Pharmacology

Drug class patterns, endings to know, high-alert meds, and the calculations the NCLEX rotates.

74 posts

Pharm

Antidotes Cheat Sheet for the NCLEX

Every drug-antidote pairing the NCLEX tests: NAC, naloxone, flumazenil, vitamin K, protamine, DigiFab, deferoxamine, calcium gluconate, gluc

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Pharm

Vasopressors on the NCLEX

Norepinephrine, epinephrine, dopamine, vasopressin, phenylephrine: receptors, first-line uses, titration, extravasation.

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Pharm

Epinephrine on the NCLEX

Epinephrine for anaphylaxis (IM thigh) and cardiac arrest (1 mg IV): routes, timing, auto-injector teaching.

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Pharm

Adenosine on the NCLEX

Adenosine for SVT: rapid push with immediate flush, the expected pause, and what to tell the patient first.

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Atropine on the NCLEX

Atropine for symptomatic bradycardia: ACLS dosing, anticholinergic effects, and the glaucoma contraindication.

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Metformin on the NCLEX

Metformin: first-line for type 2 diabetes, lactic acidosis risk, the contrast-dye hold, GI effects, B12.

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Pharm

Allopurinol and Colchicine on the NCLEX

Gout drugs: acute attack vs prophylaxis roles, why timing matters, and the toxicity signs for each.

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Bisphosphonates on the NCLEX

Alendronate and friends: the empty-stomach, full-glass-of-water, sit-upright-30-minutes rules, esophagitis, jaw osteonecrosis.

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Pharm

Methotrexate on the NCLEX

Methotrexate: the weekly-not-daily error, folic acid, CBC and liver monitoring, infection and pregnancy warnings.

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Pharm

Sildenafil and Nitrates on the NCLEX

The PDE5-nitrate interaction: why the combination is lethal, the 24 and 48 hour windows, and the questions to ask.

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Pharm

The Pharmacology Patterns the NCLEX Actually Tests

Pharm on the NCLEX is pattern recognition, not 800 individual drugs. Here's the pattern playbook: class endings, side-effect mnemonics, high

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Pharm

Beta-Blockers on the NCLEX

Beta-blocker class for NCLEX: -olol ending, action, when to hold, side effects, and the teaching points the NCLEX hammers.

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Pharm

ACE Inhibitors on the NCLEX

ACE inhibitor class for NCLEX: -pril ending, the cough, angioedema risk, hyperkalemia, and pregnancy contraindication.

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Pharm

ARBs (Angiotensin Receptor Blockers) on the NCLEX

ARB class: -sartan ending, when to use over ACE inhibitor, hyperkalemia, pregnancy contraindication.

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Pharm

Calcium Channel Blockers on the NCLEX

CCBs: dihydropyridines vs non-dihydropyridines, when each is used, side effects, grapefruit juice interaction.

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Pharm

Statins on the NCLEX

Statin class for NCLEX: -statin ending, when to take, rhabdomyolysis warning, LFTs, grapefruit juice.

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Pharm

Loop Diuretics (Furosemide) on the NCLEX

Furosemide and the loop class: K+ loss, ototoxicity, dehydration, what to monitor.

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Pharm

Thiazide Diuretics on the NCLEX

HCTZ and the thiazide class for NCLEX: first-line HTN, K+ loss, glucose, gout.

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Potassium-Sparing Diuretics on the NCLEX

Spironolactone and the K-sparing class for NCLEX: hyperkalemia, gynecomastia, when to use.

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Pharm

Warfarin (Coumadin) on the NCLEX

Warfarin for NCLEX: INR target, vitamin K reversal, diet teaching, drug interactions, pregnancy contraindication.

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Pharm

Heparin on the NCLEX

Heparin for NCLEX: aPTT, protamine antidote, HIT, SQ vs IV, LMWH differences.

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Pharm

DOACs (Apixaban, Rivaroxaban, Dabigatran) on the NCLEX

Direct oral anticoagulants: indications, no routine monitoring, reversal agents, when to avoid.

