Pharm AntiViral.txt

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  1. What is Neuraminidase inhibitor?
    Neuraminidase inhibitor inhibits Neuraminidase, an enzyme essential to the survival of a virus; it allows the release of the virus from the host cell.
  2. What type of drug is Oseltamivir (Tamiflu)?
    Neuraminindase inhibitor
  3. What are the indications for Oseltamivir?
    • People who are allergic to vaccine (like egg allergy)
    • when immunologic variant of virus is not covered by vaccine
    • when outbreaks occur among unvaccinated individuals, like nursing homes
  4. What are the major two indications for Oseltamivir?
    Prevention of the flu and treatment of flu types A and B
  5. If Oseltamivir is administered after exposure to the flu, when must it be administered for optimal effect?
    w/n 12 hours
  6. What type of drug is Peginterferon Alpha-2b? What is the primary indication?
    Antiviral; Chronic Hep C
  7. What is the MOA of Peginterferon alpha-2B? How do you remember it?
    Binds to host receptors and inhibits entry into the cell. Viruses can't enter a cell because of their PEG leg.
  8. What does the attachment of the interferon to the PEG do?
    Prolongs half life so administration can only be once a week.
  9. List side effects of Peginterferon alpha-2B
    • Flu-like symptoms
    • neuropsychiatric effects (depression, behavior issues)
    • severe fatigue
    • congestive heart failure
  10. What type of drug is Acyclovir (Zovirax)? What are the major indications?
    • Antiviral; herpes simplex virus, herpes zoster (shingles), varicella (chicken-pox)
    • Prophylactic in bone marrow transplant
  11. What are the renal issue involved with Acyclovir? How is the issue managed?
    Reversible nephrotoxicity with IV administration; can be minimized with hydration
  12. What are adverse effects of Acyclovir with oral administration?
    nausea, vomiting, diarrhea, headache, vertigo
  13. What is reverse transcriptase?
    When viral RNA is converted to DNA within a host cell.
  14. Does Acyclovir enter the CNS?
  15. What is HAART?
    • Highly Active Anti-Retroviral Therapy
    • Means an HIV drug cocktail
  16. What are the principles of HAART?
    maximize inhibition of viral replication and minimize drug toxicities
  17. What is the MOA of Zidovudine-ZDA? (Retrovir NRTI)? What type of drug is it?
    • HIV:
    • MOA= prevents transcriptionof viral RNA to DNA
  18. Why is Zidovudine so useful in minimizing cognitive symptoms of HIV?
    It can cross the blood/brain barrier
  19. What are the main adverse effects of Zidovudine? What are are the related nursing implications?
    Severe anemia and neutropenia; monitor blood counts initially and monthly
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Pharm AntiViral.txt
2012-04-19 01:33:40
Pharm AntiViral

Pharm AntiViral
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