Shared Flashcard Set

Details

Pharm- Exam 2 Summer
HIV, HTN, CV, etc
17
Medical
Professional
07/06/2011

Additional Medical Flashcards

 


 

Cards

Term
Initial Combo regimens for HIV
Antiretroviral-naive patients
Definition
1) NNRTI + 2 NRTI

2) PI (boosted with Ritonavir) + 2NRTI

3) INSTI + 2 NRTI
Term
NNRTI
Definition
AE:Hypersensitivity rxn (can progress to SJS)

Shold be avoided in 1st trimester pregnancy

Example: Efavirenz
Term
NRTIs
Definition
Examples: Tenofovir + Emtricitabine

AEs: renal elimination so should be cautioned in RF (except Abacavir); hypersensitivity rxns, pancreatitis, hyperlipidemia
Term
Protease Inhibitors (PI)
Definition
AEs: parasthesias, NVD, disturbances in lipid and glucose metabolism, trunkal fat redistribution

Examples: Atazanavir, Darunavir
(Boosted with Ritonavir)
Term
integrase Strand Transfer Inhibitor (INSTI)
Definition
Raltegravir
Term
AEs of Fusion Inhibitors
Definition
injection site rxns
hypersensitivity rxn
increase in bacterial pneumonia
Term
AEs of Integrase Inhibitors
Definition
N/D, HA, pyrexia

CPK elevation
Term
Ritonavir
Definition
Pharmacokinetic booster for Protease Inhibitors

Take with food
Term
Evaluating Effectiveness of HAART therapy
(Highly Active Antiretroviral Therapy)
Definition
1) CD4 count should increase by 50-150 cells/mm3/yr
(accelerated response after the 1st 3months so check every 3 months)

2) Q3 month monitoring of immunologic (CD4 count) and virologic markers (viral load) and physical assessments

**3) Suppression of viral load to below the limits of detection in 12-24 weeks (Below 40–75 copies/mL
)
Term
HIV meds in Pregnancy
Definition
Effavirenz should be avoided in 1st trimester

Continue ART: NNRTI + 2 NRTIs (or PI + 2 NRTIs)

If initiated during pregnancy, include ZDV in initial regimen
Term
When is Antiretroviral prophylaxis recommended?
Definition
For all pregnant women with HIV REGARDLESS of viral load
Term
Antiretroviral therapy should also be initiated, regardless of CD4 count, in patients with the following conditions:
Definition
pregnancy, HIV associated nephropathy, hepatitis B virus (HBV) co-infection when treatment of HBV is indicated
Term
Tx for Pneumocystis jiroveci (carinii) pneumonia
Definition
Ist line= Trimethoprim/Sulfamethoxazole (Bactrim/Septra), Pentamidine
Term
Tx for Toxoplasma gondii
Definition
Pyrimethamine + Sulfadizine
Term
Tx for Cryptococcus neoformans
Definition
Amphotericin B
Term
Tx for Mycobacterial infections
Definition
Clarithromycin (or Azithromycin) + Ethambutol
Term
Tx for CMV
Definition
Ganciclovir, Foscarnet
Supporting users have an ad free experience!