Shared Flashcard Set

Details

Pharmacology chp 5-15
2nd quiz
95
Pharmacology
Undergraduate 1
09/30/2012

Additional Pharmacology Flashcards

 


 

Cards

Term
Also called APAP. Used for pain and fever. Lacks anti-inflammatory properties. Aften used as an aspirin substitute because it does not cause vomiting, nausea, GI bleeding, or interfere with blood clotting.
Definition
Acetaminophen
Term
What is the major drawback to using acetaminophen?
Definition
Liver Damage
Term
What is a bran name for acetaminophen?
Definition
Tylenol
Term
Schizophrenia is a imbalance between what?
Definition
Dopamine and acetylcholine
Term
___________receives impulses, carries sensations: heat, cold, and pain to muscle positions relayed to ________
Definition
Thalamus, cerebral cortex
Term
Nerve impulses excite mental alertness, regulate emotions.
Definition
Hypothalamus
Term
Responsible for regulations of cardiac and respiratory
Definition
Medulla
Term
Coordinates muscle activity
Definition
cerebellum
Term
Chemical substances that carry messages from one neuron to another or to body tissues. Exp: Cardiac or skeletal muscles. Calcium is required for this to be released form synaptic vesicles.

Exp: amines, amino-acids, peptides, acetylcholines, dopamine, norephenphren.
Definition
neurotransmitters
Term
protines imbedded in the cell membranes of neurons. In the CNS most are on post-synaptic neurons; a few are on pre-synaptic nerve terminals.
Definition
Receptors
Term
receptors increase when there is under-activity at the synapse.
Definition
Up-regulation
Term
What drugs are normally given for mild pain?
Definition
acetaminophen, Ibuprofen, allopurinol, colchicine, and sumatrip
(ceiling)
Term
ACTH, corticotrapin
Definition
adrenocorticotropic hormone that is a prolonged CNS responses caused by slow acting neurotransmitters.
Term
What is the treatment for cancer pain?
Definition
Morphine (opioid s) (non-ceiling)
Schedule II
Term
NON CEILING
Definition
No upper limit to the dossage that can be given to patients who have developed a tolerance to previous dosages.
Term
Extrapyramidal
Definition
fibers originate mainly in the premotor area of the cerebral cortex and travel to the basal ganglia and brainstem. The fibers in this case do not enter the medullary pyramids and cross over as normally they would thus causing abnormal movements.
Term
what are the symptoms of withdrawal from alcohol and cocaine?
Definition
agitation, anxiety, tremors, sweaty, nausea, tachycardia, fever, hyperflexia, postural hypo-tension, convulsions, delirium.
Term
What two therapeutic uses for CNS stimulants?
Definition
ADHD and Narcoleptic
Behavior and attention span
Term
What 2 drugs treat spasticity in Multiple Sclerosis?
Definition
Lioresol (Balofen)
Tizanidine (Zaniflex)
Term
What drug is used to treat Maligmant Hyperthermia?
Definition
Dantrium (Dantrolene)
Term
What 2 classes of drugs are used to treat Parkinson's?
Definition
Dopaminergic
Anticholinergic
Term
Dopminergic
Definition
increases dopamine levels. Exp:Levadopa
Term
Anticholinergic
Definition
inhibits the action of acetylcholine in the brain. EXP: Atropin
Term
What are the most serious adverse affects of antipsycotic Drugs?
Definition
Extra-pyramidal effects: Dystonia, akathesia, parkinsonism
Term
Dystonia
Definition
movements of neck, trunk eyes, tongue, and extremities.
Term
Akathesia
Definition
compulsive involuntary restlessness and body movements.
Term
Parkinsonism
Definition
loss of muscle movement, muscular rigidity and tremors, shuffling gait, postural abnormalities, mask like expression and drooling
Term
Alprazolam
Definition
Xanax, Niravam (Benzodiazepine)
antianxiety, sedative-hypnotic
PROTOTYPE: Lorazepam
Term
colchicine
Definition
only gout drug with anti-inflammatory. Not first choice for treatment due to toxic bone marrow.
Term
Ibuprogen
Definition
Used to treat: OA, RA, Pain, Dysmenorrhea, Fever
Term
Allopurinol
Definition
Used to treat or prevent a gout outbreak. (Zyloprim)
Term
Sumatripan
Definition
Used to treat migraines within 10 min. Acts on selective serotonin in the brain. (Imitrex)
Term
Tardive dyskinesia
Definition
twisting or wormlike movements of the face and tongue
Term
What is the antidote for Benzodiazepines?
Definition
Flumazenil
Term
When released from the synaptic vesicles, molecules fo neurotransmitters cross the synaps to bind to receptors in the cell membrane of the postsynaptic neuron and excite or inhibit post-synaptic neurons. Free neurotransmitter molecules are rapidly removed from the synaps by which of the following sets of mechanisms?
Definition
Transported back into the presynaptic nerve terminal (reuptake)for reuse, diffusion into surrounding body fluids, or destruction by enzymes.
Term
Aspirin
Definition
Prototype of analgesic antipoyretic, anti inflammatory. Used to treat Osteoarthritis, rheumatoid arthritis, propylaxiz of myocardial infarction (MI), transient ischemic attacks (TIA's), and stroke in men, Rheumatic fever.
Term
What is the antidote for anticholinergics?
Definition
physostigmine; infrequently used because of toxicity.
