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62 Cards in this Set
- Front
- Back
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Disulfiram
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tx for alochol addiction
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Naltrexone
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opoid antagonist that reduces alochol cravings
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Acamprosate
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NMDA receport antagonist to prevent relapse from alcohol
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Benzodiazepines
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depednnce, addiction RARE, low dose- vom, burred vision, anorexia, tremor, high dose dependence- seizure, psychosis, depression , low dose withrdawam- diazepam, swtich to long acting and reduce dose, high dose- stop other drug abuse then long acting
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Barbiturates
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same as benzo
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Varenicline
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partial agonsit at nicotinic receptor in CNS, tx of nicotininc addiction
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Bupropion
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for nicotnic additioction, sustained release
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Opioids
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STRONG tolerance and dependence , withdrawal- dsyphoria, lacrimation, rhinorriea and yawning , withdrawal- methadone, buprenorphine
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Clonidine, Lofexidine
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presynaptic alpha 2 agonist used for tx of opoid withdral
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THC
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therapeutic- dronabinol for anorxia and nausea, toliderance and dependcne, ACTION- eurphora, short term memorm impaired, impairs motor skiss, munchies, AE- increased HR, red conjunctiva, toxic psychosis
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LSD, mesacaline, psilocybin
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5HT2 receptors, NO ADDICTION and NO WITHDRAWAL, bad trips, severe agitation
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PCP
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non competive antagonist at NMDA rof glutamte receptor, high doses inhibts DA uptake, dissociateve anesthesia and analgesia, tolerance after contineud use
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MDMA
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empathy and intimcy without impairing intellectual capacities, increases serotonin, widrawl- depression
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Nitrous oxide
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euphoria and analgesia and loss of convious, asyphia and death if 100%
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Volatile organic solvents
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gasoline, paint thinner, exhilization and light headeed, AE- CA, cardiotoxicity, neuropathies, hepatoxcity
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Organic nitrites
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amyl nitrite and butyl nitrite, enhance rekection
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Anabolic steroids
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body building atheletes
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Desflurane
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general anzesia, IRRITATES AIRWAYS, special dispending due to LOW BP, decreases vascular resistance, increases HR and symp stimulation at high concentrations
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Sevoflurane
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pediatric anestheia, broncodliation, releases fluride-->nephrotoxic
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Enflurane
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good analgenis and mucle relaxant but PUNGET, high concetration- TWITCHING and TONIC CLOSING, do NOT USR WITH SEIZURE diodrders, CI in rneal failure pts
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Isoflurane
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less CV efects than halotahate, hypotenion, cornoary vasodilater, good for PTS WITH IHD
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Halothane
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weak analgesic, causes myocardial depression, decreased CO and decreased BP, causes hepatoxicity
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Methoxyflurane
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nephrotic potential due to fluroride released during metnabolism, general anestheic
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Thiopental and methohexital
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induction of anethesia for short surgical prcesures, hepatic met requires, short acting barbituates
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Diazepam, lorazepam, midazolam
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benzos used premedication, intrapo sedation
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flumazenil
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accelerate recovery from benzo
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Morphine, fentanyl, sufentanil, alfentanil, remifentanil
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general anestheic, increase chest wall rigidity, post op resperiatory dperession give nalaxone, when becomes with neuroleptic can lead to neuroleptic analagesia(F),
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Droperidol
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combo with fentnayl will lead to neuroleptic analgesia and if u give NO2 can be neurlept anesthesia
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Propofol
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IV anestic, antiemetic, no alageisa, metablized in liber, HYPOTENSION, NEGATIVE IONOTROPE
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Etomidate
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slight hypotenion, vomiting and nausea, general anesthetic, no effect on HR, no analgesic effects, adrenocortical supression via inhbiting steroidogenesis
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Ketamine
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dissociated anesthesia, amensia, loss of consiouness, NMDA receptor blockade, emergence phenomena- disoritention, sensory and perceptual illusions
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Diphenhydramine
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adjuct for general surgery
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Ranitidine
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adjuct for general surgery
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Ondansetron
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adjuct for general surgery , antiemetic
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Scopolamine
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adjuct, amnesic effects, prevent salication and bronchial secreiton, protenct hrt from bradycarida
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Cocaine
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local anestheci , opthalmic anethesia, part of TAC(tetraaine, adrenaline and cocaine) , suturing small cots, EMLA uses inteasd due to toxicity , CARDIOTOXIC, vasoconstrictive
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Procaine
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local anestheci, infiltration anehtsia and dental, dx nerve blocks, short acting- 2-chlorproaicne- obstretic anesthetic
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Tetracaine
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local anestheci , long acting, highly potenti, high hhydroibicity, spinal and topical anethesia
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Benzocaine
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local anestheci
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Lidocaine
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local anestheci , peripheral nerve block, epidural, spinal, topica, class I antiarrthmic , rapid onset
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Bupivacaine
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local anestheci , long duration of action, potent, HIGH CARDIOTXOCITY, isomer levobupivaicain less toxic
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Prilocaine
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local anestheci, can use WITHOUT A VANCONSTRICER, METHEMOGLOBINEMIA
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Ropivacaine
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local anestheci , less cardiotxic than bupivicain with sim effects
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Tubocurarine
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non depol blocker
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Atracurium
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non depol blocker, inactivated by hydorlysis of non specific plasma esteras, SAFE inrenal failure pts, LAUDANOSINE METABOLITE that can lead to hypotenin and seixzures
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Cisatracurium
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non depol blockers, seteroioser of atraciruim that doesn’t form laudnne, pressured to atraciruim
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Doxacurium
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non depol benzylisoquinoline, long acting
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Mivacurium
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non depol blocer, short duration of action, hydrolysis by plasma butrylcholneratasee devactivates, NOT DEP IN LIVER OR KIDNEY
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Pancuronium
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non depol blocker, blocks cadiac M2, causes tachycardia, not usually a problem
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Pipecuronium
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non depol blocerks, ammonio steroid , long acting , intermediate acting
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Vecuronium
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non depol blocker, aminio sterid
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Succinylcholine
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depol blockers, short duration, hydrosis by liver and plasma butrylcholerase, if abd varial of butryolcholerase could lead to long effects
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Diazepam
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spasmolytic , faciliates action of GABA at GABAa receptors
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Baclofen
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spasmolytic, GABAb agonist
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Tizanidine
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spasmolytic, alpha 2 agonist
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Gabapentin
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spasmolytic, increases GABA release
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Progabide
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spasmotlyci, GABA a and GABAb agonist
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Glycine
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imhbitory amino acid, passes BBB, spmasmolytic
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Idrocilamide, Riluzole
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tx of ALS, inhibits of glutamergic transmission in CNS
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Dantrolene
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interferes with release Ca by binding to ryanodine receptor, used in malig hyperterhmia
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Botulinum toxin
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generalzied spastic seizures, cerebral palsy
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Cyclobenzaprine
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tx for acute msucle spasm, stong antimuscarininc, sedation and confusion its pts with visual hallicnation
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