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Pharm

Anticoagulants Overview: Warfarin vs Heparin vs DOACs

Side-by-side comparison of the three anticoagulant classes, when to use each, monitoring, antidotes.

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Pharm

SSRIs on the NCLEX

SSRI class for NCLEX: onset, side effects, serotonin syndrome, MAOI washout, suicidality in young adults.

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Pharm

SNRIs on the NCLEX

Venlafaxine, duloxetine: dual reuptake inhibitors. Uses, side effects, BP monitoring.

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Pharm

Tricyclic Antidepressants (TCAs) on the NCLEX

TCAs: anticholinergic side effects, overdose cardiotoxicity, when still used.

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Pharm

MAOIs on the NCLEX

MAOIs: tyramine crisis, drug interactions, washout periods, rare use.

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Pharm

Benzodiazepines on the NCLEX

Benzos for NCLEX: -pam/-lam endings, antidote flumazenil, withdrawal, indications.

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Pharm

Opioids on the NCLEX

Opioid class for NCLEX: full agonists, partial agonists, antagonists, naloxone, respiratory depression.

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Pharm

NSAIDs on the NCLEX

Ibuprofen, naproxen, ketorolac, aspirin: GI bleeding, kidney effects, when to avoid.

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Pharm

Acetaminophen on the NCLEX

Acetaminophen: max dose, hepatotoxicity, N-acetylcysteine antidote, alcohol interaction.

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Pharm

Corticosteroids on the NCLEX

Steroid class for NCLEX: indications, CUSHINGOID side effects, taper rule, infection masking.

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Pharm

Insulin on the NCLEX: Everything You Need

Insulin types by onset/peak/duration, sliding scale, hypoglycemia management, NCLEX traps.

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Pharm

Oral Antidiabetics on the NCLEX

Metformin, sulfonylureas, SGLT2 inhibitors, GLP-1 agonists, DPP-4 inhibitors, class by class.

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Penicillins on the NCLEX

Penicillin class: anaphylaxis, cross-reactivity with cephalosporins, common uses.

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Pharm

Cephalosporins on the NCLEX

Cephalosporin generations, alcohol interaction, cross-reactivity, common uses.

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Macrolides on the NCLEX

Azithromycin and the macrolide class: QT prolongation, drug interactions, uses.

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Fluoroquinolones on the NCLEX

Cipro, levofloxacin, moxifloxacin: tendon rupture, C. diff, QT prolongation, dairy interaction.

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Aminoglycosides (Gentamicin, Tobramycin) on the NCLEX

Aminoglycoside class: ototoxicity, nephrotoxicity, peak/trough monitoring.

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Pharm

Vancomycin on the NCLEX

Vancomycin for NCLEX: trough monitoring, red man syndrome, nephrotoxicity, MRSA.

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Pharm

Tetracyclines on the NCLEX

Doxycycline, tetracycline: pediatric/pregnancy contraindication, sun sensitivity, dairy interaction.

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Antifungals on the NCLEX

Fluconazole, ketoconazole, amphotericin B: indications and toxicities.

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Pharm

Antivirals on the NCLEX

Acyclovir, oseltamivir, common antivirals: indications and side effects.

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HAART (HIV Antiretrovirals) on the NCLEX

HIV treatment classes overview: NRTIs, NNRTIs, PIs, INSTIs, side effects.

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TB Drugs (RIPE Regimen) on the NCLEX

Rifampin, isoniazid, pyrazinamide, ethambutol: side effects, B6 with INH, red-orange urine.

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Bronchodilators (SABA, LABA, ICS, LAMA) on the NCLEX

Albuterol, salmeterol, ipratropium, tiotropium: asthma stepwise therapy, when to use each.

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Antiemetics on the NCLEX

Ondansetron, promethazine, metoclopramide: indications, QT prolongation, EPS.

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Pharm

PPIs and H2 Blockers on the NCLEX

Omeprazole, pantoprazole, famotidine: long-term risks, indications.