Term
What are some problems with MAO Inhibitors?
Definition
Interact with some foods and drugs to produce severe hypertension and possibly a heart attac or stroke. EXP: aged cheese, meats, concentrated yeast extracts, sour kraut, and fave beans.
Term
Lithium and Sodium
Definition
To much ^Sodium =Excreted Lithium
To little sodium =Toxcicity of Lithium
low sodium diet =Toxcicity of Lithium
Term
What is the antidote for acetaminophen?
Definition
acetylcystine
Term
What is the side effects of Morphine?
Definition
dependency, analgesia; CNS depression ranging from drowsiness to sleep unconsciousness; decreased mental and physical activity; respiratory depression; nausea and vomiting; and pupil constriction. May cause constipation
Term
What is the site of action for morphine?
Definition
Inhibition of the transmission of the pain signals from peripheral tissue to the brain. Decreases emotional upset associated with pain.
Term
What are the side affects of Aspirin NSAID?
Definition
Gastric irritation, ulceration, and bleeding. Renal impairment. Reye's syndrome in children. Pregnant women should not take risk anemia & fetal risk.
Term
What are the site of action for Aspirin?
Definition
Inhibit prostaglandin synthesis in both CNS and the PNS. Relieves pain bya acting both centrally and peripherally to block the tranmission of pain impulses. To relieve fever, it acts on the hypothalamus to decrease its response to pyrogens and reset the thermostat.
Term
What is the antidote for Acetaminophen?
Definition
Acetylesysteine
Term
What are the side effects of Benzoiazepin, Diazepam (valium)?
Definition
CNS depression; excessive sedation, ataxia, impairment of physical and mental activities, and respiratory depression. Renal or liver impairments.
Term
What is used for acute intoxication of cocaine, hallucinogens, marijuana, inhalants, alcohol?
Definition
Lorazepam (ativan)
Term
What are the side effects of Chlorpromazine (Thorazine 1st gen)
Definition
Extrapyramidal effects, high seation, hypo-tension, CNS depression, increase prolactin levels. erectile dysfunction.
Term
What is the antidote for Chlorpromazine (Thorazine)?
Definition
Diphenhydramine (Benadryl)
Term
What are the side effects of Clozapine (Clozaril) (2nd gen)?
Definition
agranulocytosis, decreased WBC
Term
What are the sites of action for Clozapine (Clozaril)(2nd gen)?
Definition
Blockade of dopamine and serotonin
Term
What are the side effects of Imipramine (Trofranil) Tricyclinc TCA's?
Definition
mixed mania, depression, suicidal tendencies, severe renal, hepatic, or cardiovascular disease: narrowing glaucoma, and seizure disorder.
Term
What is the site of action for Imipramine (Trofranil): tricyclinc TCA's?
Definition
Normalize abnormal neurotransmission systems in the brain by altering the amounts of neurotransmitters and the number or sensitivity of receptors.
Term
What is teh antidote for Imipramine (Trofranil) trycyclinc TCA's?
Definition
Sodium bicarbonate
Term
What are the side effects for Fluoxetine (Prozac)SSRI?
Definition
GI symptioms, sexual dysfunction. Some degree of CNS stimulation.
Term
What is the site of action for Fluoxetine (Prozac)?
Definition
Normalize abnormabl neurotransmission systems in the brain by altering the amounts of neurotransmitters and number of sensitivity of receptors.
Term
What are the side effects of Phenytoin (Dilantin)?
Definition
Ataxia drowsiness, lethargy, (GI) tract, nausea, and vomiting. Gingival Hyperplasia (overgrowth of gum tissue). Bone marrow depression, mental confusion.
Term
What are the site of action for Phenytoin (Dilantin)?
Definition
Decreasing movement of ions into nerve cells by altering the activity of neurotransmitters (GABA. bind to plasma proteins, enzyme inducer
Term
What is the side effects of Levadopa?
Definition
Dialate pupils and raise intraocular pressure. May activate malignant melanoma. elevations of blood pressure or hypertensive crisis.
Term
What is the site of action for Levodopa?
Definition
Increase amount of dopamine in the brain by various mechanisms. Decreases the effects of acetyl-choline.
Term
What are the side affects of Amphetamine?
Definition
hyperactivity, difficulty concentrating on task,nervousness, restlessness, and sympathetic nervous stimulation. Increased heart rate and blood pressure, pupil dilation, slowed gastrointestinal motility.
Term
What are the sites of action for Amphetamine?
Definition
Increased amounts of norepinephrine, dopamine, and possibly serotonin in the brain, there by producing mood elevations or euphoria, increasing mental alertness and capicity for works. Decreasing fatigue and drowsiness, and prolonging wakefulness.
Term
The central nervous system(CNS),which is composed of he ____ and ____ ____ acts as the control center for regulatin hysial and mental body processes?
Definition
brain, spinal cord
Term
____ carry messages o the CNS and ____ or motor neurons carry messages away from the CNS?
Definition
afferent, efferent
Term
