DCA 7 Flashcards

(81 cards)

1
Q

methylprednisolone brand name

A

Medrol

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2
Q

Medrol generic name

A

methylprednisolone

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3
Q

methylprednisolone DEA

A

no

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4
Q

methylprednisolone therapeutic class

A

adrenal corticosteroid

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5
Q

methylprednisolone dosage forms

A
  • tablet
  • injectable
  • ophthalmic preparations
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6
Q

methylprednisolone common indications

A
  • Allergic states
  • Dematologic diseases
  • Endocrine disorders
  • GI diseases
  • Hematologic disorders
  • Neoplastic diseases
  • Nervous system
  • Renal diseases
  • Respiratory diseases
  • Rheumatic disorders
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7
Q

methylprednisolone EMP

A
  • Improvement or resolution of clinical signs and symptoms
  • Monitor for decrease in ESR or improvement of pulmonary function tests
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8
Q

methylprednisolone MOA

A

Corticosteroids are naturally occurring and synthetic adrenocortical steroids that cause varied metabolic effects, modify the body’s immune responses to diverse stimuli, and are used primarily for their anti-inflammatory effects in disorders of many organ systems.

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9
Q

methylprednisone patient consultation

A
  • Take with meals to prevent GI upset with short-term use
  • Have patients monitor for signs of hyperglycemia, osteoporosis, adrenocortical insufficiency, and infection with long-term use
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10
Q

prednisone brand name

A

Deltasone

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11
Q

Deltasone generic name

A

prednisone

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12
Q

prednisone therapeutic class

A

adrenal corticosteroid

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13
Q

prednisone DEA

A

no

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14
Q

prednisone dosage forms

A
  • tablet
  • delayed release tablet
  • solution
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15
Q

prednisone common indications

A
  • Allergic states
  • Dematologic diseases
  • Endocrine disorders
  • GI diseases
  • Hematologic disorders
  • Neoplastic diseases
  • Nervous system
  • Renal diseases
  • Respiratory diseases
  • Rheumatic disorders
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16
Q

prednisone EMP

A

improvement or resolution of clinical signs of symptoms

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17
Q

prednisone MOA

A

Glucocorticosteroids are naturally occurring and synthetic adrenocortical steroids that cause varied metabolic effects, modify the body’s immune responses to diverse stimuli, and are used primarily for their anti-inflammatory effects in disorders of many organ systems.

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18
Q

prednisone patient consultation

A
  • Take with food or mild to prevent GI upset
  • Take in the morning to prevent insomnia
  • Have patients monitor for signs of hyperglycemia, osteoporosis, adrenocortical insufficiency, and infection with long-term use
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19
Q

tiotropium brand name

A

Spiriva Handi Haler, Spiriva Respimat

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20
Q

Spiriva Handi Haler, Spiriva Respimat generic name

A

tiotropium

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21
Q

tiotropium therapeutic class

A

anticholinergic bronchodialater

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22
Q

tiotropium DEA

A

no

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23
Q

tiotropium dosage forms

A
  • inhalation capsule
  • aerosol solution
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24
Q

