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62 Cards in this Set

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