Hydrochlorothiazide (HCTZ) - Answer- -for HTN
-good for patients with osteopenia & osteoporosis
-do NOT use in gout patients. decreases excretion of calcium
-side effects: hyperuricemia, hyperglycemia, hypokalemia
Side effect of glucophage therapy - Answer- GI problems
Drugs that interact with theophylline - Answer- -erythromycin
-phenytoin sodium (dilantin)
-cimetidine (tagamet)
acute drug induced hepatitis - Answer- liver enzymes (AST/ALT) are elevated with the
use of medications such as statins
green leafy vegatables - Answer- -have high levels of vitamin K that can bind with blood
clotting cascade & decrease bleeding time
vitamin K - Answer- -opposite effect of coumadin
-decreases bleeding time
Microalbuminuria - Answer- moderate increase in urine albumin
-occurs when the kidney leaks small amount of albumin in to the urine aka when there is
an abnormally high permeability for albumin in the glomerulus of the kidney
peptic ulcer disease (PUD) - Answer- -commonly caused by H. Pylori or use of NSAIDs
-recommended short term treatment: Cytotec
metronidazole (flagyl) - Answer- -produces disulfiram (antabuse) effect when combined
with alcohol or medications
dx: UTI & acute pharyngitis - Answer- -Levaquin (quinolone) can treat both (don't use in
children younger than 18)
-if allergic to sulfa & PCN- do NOT give augmentin or bactrim
drugs that interfere with metabolism of oral contraceptives - Answer- -tetracycline
-rifampin
-dilantin
-NOT CIPRO. CIPRO IS OKAY WITH ORAL BC
UTI & allergy to sulfa - Answer- DON'T GIVE BACTRIM
treatment of UTI in pregnant women - Answer- Nitrofurantoin crystal (Macrobid)
propranolol - Answer- -first line treatment for essential tremor (controls symptoms,
essential tremor cannot be cured)
-order EKG before prescribing
-avoid in pts with 2nd or 3rd degree heart block, bradycardia, or COPD
azithromycin - Answer- -treatment of choice in healthy adults with CAP
-drug of choice for strep throat in pt with PCN or amoxicillin allergy
CAP treatment - Answer- -first line in healthy adults: azithromycin
-doxy ONLY if allergic to macrolide
-levaquin & augmentin are NOT recommended as first line in healthy patients
bronchitis - Answer- NO antibiotics (viral)
cetirizine - Answer- second generation antihistamine that can be given to pediatric pts
salmeterol Diskus - Answer- -for persistent asthma
-must be combined with ICS
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