Pharmacology Mnemonics For The Family Nurse Practitioner
PharmacologyMnemonics for theFamily NursePractitionerNachole JohnsonIllustrated by Murhiel Caberte
Copyright 2017 Nachole Johnson and ReNursing Publishing Company.ALL RIGHTS RESERVED.DisclaimerAlthough the author and publisher have made every effort to ensure the informationprovided in this book were correct at press time, the author and publisher do notassume and hereby disclaim any liability to any party for any loss, damage, ordisruption caused by errors or omissions, whether such errors or omissions result fromnegligence, accident, or any other cause.This book is not intended as the substitute for the legal advice or consultation ofattorneys. The reader should regularly consult an attorney in matters relating to his/herbusiness that may require legal advisement.All rights are reserved. No part of this publication may be reproduced, distributed,more transmitted in any form or by any means, including photocopying, recording, orother electronic or means, including photocopying, recording, or any other electronicor mechanical methods, without the prior written permission of the publisher, exceptin no commercial use permitted uses permitted by copyright law.ISBN-13: 978-1548378165ISBN-10: 154837816XPrinted in the United States of America10 9 8 7 6 5 4 3 2 1
Table of ContentsTABLE OF CONTENTSCHAPTER 1 WHY I WROTE THIS BOOKCHAPTER 2 PHARMACOLOGY PEARLSCommon Medication Classifications and ActionsPharmacology SuffixesCHAPTER 3 CARDIOLOGYACE inhibitor side effects (CAPTOPRIL)Beta blockers:Ca Channel Blockers: Uses- CA MASH:Antiarrhythmic: ClassificationCHAPTER 4 PULMONARYPulmonary Infiltrations Inducing Drugs "Go BAN Me!"Antibiotics for TBCHAPTER 5 ANTIBIOTICS/ANTIVIRALSSulfonamide: Major Side Effects .SSSSVancomycin - "A Red Van Drove Into The Wall"Amphotericin Toxicities: AMPHOTERICIN BTricyclic Antidepressants:Depression: 5 Drugs Causing It: PROMSBenzodiazapinesMAOIs: Indications MAOI'S:Monoamine Oxidase Inhibitors:Lithium: Side Effects LITH:CHAPTER 6 PAINNSAID ContraindicationsNames of Common NSAIDS: CAINMorphine: Effects MORPHINES:
Opioids: µ-Receptor Effects "MD CARES":Opioids: Effects BAD AMERICANS:Narcotic AntagonistsMorphine: Effects At mu -Receptor PEAR:Aspirin: Side Effects ASPIRIN:CHAPTER 7 ENDOCRINE/IMMUNOLOGYSide Effects Of Systemic Corticosteroids (CORTICOSTEROIDS)Steroid Side Effects CUSHINGOID:Steroids (6 S’s)Steroids: Side Effects BECLOMETHASONE:Drugs to Use in Rheumatoid Arthritis: MS. AHILABusulfan: Features ABCDEF:Antirheumatic Agents (Disease Modifying):Auranofin, Aurothioglucose: Category And IndicationEnzyme Inhibitors: “SICKFACES.COMLupus: Drugs Inducing It.HIP:CHAPTER 8 GI/LIVERZero Order Kinetics Drugs (most common ones) "PEAZ (sounds likepees) out a constant amount":Hepatic Necrosis: Drugs Causing Focal To Massive NecrosisPrinciples of management in toxicology8 A’s for Hepatotoxic DrugsInhibitors of p450:Inhibitors Stop Cute Kids from Eating Grapefruit.CHAPTER 9 GU/REPRODUCTIVEDiuretics:Osmotic Diuretics: Members GUM:Teratogenic Drugs "W/ TERATOgenic":Gynecomastia-Causing Drugs DISCO:Sex Hormone Drugs: Male "Feminine Males Need Testosterone":Teratogenic Drugs: Major Non-Antibiotics TAP CAP:Don’t Use 'Safe CT' in PregnancyDrugs Causing Erectile Dysfunction