The CNS constantly receives information about bloos levels of oxygen and carbon dioxide, body temperaure, and sensory stimuli and sends messages o effector organs to adjust the environment towards ____?
Definition
homeostati
Term
The CNS carries out its functions by transmitting ____and ____ signals among components of the CNS and between the CNS and other parts of the body?
Definition
electrical, chemical
Term
The CNS is composed of two types of cells: the ____ is the basic functional unit; the ____ protect, support, and nouris the neuron?
Definition
neuron, glia
Term
Hypoxia
Definition
lack of oxygen
Term
Proteins embedded in the cell membrane of neurons
Definition
Receptos
Term
Microscopic gap that separates neurons in a chain?
Definition
Synapse
Term
Chemical substances that carry messges from oe neuron to another?
Definition
Neurotransmitter
Term
Uses acetylcholine as its neurotransmitter
Definition
Cholinergic system
Term
What are part of the conscious processes of the cerebral cortex?
Definition
learning, memory, verbalization, voluntar movement
Term
The thalamus receives impulses carrying sensationssuch as heat, cold, pain and muscle position sense that produce a crude awareness in the thalamus. These sensations are relayed in the ____ ____?
Definition
cerebral cortex
Term
The ____ helpsmaintain homeostasis by constantly adjustin water balance, temperature, hormone levels, blood pressure, and other body functions?
Definition
hypothalamus
Term
Which of the following hormones initiates uterine contractions to begi labor and delivery and helps release milk from breast lands during breastfeeding?
Definition
Oxytocin
Term
When nerve impulses from the hypothalamus excite the vasomotor center, vasomotor tone is increased, and blood pressure is ____?
Definition
raised
Term
The medulla contains groups of neurons that form the vital cardiac, respiratory, and vasomotor centers. If the respiratory center is stimulated, respiratory rateand depth do become ____?
Definition
increased
Term
The reticular activating system is a network of neurons that extends from the spinal cord through the medulla and pons to th thalamus and hypothalamus. It receives impulses from all parts of the body, evaluates the significance of the impulses, and decides hich impulses to transmit to the cerebral cortex. It also excites or inhibits motor nerves that control both reflex and voluntary movement. Stimulation of these neurons produce ____, ____, ____?
Definition
mental alertness, wakefullness, depression.
Term
Many nerve impulses from the limbic system are transmitted through the hypothalamus; this causes physiologic changes in blood pressure, heart rate, respiration, nd hormone secreton to occur in respone to _____?
Definition
emotions
Term
The ____, which is connected with motor centers in the cerebral cortex and basal ganglia, coordinates muscle activity
Definition
cerebellum
Term
Degenerative changesin the sustantia nigra cause dopamin to released in decreased amounts. This process is a factor in the development of _____ disease?
Definition
Parkinson's
Term
Fibers are called ___ because they do not enter the medullary pyramids and cross over.
Definition
extrapyramidal
Term
An interruptionto the blood supply to the cerebral cortex cases which condition?
Definition
loss consciousness
Term
Degeneration in ____ ____ leads to polyneuritis and muscle atrophy, weakness and paralysis?
Definition
peripheral nerves
Term
hiamine deficiency can reduce the use of glucose by nerve cells and can cause degeneration of the myelin sheat. Such degeneration in central neuron leads to a form of brain damage know as?
Definition
Wernicke-Korskoff encephalopathy
Term
Reflexes(knee jerk, pupillary reflexes) are responses to certain nerve impulses received by the spinal cord. This is called a ____ response?
Definition
involuntary
Term
A neurotransmitter-receptor complex may have the following reaction?
Definition
an excitatory or inhibitry effect on the postsynaptic neuron.
Term
____is the major inhibitory neurotransmitter in the CNS, with a role in may neuronal circuits (est; at almost 1/3 of CNS synapses)
Definition
GABA
Term
The rate of serotonin production is controlled by the enzyme tryptophan hydroxylase and the amount of ____ n the diet?
Definition
Tryptophan
Term
A pt. has Parkinson's disease. In carin for him and administering meds, the nurse understands his symptoms and his drug regimen as being related to
Definition
a decrease n the neurotransmiter dopamine
Term
The ____ system uses acetylcholine as its neurotransmitter?
Definition
cholinergic
Term
The neurtransmitter sytem most associated with rapid eye movement (REM) sleep is?
Definition
the noradrenergic system
Term
When caring for a patientwih serious sleep disorders that are linked to an imbalace in nerotransmitters, the nurse knows that this patient is most likely tohave an abnormal level of?
Definition
serotonin
Term
A pt. is being admitted to a unit with a diagnosis of Wernicke-Korsakoff syndrome. The nurse knows that this condition is triggered by a deficiency in ____?
Definition
thiamine
Supporting users have an ad free experience!