Pharmacotherapeutics For Advanced Practice 86 Correctly Answered Questions Latest Update

Lispro, Aspart, Glulisine {Ans: rapid acting insulin}Serotonin Syndrome {Ans: With any drug that increases 5-HT (e.g., MAO inhibitors, SNRIs, TCAs) hyperthermia, confusion, myoclonus, cardiovascular instability, flushing, diarrhea, seizures. -Treatment: cyproheptadine (5-HT2 receptor antagonist).}Intermediate insulin {Ans: NPH (Humulin N, Novolin N) Peak 6 hours}Amitriptyline (Elavil) {Ans: }Paroxitine (Paxil) {Ans: SSRI, good for panic attacks}First Genreration Sulfonylureas {Ans: End in "mide" Chlorpropamide (Diabinese, Novo-proamide) Tolazamide (Tolinase) Tolbutamide (Orinase)}Fluoxetine (Prozac) {Ans: Antidepressant, SSRI's Herbal supplement St johns wort can increase effectiveness}Glargine (Lantus) {Ans: Long-acting insulin Onset 1 hour Peak (none) Duration 10-24 hours}Barbiturates {Ans: drugs that depress the activity of the central nervous system, reducing anxiety but impairing memory and judgment}Detemir (Levemir) {Ans: Long Onset is Gradual Peak 6-8hr at risk for hypokalemia (monitor K levels) caution with loop diaretics}Treatment of OCD in children {Ans: Sertraline (zoloft) and Fluvoxamine (Luxox) SSRI}Imipramine (Tofranil) {Ans: tricyclic antidepressant (TCA) used in treating panic attack disorders}Biguanides {Ans: metformin (Glucophage) enhance insulin action, suppress hepatic glucose production Take before meals in the morning and evening Carefully titrated with elderly Contraindications: Renal Dysfunstion, serum creatine level of 1.4 or higher, HF, pregnacy, alcoholice, children, dehydration, those