Podiatry Boards Part 2

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Author:
dhubbard
ID:
189602
Filename:
Podiatry Boards Part 2
Updated:
2012-12-15 10:59:41
Tags:
Pharm
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Description:
Pharm Presby
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  1. What class of drugs is contraindicated with Diphenhydramine?
    MAO inhibitors
  2. What can be used for antiemetic and anti-pruritic?
    Promethazine (Phenergran)
  3. Stool softener that is a natural therapeutic fiber?
    Metamucil (Psyllium hydrophillic mucilloid)
  4. Antidiarrheal that can be found over the counter?
    Immodium
  5. What is MS Contin?
    Morphine sulfate: Dose 15, 30, 60, 100, 200 mg but titrate dose every 12 hours starting with 15 mg q12 PO
  6. What is the dose of IV morphine sulfate?
    • Adult: 5-20mg q4 Sc or IM (10-20mg q4 rectally)
    • Peds: 0.1-0.2 mg q4hr Sc IM
    • Metabolized in the liver
    • Excreted in the kidney
    • Antidote is Naloxone
  7. How much Naloxone is given for reversal?
    0.4-2mg q 2-3 min IV, IM, SC up to 0.1 mg/KG IV
  8. What is Oxymorphone HCL?
    • Dilaudid 
    • Adult: 2-4 mg q4-6 PO
    • 2mg q4-6 SC
    • 3mg q6-8 rectally
  9. What is Codeine made of?
    • Methylmorphine
    • adult dose: 15-60mg q4 PO, IM, SC
    • Peds: >1 year old 0.5mg/kg q4-6
    • Metabolized in the liver
    • Excretion in the kidney and some liver
    • Antidote: Narcan
  10. What is Tylenol #2, 3, 4?
    • #2: codiene 15 and acetaminophen 300 mg
    • #3: codiene 30 and acetaminophen 300
    • #4: codiene 60 and acetaminophen 300
  11. What are our codiene drugs?
    • Oxycodone
    • Hydrocodone
  12. What are the oxycodone drugs?
    • Percocet 5/325 acetaminophen 1-2 q4-6 PO 
    • Tylox 5/500 1 q6 PO
    • Percodan 4.5/(.38 terephthalate) 325 ASA 1 q6 PO
    • Percodan Demi (Peds) they are half strength normals
    • Oxycontin (Controlled Release) 10,20, 40 80 mg tablets every 12
    •          titrate and increase dose by 25-50%
  13. What are Hydrocodones?
    • Lortab 2.5: 2.5/500 acetaminophen
    • 5/500
    • 7.5/500
    • Liquid 2.5/120
    • Lorcet 5/500
    • Hydrocet 5/500
    • Vicodin 5/500
    • Vicodin ES 7.5/750
  14. Off the market Darvon?
    Propoxyphene HCL/Napsylat
  15. What is Talwin?
    • Pentazocine HCL/Lactate narcotic with aspirin
    • OFF the Market
  16. What is Demerol narcotic?
    • Meperidine
    • Adult: 50-150mg q 3-4 PO, IM, SC
    • IV slow drip of 15-35 mg/hr
    • Do not use in dialysis patients
  17. What is Toradol?
    • NSAID Narcotic- Ketoralac
    • adult: 60mg loading dose then 30 mg q6 hr IM
    •  then 10 mg q4-6 PO
    • Only use for up to 5 days!!!!
  18. What is the non-narcotic and non NSAID med?
    • Tramadol: Opiod receptor agonist, increases Serotonin and Epi reuptake
    • Dose: 50-100 mg po 4-6 hrs
    • Max is 400 mg / day
    • WARNINGS: CrClearance of <30ml/min 
    • Dose: 50 mg PO q 12
    • May have seizure risk with other meds
    • May have GI problems

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