Pharmacology III Review

Pharmacology Review III Chp. 39 - 59

Renal failure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Case Study Drugs treating Anemias ,[object Object],[object Object],[object Object],My Hct is improved, But…..

Epoetin alfa, Procrit ,[object Object],[object Object],[object Object],Increased RBCs = Increased Vascular Presure

Diuretics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Case Study Diuretics ,[object Object],[object Object],[object Object],[object Object]

Granny and Lasix ,[object Object],[object Object],[object Object],Worse things can happen, Granny! Pulmonary Edema Is life threatening When fluid backs up into the lungs.

Granny and Lasix ,[object Object],[object Object],[object Object]

Diuretics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Monitor Potassium levels

Case Study Diuretics ,[object Object],What type of tests need to be done?

Hydrochlorothiazide ,[object Object],[object Object],[object Object],Digoxin levels and Antidiabetic drugs levels May also be affected

Case Study Fuosemide ,[object Object],[object Object],[object Object]

Furosemide and Anti-coagulants ,[object Object],[object Object]

Case Study Potassium -sparing diuretics ,[object Object],[object Object],[object Object]

Hyperkalemia ,[object Object],[object Object],[object Object],[object Object]

Case Study Osmotic Diuretics ,[object Object],[object Object]

Osmotic Diuretics ,[object Object],[object Object],Sodium (Na+) 135-145 mEq/L Potassium (K+) 3.5-5.0 mEq13/L Calcium (Ca++) 4.5-5.5 mg/dl Bicarbonate (HCO3-) 22-26 mEq/L Chloride (CL-) 95-105 mEq/L) Magnesium (Mg++) 1.5-2.5 mEq/L Phosphate (Po4-- ) 2.8-4.5 mg/dl

Loop of Henle ,[object Object],[object Object],[object Object],[object Object]

Case Study Loop Diuretics ,[object Object],[object Object],[object Object]

Case Study Urinary Tract Analgesic ,[object Object],[object Object],[object Object],[object Object],[object Object]

Pyridium ,[object Object],[object Object],[object Object],Have you thanked your Nursing Assistant Today?

Case Study Bladder Protectant ,[object Object],[object Object],[object Object],[object Object],[object Object]

Pentosan polysufate sodium ,[object Object],[object Object],[object Object],[object Object]

Upper Respiratory System ,[object Object],[object Object],[object Object],[object Object],[object Object],Move that mucous Goblet cells - trap dust,pollen,bacteria

Respiration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Antitussives ,[object Object],[object Object]

Antitussives ,[object Object],[object Object],[object Object],False-Patient should seek medical evaluation after 1 week.

Case Study Mucolytics ,[object Object],[object Object],[object Object],[object Object]

Pulmozyme ,[object Object],[object Object],[object Object],[object Object],[object Object],Elmo With a trach

Nasal Spray ,[object Object],Blow nose first Cover one nostril Tilt head back Do not squeeze forcefully, Might send drug into sinuses

Nasal Sprays ,[object Object],[object Object],[object Object],Afrin, Allerest, Pretz-D Beclovent, Pulmicort, Decadron, Azmcort, AeroBid Topical Nasal Decongestants Topical Nasal Steroid Decongestants

[object Object],[object Object],[object Object],[object Object],[object Object],Pumonary Obstructive Diseases Obstruction Of Alveoli

Case Study Oral Decongestants ,[object Object],[object Object],[object Object],[object Object]

Oral Decongestants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Monitor blood pressure, pulse and auscultations for cardiac stimulation

Case Study Decongestants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pseudoephedrine ,[object Object],[object Object],Used for nasal congestion from common cold, allergic rhinitis And cookin’ up meth

And you thought OTC medicines were safe…….. Antihistamines like Allegra, Benadryl and Claritin can cause heart arrhythmias, GI upset, drowsiness and cross the placenta in pregnancy

Case Study Theophylline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Nicotine and Theophylline ,[object Object],[object Object],[object Object],[object Object],He may have a dangerous heart arrhythmia

Bronchodilators ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How to get the most out of your asthma meds…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Yeah! I used My Inhaler 30 mins. ago

Lung Surfactants ,[object Object],[object Object],[object Object],For babies weighing less than 1350g At risk for RDS Effects of hypotension, pneumothorax, Patent ductus arteriosus, Increased bilirubin And sepsis

Mast Cell Stabilizers ,[object Object],[object Object],Blocks histamine from mast cells esp. For exercise-induced asthma - ok for kids > 2 years Blocks eosinophils, neutrophils, macrophages AND mast cells Use with corticosteroids, only for those over 12 years old

Cromolyn ,[object Object],[object Object],Come on in! Can’t, I’m on Cromolyn!

Pharmacology III Review

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Pharmacology III Review