tiotropium common indications

A
  • COPD
  • asthma
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25
tiotropium EMP
monitor pulmonary function tests and shortness of breath
26
tiotropium MOA
exhibits pharmacologic effects through inhibition of M3-receptors at the smooth muscle leading to bronchodilation. The bronchodilation following inhalation of tiotropium is predominantly a site-specific effect.
27
tiotropium patient consultation
- This drug is not indicated for acute bronchospasm (rescue therapy) - Drug capsules are for inhaltion only and are not to be swallowed - Instruct patient on the use of the inhalation device - When using HandiHaler, patients should inhale the contents of each capsule twice to ensure drug delivery - Maximum benefit in asthma may not be seen for 1-2 months
28
montelukast brand name
Singulair
29
Singulair generic name
montelukast
30
montelukast therapeutic class
leukotriene receptor antagonist
31
montelukast DEA
no
32
montelukast dosage forms
- tablet - chewable tablet - oral granules
33
montelukast common indications
- asthma - exercise induced bronchoconstriction - seasonal allergic rhinitis
34
montelukast EMP
Resolution of clinical signs of asthma (improved pulmonary function tests, decreased rescue inhaler use, etc) or symptoms of rhinitis
35
montelukast MOA
Leukotrienes are products of arachidonic acid metabolism and are released from various cells, including mast cells and eosinophils, and bind to leukotriene receptors. Montelukast binds with leukotriene receptors to inhibit physiologic actions of leukotriene.
36
montelukast patient consultation
- Not indicated for acute asthma attacks - Report increased use of short-acting inhaled bronchodilators and advise patients not to discontinue or decrease the dose of other asthma medications unless instructed by a health-care professional - Patients with asthma or allergic rhinitis should take dose in the evening
37
albuterol brand name
Proventil, Proair, Ventolin
38
Proventil, Proair, Ventolin generic name
albuterol
39
albuterol DEA
no
40
albuterol therapeutic class
short acting beta-2 adrenergic agonist
41
albuterol dosage forms
- MDI - Aerosol solution for inhalation - Aerosol powder for inhalation - Dry powder inhalation - Tablet - Extended-release tablet - Syrup - Nebulazation solution for inhalation
42
albuterol common indications
- asthma - exercise induced asthma - COPD
43
albuterol EMP
resolution of asthma symptoms and PFTs
44
albuterol MOA
selective β2-adrenergic agonist that acts on β2-adrenergic receptors of intracellular adenylyl cyclase to increase cyclic AMP levels resulting in bronchial smooth muscle relaxation.
45
albuterol patient consultation
- Instruct patient of inhaler technique, including primine and shaking well before using - Contact prescriber if more albuterol is needed to control symptoms than usual as this may indicate acute asthma exacerbation - Dry powder inhalation does not require shaking or priming, but does require deep inhaltion for use - When inhaling contents, hold breath for as lease 10 seconds if possible to allow albuterol to travel deeper into lungs
46
ipratropium with albuterol brand name
Combivent, Respimat, DuoNeb
47
Combivent, Respimat, DuoNeb
ipratropium with albuterol
48
ipatropium DEA
no
49
ipatropium therapeutic class
Short acting Anticholinergic/Short acting beta-2 agonist combination
50
ipatropium dosage forms
- nebulization solution for inhalation - spray for oral inhalation
51
ipatropium common indications
COPD
52
ipatropium EMP
- resolution of COPD symptoms - improved PFTs
53
ipatropium MOA
selective β2-adrenergic agonist that produces bronchodilation, vasodilation, uterine relaxation, skeletal muscle stimulation, peripheral vasodilation, and tachycardia. Ipratropium is a competitive antagonist of acetylcholine at peripheral, but not central, muscarinic receptors. It appears to produce bronchodilation by inhibition of cholinergic receptors on bronchial smooth muscle.
54
ipatropium patient consultation
- Instruct patient of appropriate inhaler technique - Wash mouthpiece in warm water and air dry thoroughly daily - Nebulizer technique: use entire vial of inhalation solution immediately after opening to avoid contamination; deliver over 5-15 min
55
hydroxyzine hydrochloride
Atarax, Vistaril
56
Atarax, Vistaril
hydroxyzine hydrochloride
57
hydroxyzine hydrochloride DEA
no
58
hydroxyzine hydrochloride therapeutic class
antihistamine
59
hydroxyzine hydrochloride dosage forms
- tablet - capsule - syrup - solution - injectable
60
hydroxyzine hydrochloride common indications
- anxiety - pruritus - sedation
61
hydroxyzine hydrochloride EMP
Improvement in symptoms for which administered (anxiety, pruritis, insomnia)
62
hydroxyzine hydrochloride MOA
Hydroxyzine is a rapid-acting agent with probable action of suppressing activity in key locations of the subcortical area of the CNS. Primary skeletal muscle relaxation, bronchodilator activity, antiemetic effects, and antihistaminic and analgesic effects have been demonstrated
63
hydroxyzine hydrochloride patient consultation
Avoid activities requiring mental alertness or coordination until drug effects are known as drug may cause dizziness or sedation
64
meclizine brand name
Dramamine, Antivert, Bonnie
65
Dramamine, Antivert, Bonnie generic name
meclizine
66
meclizine DEA
no
67
meclizine therapeutic class
antihistamine, antiemetic
68
meclizine dosage forms
- tablet - chewable tablet
69
meclizine common indications
- motion sickness - vertigo
70
meclizine EMP
improvement in nausea or vertigo symptoms
71
meclizine MOA
Tiotropium exhibits pharmacologic effects through inhibition of M3-receptors at the smooth muscle leading to bronchodilation. The bronchodilation following inhalation of tiotropium is predominantly a site-specific effect.
72
meclizine patient consultation
- May cause drowsiness; avoid driving or operating machinery until drug effects are known - Avoid alcoholic beverages and other CNS depressancts while taking this drug - Meclizine should be used with caution in patients with asthma, glaucoma, or BPH because of its anticholinergic effects
73
benzonatate brand name
Tessalon Perles
74
Tessalon Perles generic name
benzonatate
75
benzonatate therapeutic class
antitussive
76
benzonatate DEA
no
77
benzonatate dosage forms
liquid filled capsule
78
benzonatate common indications
cough
79
benzonatate EMP
resolution of clinical signs of cough
80
benzonatate MOA
acts peripherally by anesthetizing the stretch receptors located in the respiratory passages, lungs, and pleura by dampening their activity and thereby reducing the cough reflex at its source.
81
benzonatate patient consultation
- Do not chew, crush, or allow capsules to dissolve in mouth as oropharyngeal anesthesia will occur - The liquid in the capsule has a foul taste - Accidental ingestion of as few as 1-2 capsules by children <2 y of age has been fatal - The drug appearance may be attractive to children, so care should be take to keep out of reach