Category Anesthesia

Metformin (Glucophage)

Uses Treatment of type 2 DM, particularly in overweight pts, when dietary management and exercise alone do not result in adequate glycemic control. A reduction of diabetic complications has been shown in overweight type 2 diabetic pts treated with metformin…

Marijuana

Acknowledgment The authors would like to acknowledge the contributions of Drs. Joshua W. Sappenfield and Christopher T. Stephens to this chapter in the previous edition. Uses Antiemetic Appetite stimulation Analgesia Recreational Epilepsy Glaucoma Mood disorders Spastic disorders Perioperative Risks Cross-tolerance…

Magnesium Sulfate

Acknowledgment The author would like to acknowledge the contributions of Drs. Subramanian Sathishkumar and Sanjib Adhikary to this chapter in the previous edition. Uses Treatment of hypomagnesemia and magnesium deficiency in critically ill pts Treatment of torsade de pointes, atrial…

Lithium Carbonate (Lithobid)

Uses For treatment of manic episodes of bipolar disorder and some schizoaffective disorders. Approved for maintenance therapy to help prevent episodes of mania or depression. As an augmenting agent for antidepressants. Has also been used to treat aggression, PTSD, and…

Leukotriene Antagonists

Uses Include the leukotriene receptor antagonists montelukast, zafirlukast, and pranlukast (not available in USA) as well as the 5-lipoxygenase (5-LO) inhibitor zileuton. Montelukast is the most commonly used drug of this class in USA. Montelukast is a once-daily oral drug…

Insulin

Uses Treatment of pts with insulin-dependent DM, hyperglycemia, DKA, and hyperkalemia Overview/Pharmacology Produced by the beta cells of the pancreatic islets of Langerhans. Proteolytic cleavage of the connecting peptide from proinsulin produces the C-peptide and insulin (peptides A and B),…

Inhaled Bronchodilators

Uses Reversal of airflow limitation via relaxation of airway smooth muscle tissue Long-acting formulations used for chronic therapy and short-acting formulations for acute symptom relief. Diagnosis of COPD: FEV 1 /FVC <0.70 after bronchodilator treatment. Overview/Pharmacology Two classes: Beta 2…

Hormone Replacement Therapy

Uses Prevention or alleviation of moderate to severe menopausal signs and symptoms such as vasomotor effects, depressive mood changes, vaginal dryness, urogenital atrophy, osteoporosis, cardiovascular disease, and cognitive dysfunction Treatment of physiologic and physical manifestations of primary ovarian insufficiency Perioperative…