Lets play the drug of choice game

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Name a disease and then name the drug that's mostly commonly associated with that disease or condition. Here's mine: Erythromicin is seen with chlamydia and syphilis. Anybody else got anything?

Specializes in Adult Internal Medicine.

Someone mentioned nitroglycerin for chest pain, but often people don't understand how actually nitro works, so that's a good thing to know...;)

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Specializes in Adult Internal Medicine.
Studentnurse365 said:
I am still a student but...

Topamax- seizures

Zonegran-seizures

Linzess- chronic constipation

Celexa-depression

Baclofen-skeletal muscle relaxer, spasms

Carafate- gi protectant, prevent/heal ulcers.

Seizure meds: know the main first-line drugs and also the abortive drugs and what route.

CIC: new drugs amitiza and Linzess are now frequently used outpatient. What are more common symptomatic constipation meds used inpatient? What about narcotic-induced constipation?

Depression: think class of drugs here/ what's most common? Biggest side effects? What to monitor for?

Skeletal Muscle relaxants: think class here and the most common example, side effects? Patient teaching?

Reflux esophagitis prophylaxis: most common class of GER drugs? Most common inpatient use?

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Minoxidil (Rogaine) to treat hypertension AND baldness!

Thorazine (PO then IM) for refractory hiccups.

Acetylcysteine for APAP ODs and prevention of renal injury 2/2 contrast medium in already impaired renal function.

Cholestyramine, a bile acid sequestrant, to treat post-cholecystectomy-related diarrhea and pruritis r/t obstructive jaundice.

Antihistamine (Benadryl), H2 blocker (Zantac), steroid (Solumedrol) for allergic reactions; Epi SQ if severe.

In the presence of hyperkalemia: Succinylcholine "sucks", rocuronium "rocks".

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Specializes in NICU, ICU, PICU, Academia.

Prostaglandin E1 (alprostadil) to maintain a patent ductus arteriosus in cyanotic heart defects until a surgical repair or palliation can be done.

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Specializes in retired LTC.

imdur - cardiac vaso-dilator

flexeril - muscle relaxant

Medrol pack -(methylprednisolone) multi dose steroid used for suspected symptomatic drug allergy

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Specializes in Nurse Scientist-Research.
meanmaryjean said:
Prostaglandin E1 (alprostadil) to maintain a patent ductus arteriosus in cyanotic heart defects until a surgical repair or palliation can be done.

For the opposing effect, NSAIDS, specifically indomethacin and ibuprofen help close the ductus. This is why they are contraindicated in pregnancy. Maternal use of NSAIDS can cause primary pulmonary hypertension of the newborn. In spite of warning labels, a study found that almost 50% of the study infants tested positive for NSAIDS in their meconium. https://www.medscape.com/viewarticle/406812

Of course we give indomethacin or ibuprofen in preterm infants whose PDAs need to close.

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Geesh, than do get them too?? Learned that one from a doc, about a year ago....looked it up, yup in the drug book, surprised the heck outa me

psu_213 said:
Bonus points for that one!
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Specializes in NICU, ICU, PICU, Academia.
TiffyRN said:
For the opposing effect, NSAIDS, specifically indomethacin and ibuprofen help close the ductus. This is why they are contraindicated in pregnancy. Maternal use of NSAIDS can cause primary pulmonary hypertension of the newborn. In spite of warning labels, a study found that almost 50% of the study infants tested positive for NSAIDS in their meconium.

NSAIDS are, technically, anti-prostaglandins.

Fun fact: I worked on the drug trials for PGE1 back in the dark ages when there were only three TV stations and the NICU had a rotary dial telephone!

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Specializes in retired LTC.

zovirax - for shingles. Just saw the TV commercialfor the shingles vaccine and I remembered.

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Specializes in Adult Internal Medicine.
amoLucia said:
zovirax - for shingles. Just saw the TV commercialfor the shingles vaccine and I remembered.

Valacyclovir (Valtrex) is the drug of choice for shingles.

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Phenelzine for severe depression. A drug to decrease suicide cases.

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Specializes in retired LTC.
BostonFNP said:
Valacyclovir (Valtrex) is the drug of choice for shingles.

Zovirax was the first drug that popped into mind when I saw the commercial.

TY for the info.

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