CHAPTER 10 HEMATOLOGYDrugs That Potentiate Warfarin (O DEVICES)Drugs That Decrease The Effectiveness Of Warfarin (PC BRAS)Thrombolytic Agents USA:Warfarin: Action, Monitoring - We PT:Warfarin: Metabolism SLOW:Lead poisoning: presentation ABCDEFG:CHAPTER 11 NEUROSide Effects Of Sodium Valproate (VALPROATE)Antimuscarinics: Members, ActionCARE Drugs To Treat Alzheimer’sMuscarinic effects SLUG BAM:Epilepsy Types, Drugs Of Choice:Migraine: Prophylaxis DrugsNeostigmine, on the Contrary, Is:Phenytoin: adverse effects PHENYTOIN:Anticholinergic Side EffectsMyasthenia Gravis: Edrophonium Vs. PyridostigmineCholinergics (e.g. Organophosphates): EffectsMethyldopa:Botulism Toxin: Action, Related BungarotoxinREFERENCES
Chapter 1Why I Wrote This BookThere’s a lot to learn while you are in nurse practitioner school. Because of the timepressure, I really appreciated anything that would help me get through school. I’vealways been a visual learner, and it is easy for me to pick up information if I draw outpictures or play with words to make learning a complex issue easier. I loved usingmnemonics when I was in nursing school, and that continued when I went to graduateschool for my Family Nurse Practitioner degree.I found it was easy for me to remember silly sayings during the test that would remindme of the right answer. Turns out, many other people like mnemonics too! I decidedto write a book specifically for the Nurse Practitioner field. Pharmacology Mnemonicsfor the Nurse Practitioner is a general guide to pharmacology, meaning it will helpyou no matter your specialty. It is a bit of a cross between what you would expectfrom a book for nurses and one geared toward physicians.Use this book as a guide to memorize common concepts and as a refresher for onesyou haven't used in a while. Even when you are out of school and in practice, it issometimes difficult to remember a concept you haven't used since the final exam. Thisis normal and happens to nurse practitioners and physicians alike. I still use sillymnemonics to remember things like the cranial nerves “On Old Olympus ToweringTops A Fin And German Viewed Some Hops,” anyone?Use this book while you are in school and as a refresher when you finish. I’veincluded extras for Nurse Practitioners like common pharmacological abbreviations,medication classifications, and medication antidotes. Have fun, learn, and enjoy!
Chapter 2Pharmacology PearlsPharmacology Abbreviationsābeforeacbefore mealsADright earASleft earAUboth earsbidtwice a daywithcapcapsuleECenteric-coatedelixelixirh or hr hourhsIMIVhour of sleepintramuscularintravenous
IVPintravenous pushNGnasogastricnpoODnothing by mouthright eyeoint ointmentosmouthOTCover-the-counterOSleft eyeOUboth eyesafterpcafter mealsperbypoby mouthprper rectumprnas neededqeveryq1hevery 1 hourq2hevery 2 hoursq3hevery 3 hoursq4hevery 4 hoursq6hevery 6 hoursq8hevery 8 hoursqdevery dayqhevery hourqidfour times a daywithout
SLSublingualSRsustained releasesuppsuppositorysyrsyruptabtablettidthree times a daywww.jointcommission.org
Routes of Entry:Most Rapid Ways Meds/Toxins Enter Body“Stick it, Sniff it, Suck it, Soak it”:Stick InjectionSniff InhalationSuck IngestionSoak Absorption
Common Medication Classifications and ActionsAntacids- Reduce hydrocholoric acid located in the stomachAntianemics- Increases the production of red blood cellsAnticholinergics- Decreases oral secretionsAnticoagulants- Prevents the formation of clotsAnticonvulsants- Management of seizures or bipolar disordersAntidiarrheals- Reduce water in bowels and gastric motilityAntihistamines- Block the release of histamineAntihypertensives- Decreases blood pressureAnti-infectives- To get rid of infectionsBroncholdilators- Dilates the bronchi and bronchiolesDiuretics- Increase excretion of water/sodium from the bodyLaxatives- Loosens stools and increases bowel movementsMiotics- Constricts pupils of the eyeMydriatics- Dilates the pupilsNarcotics/analgesics- Relieves pain