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Antiepileptics on the NCLEX

Phenytoin, valproate, levetiracetam, carbamazepine: levels, side effects, pregnancy.

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Thyroid Medications (Levothyroxine, Methimazole, PTU) on the NCLEX

Levothyroxine for hypothyroidism, methimazole and PTU for hyperthyroidism. Teaching, monitoring.

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Lithium on the NCLEX

Lithium: therapeutic level, toxicity signs, hydration and sodium, pregnancy.

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Digoxin on the NCLEX

Digoxin: therapeutic level, apical pulse, hypokalemia + digoxin = toxicity, antidote DigiFab.

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Pharm

Amiodarone on the NCLEX

Amiodarone: class III antiarrhythmic, multi-organ toxicity, loading dose, monitoring.

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Pharm

Magnesium Sulfate on the NCLEX

Mag sulfate in OB: pre-eclampsia/eclampsia seizure prophylaxis. Toxicity, antidote calcium gluconate.

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Pharm

Oxytocin (Pitocin) on the NCLEX

Oxytocin: labor induction/augmentation, postpartum hemorrhage, hyperstimulation signs.

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Pharm

Atypical Antipsychotics on the NCLEX

Risperidone, olanzapine, quetiapine, aripiprazole: metabolic syndrome, clozapine ANC monitoring.

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Typical Antipsychotics on the NCLEX

Haloperidol, chlorpromazine, fluphenazine: EPS, NMS, tardive dyskinesia.

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Pharm

Barbiturates on the NCLEX

Phenobarbital and the barbiturate class: respiratory depression, narrow therapeutic index, withdrawal.

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Pharm

High-Alert Medications on the NCLEX

The med safety list every NCLEX candidate must know: insulin, heparin, opioids, KCl, mag sulfate, chemo, anticoagulants.

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PCA Pump Safety on the NCLEX

PCA pump rules: only patient pushes button, monitoring, education, common errors.

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Pharm

-olol: Beta-Blockers (Drug Ending Cheat Sheet)

If the drug ends in -olol, it's a beta-blocker. Quick reference and NCLEX implications.

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Pharm

-pril: ACE Inhibitors (Drug Ending Cheat Sheet)

If the drug ends in -pril, it's an ACE inhibitor. Quick reference and NCLEX implications.

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Pharm

-sartan: ARBs (Drug Ending Cheat Sheet)

If the drug ends in -sartan, it's an ARB. Quick reference.

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Pharm

-statin: HMG-CoA Reductase Inhibitors (Drug Ending Cheat Sheet)

If the drug ends in -statin, it's a cholesterol-lowering statin.

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Pharm

-azole: Antifungals (Drug Ending Cheat Sheet)

If the drug ends in -azole, it's typically an antifungal.

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-prazole: PPIs (Drug Ending Cheat Sheet)

If the drug ends in -prazole, it's a proton pump inhibitor.

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-mycin: Multiple Classes (Drug Ending Cheat Sheet)

-mycin is tricky, different drugs in different classes share it.

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Pharm

-floxacin: Fluoroquinolones (Drug Ending Cheat Sheet)

If the drug ends in -floxacin, it's a fluoroquinolone.

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Pharm

-caine: Local Anesthetics (Drug Ending Cheat Sheet)

If the drug ends in -caine, it's a local anesthetic.

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Pharm

-pam and -lam: Benzodiazepines (Drug Ending Cheat Sheet)

If the drug ends in -pam or -lam, it's a benzodiazepine.

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-ide: Loop Diuretics and Oral Antidiabetics (Drug Ending Cheat Sheet)

-ide is ambiguous, loop diuretics (furosemide) and sulfonylurea antidiabetics (glipizide) share it.

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Pharm

Dosage Calculation Mastery for NCLEX

The handful of dosage calc formulas the NCLEX uses. Worked examples for each.

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Pharm

Pediatric Dosing on the NCLEX

Weight-based pediatric dosing, max doses, common peds meds.

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Pharm

Heparin Drip Titration on the NCLEX

Heparin drip titration: aPTT-driven adjustment, bolus, when to hold.

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