Tanner Shared "Q5 Pharm Test #2" - 21 Picmonics

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Q5 Pharm Test #2

Selective Alpha-1 Blockers
"-osin" suffix
Mechanism of Action
Blocks Alpha1 Receptors
Indications
Hypertension
Benign Prostatic Hyperplasia (BPH)
Side Effects
Syncope
Orthostatic Hypotension
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1 min
Benign Prostatic Hyperplasia (BPH) Diagnosis and Treatment
Diagnosis
Digital Rectal Exam
Urinalysis to Detect Infection or Blood
Treatment
Alpha-1 Antagonists
Tamsulosin
5 Alpha Reductase Inhibitors
Finasteride
TURP (Transurethral Resection of Prostate)
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1 min
Anticholinergic Agents used for BPH
Anticholinergic Agents
Tolterodine
Oxybutynin
Darifenacin
Solifenacin
Fesoterodine
Trospium
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Acute Uncomplicated UTI Treatment
E. Coli Resistance to TMP/SMX <20%
TMP-SMX
Nitrofurantoin (Macrobid)
Fosfomycin
E. Coli Resistance to TMP/SMX >20%
Fluoroquinolones
Amoxicillin/Clavulanate
Cephalosporin
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Acute Uncomplicated UTI Treatment in Pregnant female
UTI Treatment
Amoxicillin/Clavulanate
Cephalexin
Nitrofurantoin
TMP-SMX
Fosfomycin
ADR's of Nitrofurantoin
Hemolytic Anemia in a Newborn
ADR's of Sulfonamides
Kernicterus in Infants
Contraindications
Fluoroquinolones
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Acute Uncomplicated Pyelonephritis
Mild to Moderately ill 1st Line
Fluoroquinolones
>10% FQ resistance
TMP-SMX
Cefpodoxime
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Acute Uncomplicated Pyelonephritis--Severe/Hospitalized
Low risk of Resistance 1st Line
Fluoroquinolones
Ampicillin + Gentamycin
Ceftriaxone or Cefipime
Piperacillin/Tazobactam
MDRO's/Last line
Ertapenem
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Complicated UTI's
1st Line
Ampicillin + Gentamycin
Piperacillin/Tazo
Imipenem Combined with Cilastatin
Meropenem
PO options for Males
Fluoroquinolones
TMP-SMX
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Treatment of Nosocomial/Catheter Associated UTI
Antibiotics
Ertapenem
Ceftriaxone
Cefepime
Fluoroquinolones
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Acute Prostatis Treatment
<35 and STI cause
Ceftriaxone (IM)
>35 and Enterobacteriaceae cause
Fluoroquinolones
TMP-SMX
Imipenem and Meropenem (Carbapenems)
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Chronic Prostatitis Treatment
Enterbacteriaceae Antibitotics
Fluoroquinolones
TMP-SMX
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Thiazide Diuretics
Early Distal Tubule
Inhibits NaCl Reabsorption
Sulfa Drug
Hyperglycemia
Hyperlipidemia
Hypercalcemia
Hyperuricemia
Hyponatremia
Hypokalemic Metabolic Alkalosis
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2 mins
Loop Diuretics
Mechanism of Action
Thick Ascending Limb of Loop of Henle
Inhibits Na+-K+-2Cl- Symporter
Sulfa Drug
Drug Names
Furosemide
Lasix
Side Effects
Gout
Ototoxicity
Hypocalcemia
Hypokalemia
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4 mins
Hyperkalemia
Assessment
> 5.0 mEq/L K+
Abdominal Cramps
Muscle Weakness
Diarrhea
Arrhythmia
Tall, Peaked T Waves
Interventions
IV Calcium
Infusion of Glucose and Insulin
Loop or Thiazide Diuretics
Kayexalate
Dialysis
Prevention Education
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2 mins
Hypokalemia
Assessment
< 3.5 mEq/L
Muscle Weakness
Arrhythmia
U Wave
Ileus
Hyporeflexia
Interventions
IV K+ Infusion at 5-10 mEq/hr
Give Orally with Food
Nursing Considerations
Monitor Respiratory Status
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3 mins
Hypermagnesemia
Assessment
Flushing
Lethargy
Muscle Weakness
Decreased Deep Tendon Reflexes (DTRs)
Decreased Respirations
Bradycardia
Hypotension
Interventions
Dialysis
IV Calcium Gluconate
Diuretics
Avoid Antacids and Laxatives containing Mg2+
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2 mins
Hypomagnesemia
Assessment
Confusion
Increased Deep Tendon Reflexes (DTRs)
Neuromuscular Irritability
Seizures
Muscle Cramps
Tremors
Insomnia
Tachycardia
Interventions
Magnesium Sulfate
Foods High in Magnesium
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1 min
Hypercalcemia Treatments
Treat Underlying Disorder
Hydration
Dialysis
Calcium Restriction
Bisphosphonates
Calcitonin
Cinacalcet
Glucocorticosteroids
Denosumab
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2 mins
Hypocalcemia
Assessment
< 8.5 mg/dL Ca2+
Decreased Bone Density
Muscle Spasms
Tetany
Chvostek's Sign
Trousseau's Sign
Increased DTR
ECG Changes
QT Prolongation
Considerations
Oral and IV Replacement of Ca2+
Seizure Precautions
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2 mins
Hypocalcemia Treatments
Characteristics
Treat Underlying Disorder
Acute Treatments
IV Calcium Gluconate
Cardioprotective
Chronic Treatments
Calcium Carbonate
Calcium Citrate
Vitamin D Supplements
Considerations
Treat Hypomagnesemia
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2 mins

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