Pharmacology Suffixes-amil: calcium channel blockers-caine: local anesthetics-cycline: antibiotics-dine:anti-ulcer agents (H2 histamine blockers)-done: opioid analgesics-ine: antidepressants, calcium channel blockers-ide: oral hypoglycemics-pam: anti-anxiety agents-oxacin: broad spectrum antibiotics-micin: antibiotics-mide: diuretics-mycin: antibiotics-nuim: neuromuscular blockers-olol: beta blockers-pam: anti-anxiety agents-pine: calcium channel blockers-pril: ace inhibitors-sone: steroids-statin: antihyperlipidemics-vir: anti-virals-xacin: antibiotics-zide: diuretics-zine: antipsychotics
Viral Drugs- "-vir at start, middle or end means virus": ·Example iraceptViramuneZanamivirZovirax
Additional Conversions:2.2 lbs 1 kg15 gr 1 g 1,000 mg1 gal 4 qt 128 oz 400 mL1 pt 16 oz 480 mL2 Tbsp 1 oz 8 dr 30 mL15 gtt 15 minum 1 mL 1 cc1 lb 16 oz1 gr 65 mg1 qt 2 pt1 L 1,000 mL1 cup 8 oz 240 mL1 tsp 60 gtt 1 dr 4 mL1 gtt 1 minim1 oz 30 g1 mg 1,000 mcg
Therapeutic dosage: toxicity values for most commonlymonitored medications"The magic 2s":Digitalis (.5-1.5) Toxicity 2.Lithium (.6-1.2) Toxicity 2.Theophylline (10-20) Toxicity 20.Dilantin (10-20) Toxicity 20.APAP (1-30) Toxicity 200.
Chapter 3CardiologyACE inhibitor side effects (CAPTOPRIL)CoughAngioedemaProteinuriaTaste disturbance/ Teratogenic in 1st trimesterOther (fatigue, headache)Potassium increasedRenal impairmentItchLow BP (1st dose)Alternative - CRAP PILOTC oughR enal impairmentA naphylaxisP alpitationsP otassium elevatedI mpotenceL eukocytosisO rthostatic hypotensionT aste
Beta blockers:B1 selective vs. B1-B2 non-selectiveA through N: B1 selective:Acebutalol, Atenolol, Esmolol, Metoprolol.O through Z: B1, B2 non-selective:Pindolol, Propanalol, Timolol.Beta 1 selective blockersBeta 1 blockers:EsmololAtenololMetropolol"BEAM me up,Scotty!"Beta-blockers:Nonselective Beta-blockers:
“Tim Pinches His Nasal Problem"(because he has a runny eta-blockers: Side effects"BBC Loses Viewers In ionLipidsVivid dreams &nightmaresInotropic actionReduced sensitivityto hypoglycemia
Ca Channel Blockers: Uses- CA MASH:Cerebral vasospasm/ CHFAnginaMigrainesAtrial flutter, fibrillationSupraventricular tachycardiaHypertensionAlternatively: "CHASM":Cerebral vasospasm / CHFHypertensionAngina / Atrial aMigraines
Antiarrhythmic: ClassificationI to IV MBA CollegeIn order of class I to IV:Membrane stabilizers (class I)Beta blockers (class II)Action potential widening agents(class III)Calcium channel blockers (class IV)
Amiodarone: Action, Side Effects 6P's:P rolongs action potential durationP hotosensitivityP igmentation of skinP eripheral neuropathyP ulmonary alveolitis and fibrosisP eripheral conversion of T4 to T3 isinhibited - hypothyroidism
Chapter 4PulmonaryPulmonary Infiltrations Inducing Drugs"Go BAN Me!"GoldBleomycin/ Busulfan/ BiCNUAmiodarone/ Acyclovir/ ethysergide
Antibiotics for TBST RREPTOMYCINSTRIPE:ISONIAZID PYRAZINAMIDEETHAMBUTOLIFAMPICINAlternatively, amideIsoniazidAsthma Drugs: Leukotriene Inhibitor ActionzAfirlukast: Antagonist of lipoxygenase
zIlueton: Inhibitor of LT receptorZafirlukast, Montelukast, Cinalukast: Mechanism & Usage"Zafir-luk-ast, Monte-luk-ast, Cina-luk-ast": Anti-Leukotrienes for Asthma.Clinical pearl: Zafirlukast antagonizes leukotriene-4.
