Pharma Theory Reviewer

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Processing of Drugs Medicine for TB

1. Absorption a. Rifampicin- color of the urine is reddish


2. Distribution- target the specific site b. Isoniazid
3. Metabolism- liver c. Pyrazinamide
4. Excretion- kidney d. Ethambutol- eye blindness
e. Streptomycin- ototoxic

Dosage
1. Minimum- therapeutic Thalidomide- example of category X
2. Maximum
3. Toxic- sobra - For hyperemesis gravidarum
4. Lethal- nakakamatay - Side effect: Amelia and phocomelia in
5. Loading- ex: 300mg muna other words no limbs
6. Maintenance- yung natirang 200mg
Vit B12 (Cobalamin)- deficient for vegetarian
7. Therapeutic
Vitamin C or Ascorbic acid or Sodium ascorbate
Vit. B9 (folic acid)- for mothers
Category of drugs
Penicillin- discovered by Alexander Flemming
A- Proven safe both for mother and baby
B- Tested for animals but not human
C- Benefits outweighs the risk
D- Benefits outweighs the risk Factors that affect the processing of drugs
1. Age
X- not safe, teratogenic 2. Weight
3. Sex
4. Psychological factor
Route
1. GI- Oral, Rectal, NGT
K+ wasting- example: Furosemide (Lasix)
2. Parenteral- Injection route
- IV, ID (10-15), IM (90), SQ(45) K+ sparing- example: Spironolactone (Aldactone)
- ID example: PPD (Purified Protein
Derivative)
- For TB patient Angiotensin Receptor Blocker (ARB): losartan
- Skin test result after 48-72h
- Delayed hypersensitivity reaction Odynophagia- pain when swallowing
3. Inhalational
4. Topical
5. Drops *Note: Asthmatic patient is not allowed to take beta
blockers

Idiosyncratic- Unusual effect of drug


Night blindness (Nyctalopia)
Paradoxical- Opposite effect of drug
- vit. A deficiency
Hypersensitivity symptoms: -
Erythema, Pruritus, dyspnea Vaginal Candidiasis
Anaphylaxis- severe allergy - Caused by Candida albicans
- Secretion is cottage cheese like
- If not severe use Ketoconazole
- If severe Amphotericin B
Paracetamol – Generic name Mid-stream- urinalysis
Biogesic- Brand name Hyperemesis Gravidarum – excessive bleeding
- Drug indication is anti-antidiuretic *Note: Ice chips or cracker
- analgesic - pain (every 6 hrs.)
- Anti pyretic – fever (every 4hrs.) Viability – chance of survival – 24 weeks
* Note: give the medication round the clock for 24
37-41 weeks – normal birth
hours even w/o S/S
Omeprazole- drug classification is proton pumps LAM (Lactation amenorrhea method) – for family
inhibitor (PPI) planning

Syphilis- penicillin/penicillin G Menopause- complete cessation for 1 year

Oral Thrush- nystatin Estrogen – bone density

3 ways to check patency of NGT (Nasogastric Tube) Progesterone – hormone of pregnancy


a. X-ray
2hrs no Per Oral – after suka dahil sa inom- Deficiency of
b. Stethoscope w/borborygmic sound
Vit B1
c. Check for the pH
Dehydration – AIVE IV (Dextrose)
7.35-7.45- Normal blood PH
Vit B1 – B complex for sobrang lasing
SL- sublingual (under the tongue)
Hepatotoxic
Nc- nasal cannula
Ac (ante cibum)- before meal Lack of B9 and B12 – anemia
Pc (post cibum)- after meal
Prn- as needed Organogenesis (1st term)
Stat- immediately NTD’s (Neural Tube Defects)
NGT- nasogastric tube
Anencephaly- usually sa mga umiinom na mother
Largest muscle- Gluteus maximus - Spinabifida
- Avoid sciatic nerve – near the anus/ nagkakaron
ng paralysis kung eto ang natamaan Otic- for ears

FAT SOLUBLE VITAMIN

A. Vit A- pampalinaw ng mata


*Note: Di binibigay sa buntis at planong
magbuntis- it can harm the baby’s
- O – origin
development
- I – insertion
B. Vit D- bones
- N – nerve (Inferior gluteal nerve)
C. Vit E- Skin
- A – action
D. Vit K- for blood clotting
ANTI HYPERTENSIVE MEDICATION
A. Ace Inhibitor/ends in pril
WATER SOLUBLE VITAMIN
B. Beta Blockers (olol)
C. Calcium Channel Blockers A. Vit C
D. Diuretic- K+ (pump the heart) (3.5-4.5mE/) B. Vit B
a. K+ wasting
CNIV- SO
b. K+ sparing
*NOTE: K+ (pump the heart)
Kcl (lethal injection)

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