  | 
        
        | Term 
 
        | GROUP narcotic agonists-antagonists PROTOTYPE pentazocine
 
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | Relief of moderate or severe pain, adjunct to general anesthesia and relief of pain during labor and delivery Metabolized in liver
 Excreted in urine and bile
 |  | 
        |  | 
        
        | Term 
 
        | GROUP narcotic agonists-antagonists PROTOTYPE pentazocine
 
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 INDICATIONS
 |  | Definition 
 
        | Light headed dizzy,
 sedation
 |  | 
        |  | 
        
        | Term 
 
        | GROUP narcotic antagonists PROTOTYPE naloxone
 
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | Complete or partial reversal of narcotic depression Reverses the effects of opioids
 Metabolized in the liver
 Urine excretion
 |  | 
        |  | 
        
        | Term 
 
        | GROUP narcotic antagonists PROTOTYPE naloxone
 
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | nausea Vomiting
 Sweating
 Tachycardia
 Hypotension or hypertension
 |  | 
        |  | 
        
        | Term 
 
        | Maintenance of volume and composition of body fluids R/T Kidney
 |  | Definition 
 
        | Sodium Regulation Countercurrent Mechanism
 Chloride Regulation
 Potassium Regulation
 Calcium Regulation
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Thiazide Diuretics PROTOTYPE
 hydrochlorothiazide
 
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | Act to block the chloride pump Keeps sodium and chloride in the tubule to be excreted in the urine
 Little increase in the volume of urine produced
 Considered a mild diuretic
 Well absorbed from GI tract
 Metabolized in liver excreted in urine
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Thiazide Diuretics PROTOTYPE
 hydrochlorothiazide
 
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | Watch allergies Fluid and electrolyte imbalances
 Severe renal disease
 GI upset
 Hypokalemia
 Weakness, muscle cramps and arrhythmias
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Loop Diuretics PROTOTYPE
 furosemide
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | Work in loop of Henle High ceiling diuretics cause a greater degree of diuresis
 Block chloride pump in ascending loop of Henle
 Used for rapid and extensive diuresis
 Metabolized in liver excreted in urine
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Loop Diuretics PROTOTYPE
 furosemide
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | Watch allergies Fluid and electrolyte imbalances
 Severe renal disease
 Dizziness, vertigo, orthostatic hypotension
 GI upset
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Carbonic Anhydrase Inhibitors PROTOTYPE
 acetazolamide
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | Adjunctive treatment of open-angle glaucoma metabolized in liver excreted in urine
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Carbonic Anhydrase Inhibitors PROTOTYPE
 acetazolamide
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | Watch allergies Fluid and electrolyte imbalances
 Severe renal disease
 GI upset
 Hypokalemia
 Weakness, muscle cramps and arrhythmias
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Potassium Sparing Diuretics PROTOTYPE
 spironolactone
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | Retain potassium inside of wasting it Competitively blocks the effects of aldosterone in the renal tubule, causing loss of sodium and water and retention of potassium
 Used for pts at risk of hypokalemia
 Metabolized in the liver and excreted in the urine
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Potassium Sparing Diuretics PROTOTYPE
 spironolactone
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | Watch allergies Fluid and electrolyte imbalances
 Severe renal disease
 GI upset
 Hypokalemia
 Weakness, muscle cramps and arrhythmias
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Antitussives PROTOTYPE
 dextromethorphan
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | Suppress the cough reflex Act directly on the medullary cough center of the brain to depress the cough reflex
 Metabolized in the liver
 Excreted in the urine
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Antitussives PROTOTYPE
 dextromethorphan
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | Dizziness Respiratory depression
 Dry mouth
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Topical nasal decongestants PROTOTYPE
 ephedrine
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | Sympathomimetic (imitate the effects of the sympathetic nervous system to cause vasoconstriction |  | 
        |  | 
        
        | Term 
 
        | GROUP Topical nasal decongestants PROTOTYPE
 ephedrine
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | Almost immediate effect because applied topically Not generally absorbed
 Disorientation
 Confusion
 Light headedness
 Nausea and vomiting
 Fever
 Dyspnea
 Rebound congestion
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Oral Decongestants PROTOTYPE
 Pseudoephedrine
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | Taken orally to decrease nasal congestion Shrink mucous membranes by stimulating alpha-adrenergic receptors in the nasal mucous membranes
 Metabolized in the liver
 Excreted in the urine
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Oral Decongestants PROTOTYPE
 Pseudoephedrine
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | Anxiety Restlessness
 Headache
 Dizziness
 Drowsiness
 Vision changes
 Seizures
 hypertension
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Topical nasal steroid decongestants PROTOTYPE
 flunisolide
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | Popular for treatment of allergic rhinitis Exact mechanism unknown
 Produce a direct anti-inflammatory response
 May require up to one week to cause any change
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Topical nasal steroid decongestants PROTOTYPE
 flunisolide
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | Block the inflammatory response Local burning and irritation
 Stinging,
 dryness,
 Headache
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Antihistamines PROTOTYPE
 Hydroxyzine
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | Block histamine receptor site Also anticholinergic and antipruritic effects
 Metabolized by liver
 Excreted in feces
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Antihistamines PROTOTYPE
 Hydroxyzine
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | Drowsiness Agitation
 Dizziness
 Headache
 Weakness
 Dry mouth
 |  | 
        |  | 
        
        | Term 
 
        | GROUP guaifenesin PROTOTYPE
 Expectorant
 
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | Increase productive cough to clear airways, Liquefy lower respiratory tract secretions decreasing viscosity
 Unknown metabolism and excretion
 |  | 
        |  | 
        
        | Term 
 
        | GROUP guaifenesin PROTOTYPE
 Expectorant
 
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | Nausea Vomiting
 Headache
 dizziness
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Mucolytics PROTOTYPE
 Dornase alfa
 
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | Break down mucous Metabolized in liver
 Excreted in urine
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Mucolytics PROTOTYPE
 Dornase alfa
 
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | Nausea Vomiting
 Stomatitis
 bronchospasm
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Xanthines PROTOTYPE
 Aminophylline
 
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | Relief of asthma Relaxes bronchial smooth muscles causing bronchodilation and increasing vital capacity
 Metabolized in liver
 Excreted in urine
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Xanthines PROTOTYPE
 Aminophylline
 
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | Irritability Restlessness
 Dizziness
 Palpitations
 Loss of appetite
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Sympathomimetics PROTOTYPE
 Epinephrine
 
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | Mimic effects of sympathetic nervous system Dilate bronchi with increased rate and depth of respirations
 Beta 2 receptors
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Sympathomimetics PROTOTYPE
 Epinephrine
 
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | Anxiety Restlessness
 Headaches
 Nausea
 Tachycardia
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Anticholinergics PROTOTYPE
 Ipratropium
 
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | Maintenance treatment of bronchospasms |  | 
        |  | 
        
        | Term 
 
        | GROUP Anticholinergics PROTOTYPE
 Ipratropium
 
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | Nervousness Dizziness
 Headache
 Palpitation
 Nausea
 GI upset
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Inhaled steroids PROTOTYPE
 Budesonide
 
 PHARMACOLOGIC ACTION/CLINICAL
 INDICATIONS
 |  | Definition 
 
        | Decrease inflammatory response Metabolized in liver
 Excreted in urine
 |  | 
        |  | 
        
        | Term 
 
        | GROUP Inhaled steroids PROTOTYPE
 Budesonide
 
 S & S OF OVERDOSE
 OR ADVERSE EFFECTS
 |  | Definition 
 
        | Irritability Headache
 Rebound congestions
 Local infection
 |  | 
        |  |