Medicines for AsthmaA gonist of beta receptors and Antagonist ofleukotrieneS teroidsT heophylline – relaxes bronchial musclesH istamine antagonist as prophylacticM ucolytics – acetylcysteine (Fluimucil)A ntibioticsIprAtropium action: Atropine is buried in the middle, so it behaves likeAtropine.Respiratory depression inducing drugs "STOPbreathing":
Non-Cardiac Causes of Pulmonary Edema: PONSPulmonary edema “MAD nGases
Chapter 5Antibiotics/Antivirals
Sulfonamide: Major Side Effects .SSSSSteven-Johnson syndromeSkin rashSolubility low (causes crystalluria)Serum albumin displaced(Causes newborn kernicterus andpotentiation of other serum albuminbinders like warfarin)
Quinolones [and Fluoroquinolones]:mechanism"Topple the Queen":Quinolone interferes with Topoisomerase II.Nitrofurantoin: Major Side Effects NitroFurAntoin:Neuropathy (peripheral neuropathy)Fibrosis (pulmonary fibrosis)Anemia (hemolytic anemia)
Antibiotics Contraindicated During Pregnancy racyclineTetracycline: TeratogenicityTEtracycline is a TEratogen that causes staining of TEeth in the newborn.
Vancomycin - "A Red Van Drove Into The Wall"Antihistamines (prevents red man syndrome)Red man syndromeVancomycinDAla DAla (terminal end of pentapeptide)InhibitorThrombophlebitisWall (cell wall)
Amphotericin Toxicities:AMPHOTERICIN BAnemiaMuscle her reactions (leukopenia, Increased ratory stridorIncreased temperature (fever)ChillsImmediate hypersensitivity (anaphylaxis)NephrotoxicityBronchospasmAnti AnXiety BuXpironeBuPROPERion PROPER habits (no smoking)It’s used for smoking cessation.
The Use Of PropranololFor PERFORMANCE ANXIETY.Take prOPRA-nolol if you wanna talk to OPRAh!!!Propranolol is the beta-blocker with the strongest sedation effect. Justthinking of talking to Oprah can cause migraines, essential tremors andarrhythmias (the other 3 uses of the drug).
Delirium-Causing DrugsACUTE CHANGE IN MS:Antibiotics (biaxin, penicillin, ciprofloxacin)Cardiac drugs (digoxin, lidocaine)Urinary incontinence drugs dsH2 blockersAntiparkinsonian drugsNarcotics (esp. mepridine)Geriatric psychiatric drugsENT drugsInsomnia drugsNSAIDs (e.g. indomethacin, naproxen)Muscle relaxantsSeizure medicines
Tricyclic Antidepressants:Meds Worth Knowing"I have to hide, the CIA is after me":Clomipramine Imipramine Amitriptyline· The next 3 worth knowing,“The DND is also after me”:Desipramine Nortriptyline DoxepinSerotonin Syndrome: Components Causes HARM:Hyperthermia,Autonomic Instability (delirium)RigidityMyoclonusSSRIs: Side Effects SSRI:Serotonin syndromeStimulate CNSReproductive dysfunction in male
Insomnia
Depression: 5 Drugs Causing It: PROMSPROPRANOLOL RESERPINE ORALCONTRACEPTIVES
BenzodiazapinesBenzodiazapines: Those not metabolized by the liver (safe to use in liverfailure)LOT: Lorazepam Oxazepam TemazepamBenzodiazepines: Actions"Ben SCAMs Pam into seduction not by brain but, by muscle":Sedationanti-Convulsantanti-AnxietyMuscle relaxantNot by brain: No antipsychotic activityBenzodiazepines: Drugs Which Decrease Their Metabolism"I'm Overly Calm":Isoniazid
Oral contraceptive pillsCimetidineThese drugs increase the calming effect of BZDs by retarding metabolism.Benzodiazepines: Antidote "Ben is off with the Flu":Benzodiazepine effects off with Flumazenil.
