100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Pharm Exam 4 2024 complete update A+ graded study guide $7.79   Add to cart

Other

Pharm Exam 4 2024 complete update A+ graded study guide

 3 views  0 purchase
  • Course
  • Institution

Pharm Exam 4 2024 complete update A+ graded study guide MOA acetaminophen - not clear - weak COX1/COX2 inhibitor - activation of descending serotonergic inhibitory pathways - antipyretic effects via inhibitory effects on hypothalamic "thermostat" adverse effects tylenol ...

[Show more]

Preview 2 out of 15  pages

  • January 1, 2024
  • 15
  • 2023/2024
  • Other
  • Unknown
avatar-seller
Pharm Exam 4 2024 complete update A+
graded study guide




MOA acetaminophen - not clear
- weak COX1/COX2 inhibitor
- activation of descending serotonergic inhibitory pathways
- antipyretic effects via inhibitory effects on hypothalamic "thermostat"

adverse effects tylenol- skin rash/allergy
- hemolytic uremia
- methemoglobinemia
- hepatotoxicity (>4g/day, >15g lethal)

early signs hepatotoxicity tylenol nausea, vomiting, diarrhea, abdominal pain, dizziness,
excitement, disorientation

contraindications acetaminophen? - long term use during pregnancy associated with ADHD
- severe inflammatory pain (not best to give)
- severe hepatic disease

MOA salicylates (acetylsalicylic acid, aspirin) inhibits COX which inhibits the synthesis of
prostaglandins
- antipyretic, analgesic, anti-platelet properties

side effects salicylates- CNS: tinnitus, aseptic meningitis, HA, dizziness
- CV: fluid retention, HTN, edema, MI, CHF
- GI: abdominal pain, dyspepsia
- hematologic: thrombocytopenia, neutropenia, aplastic anemia
- hepatic: abnormal LFTs, liver failure
- pulm: asthma
- skin: rash, pruritis
- renal: renal failure/insufficiency, hyperkalemia, proteinuria

indications salicylates - pain relief, anti-inflammatory
- rheumatic disease arthritis

, - primary prevention of atherosclerotic CV disease

contraindiciations salicylates - pregnancy
- allergy
- children (Reyes syndrome)
- hemophilia/bleeding disorders

MOA NSAIDs inhibits prostaglandin biosynthesis via inhibition of COX isoenzymes
(COX1/COX2)

side effects NSAIDs - similar to aspirin
- can precipitate asthma/anaphylactoid reactions
- reversible platelet inhibition
- hepatotoxicity
- CV risk
- people with PUD history should be tested for H.Pylori
- monitor renal function

indications NSAIDs? - pain (more effective than tylenol)
- fever
- colon cancer prevention
- PDA closure
- stabilize menstrual bleeding

contraindications NSAIDs? - hx of PUD
- renal insufficiency
- CHF

opioids MOA?** depends on receptor type **

inhibits dorsal horn pain transmission neurons
- inhibits release of excitatory NTs inhibition of pain processing in dorsal horn of the spinal cord

side effects opioids? analgesia, cough suppression, diarrhea, dyspnea, opioid abuse disorder

biliary colic, urinary retention, renal impairment, prolonged labor, hypogonadism, pruritis,
impaired immunity, tooth decay

contraindications opioids? - renal impairment (be careful)
- drug interactions! (codeine, 3A4 substrates, 2D6 substrates)

MOA TCAs? block the reuptake of serotonin/norepi

block peripheral sodium channels, histamine, alpha 1 receptors, muscarinic receptors

side effects TCAs dry. mouth, weight gain, dizziness, tremor, urinary retention, confusion,
sedation

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller docguru. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $7.79. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

81113 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$7.79
  • (0)
  Add to cart