lOMoAR cPSD| 66182461
Lom oarc ps d| 66182461
PHARM FINAL
STUDY GUIDE
VERIFIED AND
RATED 100% A+
*
Acetaminophen ● Max daily dose allowed:
(Tylenol) - 4000mg daily for health adults 150lbs and up
- 3000mg daily for small bodies (less than 150lbs)
- 2000mg for elderly pt’s or pt’s w/ liver disease/alcoholics
● Antidote: acetylcysteine (take w/ juice bc has bad taste)
● Contraindicated in pt’s w/ liver probs
Albuterol ● Beta adrenergic agonist
● Stimulates beta receptors causing bronchodilation
● AAA - Acute Asthma = Albuterol
● Status asthmaticus = Albuterol
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, lOMoAR cPSD| 66182461
Aminoglycosides ● Gentamicin, neomycin, tobramycin
● Gentamicin ● Risk for ototoxicity (monitor for tinnitus, dizziness, sudden hearing
● Neomycin loss, etc)
● Tobramycin ● Risk for nephrotoxicity – check BUN, creatinine & GFR
Antivirals ● Treats HSV1, HSV2, herpes zoster
● Acyclovir ● Can be taken during outbreaks only or daily for chronic treatment
● Valacyclovir ● Does not cure the disease
Antacids ● Give separate from other drugs by 2-4 hours
● Aluminum ● Contain aluminum, calcium, sodium & magnesium
● Magnesium - Aluminum: yes for renal disease; causes constipation
● Calcium - Magnesium: no to renal disease; causes diarrhea &
Hypermagnesemia
- Calcium: no to renal disease; causes kidney (renal) stones
● Magnesium often added to prevent constipation
● Avoid combing w/ dairy products
● Calcium antacids overuse may cause renal stones
Antidotes ● Acetaminophen (Tylenol): Acetylcysteine (Mucomyst)
● Cholinergic crisis/anesthesia: Atropine sulfate
● Opioid: Naloxone (Narcan)
● Anaphylaxis shock: Epinephrine (Adrenalin)
● Digoxin: digifab immune (Digibind)
● Benzodiazepine: Flumazenil (Romazicon)
● Vitamin K: Warfarin
● Heparin: Protamine sulfate
● Iron or ferrous sulfate: Deferoxamine (Desferal)
● Beta blockers (-lol): Glucagon
Antihistamines ● Histamine 1 blockers
● Diphenhydramine ● 1st generation Diphenhydramine (Benadryl): fast acting, many s/e,
● Cetirizine Has anticholinergic properties (AVOID in glaucoma, BPH,
constipation, urinary retention)
● 2nd generation Cetirizine (Zyrtec): slower action, lot less s/e
(dizziness)
messages.downloaded_by
Lom oarc ps d| 66182461
PHARM FINAL
STUDY GUIDE
VERIFIED AND
RATED 100% A+
*
Acetaminophen ● Max daily dose allowed:
(Tylenol) - 4000mg daily for health adults 150lbs and up
- 3000mg daily for small bodies (less than 150lbs)
- 2000mg for elderly pt’s or pt’s w/ liver disease/alcoholics
● Antidote: acetylcysteine (take w/ juice bc has bad taste)
● Contraindicated in pt’s w/ liver probs
Albuterol ● Beta adrenergic agonist
● Stimulates beta receptors causing bronchodilation
● AAA - Acute Asthma = Albuterol
● Status asthmaticus = Albuterol
messages.downloaded_by
, lOMoAR cPSD| 66182461
Aminoglycosides ● Gentamicin, neomycin, tobramycin
● Gentamicin ● Risk for ototoxicity (monitor for tinnitus, dizziness, sudden hearing
● Neomycin loss, etc)
● Tobramycin ● Risk for nephrotoxicity – check BUN, creatinine & GFR
Antivirals ● Treats HSV1, HSV2, herpes zoster
● Acyclovir ● Can be taken during outbreaks only or daily for chronic treatment
● Valacyclovir ● Does not cure the disease
Antacids ● Give separate from other drugs by 2-4 hours
● Aluminum ● Contain aluminum, calcium, sodium & magnesium
● Magnesium - Aluminum: yes for renal disease; causes constipation
● Calcium - Magnesium: no to renal disease; causes diarrhea &
Hypermagnesemia
- Calcium: no to renal disease; causes kidney (renal) stones
● Magnesium often added to prevent constipation
● Avoid combing w/ dairy products
● Calcium antacids overuse may cause renal stones
Antidotes ● Acetaminophen (Tylenol): Acetylcysteine (Mucomyst)
● Cholinergic crisis/anesthesia: Atropine sulfate
● Opioid: Naloxone (Narcan)
● Anaphylaxis shock: Epinephrine (Adrenalin)
● Digoxin: digifab immune (Digibind)
● Benzodiazepine: Flumazenil (Romazicon)
● Vitamin K: Warfarin
● Heparin: Protamine sulfate
● Iron or ferrous sulfate: Deferoxamine (Desferal)
● Beta blockers (-lol): Glucagon
Antihistamines ● Histamine 1 blockers
● Diphenhydramine ● 1st generation Diphenhydramine (Benadryl): fast acting, many s/e,
● Cetirizine Has anticholinergic properties (AVOID in glaucoma, BPH,
constipation, urinary retention)
● 2nd generation Cetirizine (Zyrtec): slower action, lot less s/e
(dizziness)
messages.downloaded_by