MAOIs: Indications MAOI'S:Melancholic [classic name for atypical depression]AnxietyObesity disorders [anorexia, bulimia]Imagined illnesses [hypochondria]Social phobias* Listed in decreasing order of importance.· Note MAOI is inside MelAnchOlIc
Monoamine Oxidase Inhibitors:Members "PIT of despair":PhenelzineIsocarboxazidTranylcypromineA PIT of despair, since MAOIs treat depression
Lithium: Side Effects LITH:LeukocytosisInsipidus [diabetes insipidus, tied to polyuria]Tremor/ TeratogenesisHypothyroidism
Chapter 6PainBeneficial Effects Of Inhibition of ProstaglandinSynthesis i.e. Acetaminophen And NSAIDS (5 omboticArteriosus(NSAIDs for closure of patent ductus arteriosus)
NSAID ContraindicationsNursing and pregnancySerious bleedingAllergy/Asthma/AngioedemaImpaired renal functionDrug (anticoagulant)
Names of Common NSAIDS: ternatively, ulindac
Narcotics: Side Effects"SCRAM If You See A Drug Dealer":Synergistic CNS depression with otherdrugsConstipationRespiratory depressionAddictionMiosis
Morphine: Effects MORPHINES:MiosisOrthostatic hypotensionRespiratory depressionPain suppressionHistamine release/ HormonalalterationsIncreased ICPNauseaEuphoriaSedationMorphine Side-Effects: MORPHINE:MiosisOut of it (sedation)Respiratory depressionPneumonia (aspiration)HypotensionInfrequency (constipation, urinaryretention)NauseaEmesis
Opioids: µ-Receptor Effects "MD ratory depressionEuphoriaSedation
Opioids: Effects BAD AMERICANS:Bradycardia & hypotensionAnorexiaDiminished pupillary sizeAnalgesicsMiosisEuphoriaRespiratory depressionIncreased smooth muscle activity(biliary tract constriction)ConstipationAmeliorate cough reflexNausea and vomitingSedation
Narcotic AntagonistsThe Narcotic Antagonists are NAloxone and NAltrexone.They treat narcotic overdose.
Morphine: Effects At mu -Receptor PEAR:Physical dependenceEuphoriaAnalgesiaRespiratory depression
Aspirin: Side Effects ASPIRIN:AsthmaSalicyalismPeptic ulcer disease/ Phosphorylationoxidation uncoupling/ PPH/ Plateletdisaggregation/ Premature closure ofPDAIntestinal blood lossReye's syndromeIdiosyncrasyNoise (tinnitus)
Chapter 7Endocrine/ImmunologySide Effects Of Systemic Corticosteroids(CORTICOSTEROIDS)Cushing’s syndromeOsteoporosisRetardation of growthThin skin, easy bruisingImmunosuppressionCataracts and glaucomaOedemaSuppression of HPA axisTeratogenicEmotional disturbanceRise in BPObesity (truncal)Increased hair growth(hirsutism)Diabetes mellitusStriaeSteroid Side Effects CUSHINGOID:CataractsUlcersSkin: striae, thinning, bruising
Hypertension/ Hirsutism/ HyperglycemiaInfectionsNecrosis: avascular necrosis of the femoralheadGlycosuriaOsteoporosis, ObesityImmunosuppressionDiabetesSteroids (6 S’s)Sugar (hyperglycemia)Soggy bones (causesosteoporosis)Sick (decreased immunity)Sad (depression)Salt (water and salt retention)Sex (decreased libido)Steroids: Side Effects BECLOMETHASONE:Buffalo humpEasy bruisingCataractsLarger appetiteObesityMoon faceEuphoriaThin arms & legsHypertension/ HyperglycemiaAvascular necrosis of femoral
headSkin thinningOsteoporosisNegative nitrogen balanceEmotional liability
Drugs to Use in Rheumatoid Arthritis: MS. AHILAM - MethotrexateS - SulfsalazineA - AdalimumabHHydroxychloroquineI - InfliximabL - LeflunomideA - AbataceptBusulfan: Features ABCDEF:Alkylating agentBone marrow suppression s/eCML indication
Dark skin (hyperpigmentation)s/eEndrocrine insufficiency(adrenal) s/eFibrosis (pulmonary) s/eAntirheumatic Agents (Disease Modifying):CHAMP:CyclophosphamideHydroxycloroquine andcholoroquinineAuranofin and other goldcompoundsMethotrexatePenicillamineAuranofin, Aurothioglucose: Category And IndicationAurum is Latin for "gold" (gold's chemical symbol is Au).Generic Aur- drugs (Auranofin, Aurothioglucose) are gold compounds.Gold's indication is rheumatoid arthritis,
AUR- Acts Upon Rheumatoid.
Enzyme Inhibitors: “SICKFACES.COMSodium romycin oleMetronidazole
Lupus: Drugs Inducing It.HIP:HydralazineINHProca inamide
Chapter 8GI/LiverZero Order Kinetics Drugs (most common ones)"PEAZ (sounds like pees) out a constant amount":PhenytoinEthanolAspirinZero orderSomeone that pees out a constant amount describes zero order kinetics(always the same amount out).Hepatic Necrosis: Drugs Causing Focal To Massive Necrosis"Very Angry Hepatocytes":Valproic acidAcetaminophenHalothanePrinciples of management in toxicologyRESSReduce absorptionEnhanceeliminationSpecific antidoteSupportivetreatment
8 A’s for Hepatotoxic DrugsAnti-tuberculosisAnticonvulsantSodium nAlcoholAntifamily rs of p450:Inhibitors Stop Cute Kids from Eating ythromycinGrapefruit juiceIC(see) KEGS (going down)
fonamides
Chapter 9GU/ReproductiveDiuretics:Thiazides Indications: “CHIC”Congestive Heart failureHypertensionInsipidusCalcium calculi
Osmotic Diuretics: Members GUM:GlycerolUreaMannitolTeratogenic Drugs "W/ TERATOgenic":WarfarinThalidomideEpileptic drugs: phenytoin, valproate, carbamazepineRetinoidACE inhibitorThird element: lithiumOCP and other hormones (e.g. danazol)Gynecomastia-Causing Drugs DISCO:Digoxin Isoniazid Spironolactone Cimet Oestrogensidine
Alternative,Gynecomastia Causing Drugs - DISCO gensMethyldopaMetronidazoleTriCyclic AntidepressantsVerapamil
Sex Hormone Drugs: Male "Feminine Males eNandroloneTestosteroneTeratogenic Drugs: Major Non-AntibioticsTAP CAP:Thalidomide Androgens ProgestinsCorticosteroids Aspirin & indomethacin Phenytoin
Don’t Use 'Safe CT' in ErythromycinClarithromycinTetracyclineDrugs Causing Erectile DysfunctionSTOP Erection
terine Relaxants “It’sNot My Time”IndomethecinNifedipineMagnesiumTerbutaune
Chapter 10HematologyDrugs That Potentiate Warfarin (O soniazidCiprofloxacin andCimetidineEthanol (acutely)Sulphonamides
Drugs That Decrease The Effectiveness Of Warfarin inAlcohol (chronicuse)Sulphonylureas
Thrombolytic Agents USA:Urokinase StreptokinaseAlteplase (tPA)Enoxaparin (prototype low molecular weight heparin): action, monitoringEnoXaprin only acts on factor Xa. Monitor Xa concentration, rather thanAPTT.
Warfarin: Action, Monitoring - We PT:Warfarin works on the Extrinsic pathway and is monitored by PT.
Warfarin: Metabolism SLOW: Has a slow onset of action. A quicK Vitamin K antagonist, though.Small lipid-soluble moleculeLiver: site of actionOral route of administration.WarfarinLead poisoning: presentation ABCDEFG:AnemiaBasophilic strippingColicky painDiarrheaEncephalopathyFoot dropGum (lead line)
Chapter 11NeuroSide Effects Of Sodium Valproate (VALPROATE)VomitingAlopeciaLiver toxicityPancreatitis/ PancytopeniaRetention of fat (weightgain)Oedema (peripheral)AnorexiaTremorEnzyme inhibitor
Antimuscarinics: Members, Action"Inhibits Parasympathetic And Sweat":IpratropiumPiAt Scopolaminerenzepine ropineMuscarinic receptors at all parasympathetic endings sweat glands insympathetic.CARE Drugs To Treat Alzheimer’sCognexAriceptREminylExelon
Muscarinic effects SLUG BAM:Salivation/ Secretions/ SweatingLacrimationUrinationGastrointestinal upsetBradycardia/ Bronchoconstriction/ Bowel movementAbdominal cramps/ AnorexiaMiosisCholinergic Crisis: ic upsetEmesis
Epilepsy Types, Drugs Of Choice:"Military General Attacked Weary Fighters Proclaiming 'Veni Vedi Veci'After Crushing Enemies":· Epilepsy types: Myoclonic, Grand mal, Atonic, West syndrome.Focal, Petit mal (absence)· Respective drugs: Valproate Valproate Valproate ACTHCarbamazepine EthosuximideMigraine: Prophylaxis Drugs"Very Volatile Pharmacotherapeutic Agents For Migraine Prophylaxis":VerapamilValproic ropranololPhysostigmine vs. Neostigmine LMNOP:
Lipid eNeostigmine, on the Contrary, Is:Water solubleAdministered inmyasthenia gravisSyntheticPoor oral absorptionSIADH-Inducing Drugs ABCD:Analgesics: opioids, NSAIDsBarbiturates
Cyclophosphamide/ Chlorpromazine/CarbamazepineDiuretic (thiazide)Phenobarbital: Side EffectsChildren are annoying(hyperkinesia, irritability, insomnia,aggression).Adults are dozy(sedation, dizziness, drowsiness)Phenytoin: adverse effects PHENYTOIN:P-450 interactionsHirsutismEnlarged gumsNystagmusYellow-browning of skinTeratogenicityOsteomalaciaInterference with B12 metabolism (henceanemia)Neuropathies: vertigo, ataxia, and headache
Anticholinergic Side Effects"Know the ABCD'S of anticholinergic side effects":AnorexiaBlurry visionConstipation/ConfusionDry MouthSedation/ Stasis ofurine
Myasthenia Gravis: Edrophonium Vs. PyridostigmineeDrophonium is for Diagnosis.pyRIDostigmine is to get RID of symptoms.
Cholinergics (e.g. Organophosphates): EffectsIf you know these, you will be "LESS DUMB":LacrimationExcitation of nicotinic tionBronchoconstrictionMethyldopa:Side Effects METHYLDOPA:Mentally challengedElectrolyte imbalanceToleranceHeadache/ HepatotoxicitypsYchological upsetLactation in womenDry mouthOedema
ParkinsonismAnemia (hemolytic)Botulism Toxin: Action, Related BungarotoxinAction: "Botulism Bottles up the Ach so it can't be the released":Related bungarotoxin: "Botulism is related to Beta Bungarotoxin (beta-, notalpha-bungarotoxin--alpha has different mechanism).
ReferencesBentz, P.M. & Ellis, J. R. (2007). Modules For Basic Nursing Skills (7th ed.)Philadelphia: Lippincott Williams and Wilkins. p 823Jarvis. C. (2004). Math For Nurses: Pocket Guide To Dosage CalculationAnd Drug Preparation (18th ed.) Upper Saddle River, NJ. PearsonEducation. Inc. pp.573-574Duell, D. J., Martin, B.C., & Smith, S. F. (2004). Clinical Nursing Skills:Basic To Advanced Skills (16th ed.) Upper Saddle River, NJ. PearsonEducation. Inc. pp 573-574Perry, A.G., & Potter, P.A. (2006). Clinical Nursing Skills And Techniques(6th ed.). St. Louis, MO: Elsevier Mosby. pp. gstudent-must-master/?utm content buffer618b5&utm medium social&utm source pinterest.com&utm om/viewarticle/825053#vp 2www.prep4usmle.comwww.quizlet.comwww.scribd.com
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Other Books by Nachole JohnsonMedical Mnemonics for the Family Nurse PractitionerNP School and Beyond: Tips for the Student Nurse PractitionerThe Financially Savvy Nurse Practitioner: Your Guide to Building Wealth50 Business Ideas For The Entrepreneurial NurseYou're a Nurse and Want to Start Your Own Business? The Complete GuideAdult-Gero and Family Nurse Practitioner Certification Review: Labs ForPrimary CareAdult-Gero and Family Nurse Practitioner Certification Review: MentalHealthAdult-Gero and Family Nurse Practitioner Certification Review: CardiacAdult-Gero and Family Nurse Practitioner Certification Review: HealthPromotionAdult-Gero and Family Nurse Practitioner Certification Review: PulmonaryAdult-Gero and Family Nurse Practitioner Certification Review:Genitourinary and STDsAdult-Gero and Family Nurse Practitioner Certification Review: NeuroAdult-Gero Primary Care and Family Nurse Practitioner CertificationReview: Head, Ears, Eyes, Nose, and ThroatNachole’s Amazon Author Page:amazon.com/author/nacholejohnsonNachole’s Blog: renursing.com
Pharmacology Mnemonics for the Nurse Practitioner is a general guide to pharmacology, meaning it will help you no matter your specialty. It is a bit of a cross between what you would expect from a book for nurses and one geared toward physicians.
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