Share your mnemonic

Discussion in 'Pharmacy' started by Lisochka, 05.23.12.

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  1. Lisochka

    Lisochka Senior Member 10+ Year Member

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    SDN Members don't see this ad. About the ads.
    I think it would be interesting to have a thread with mnemonics. I know a lot of people use mnemonics....
    Here are some of mine:
    1) Blind as a bat, mad as a hatter, red as a beet, hot as hell, dry as a bone, the bowel and bladder lose their tone, and the heart runs alone
    Side effects of anticholinergic
    2) side effects of cholenergics: DUMBELLS - Diarrhea, Urination, Miosis, Bradycardia, Emesis, Lacrimation, Lethargy and Salivation

    These are very common, but I like them.
    Would you please share your mnemonics?
     
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  3. Auriel619

    Auriel619 5+ Year Member

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    This could be the greatest thread EVER.

    I'll contribute a Rap about Community Acquired Pneumonia
    the things in parentheses are explanations for the rhymes. This is my magnus opus

    To Treat Community Acquired Pneumonia:

    If you have pneumonia
    and there's nothing wrong, (No Additional Risk Factors)
    Macro or Doxy (Give Macrolide or Doxycycline Monotherapy)
    They all get along

    If You're old Diabetic (Age & Diabetes are risk factors so if you have any additional risks)
    and you just can't win
    Add Levo or Moxi (Add Levoflox or Moxiflox to Macro or Doxy)
    Or Augmentin

    If you're going to the Hospital (If you're admitting them into the hospital for CAP)
    Macro your Taxis (Give Macrolide)
    or Just go alone (Levo or Moxi monotherapy is ok if admitting to hospital for CAP)
    Take Levo or Moxi

    I feel like there's one more verse about adding Levo/Moxi with a Macrolide if it's even more serious but I forgot it.

    I also have a antibiotic Rap if anyone's interested:

    Never ever give Fluoroquinolone
    Antacids
    You'll just get
    Metallic acids (Ok this verse sucks but whatever. Don't give FQ with Antacids. I feel like you should avoid Mg or Ca2+ supplements too but I'm not sure.)

    GI QTC CNS & Rash
    Tendonitis, Tendon rupture
    Everything you bash (Side effects of FQ: GI problems, QTC prolongation, CNS & Rash. Also Tendonitis)

    Azithromycin goes into lungs
    CAP Monotherapy just got stung (Azithromycin is OK for CAP monotherapy)

    Levoflox comes out in piss (Levoflox is renally excreted vs Moxi which is hepatically cleared
    CAP Monotherapy is the Diss (Levoflox is OK for CAP Monotherapy)
    Moxiflox is good for the brain (Moxi penetrates the CNS well)
    Just make sure it doesn't rain
    ____________________________________________________

    I hate ID so bad.
     
  4. Ackj

    Ackj 7+ Year Member

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    I had a pdf that had literally hundreds of these in them. Some of them I never even felt the need to make a mnemonic for, but I thought were clever none the less.

    Benzos that aren't hepatically metabolized are Over The Liver: oxazepam, temazepam, lorazepam.
     
  5. Lisochka

    Lisochka Senior Member 10+ Year Member

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    that is awesome!
    Mine was LOT
     
  6. Lisochka

    Lisochka Senior Member 10+ Year Member

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    do you still have that pdf?
     
  7. Lisochka

    Lisochka Senior Member 10+ Year Member

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    Here is mine: simple (no comorbidities) CAP ( like a drinking cap) has a lid (Macrolide)
     
    Last edited: 05.24.12
  8. Lisochka

    Lisochka Senior Member 10+ Year Member

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    Then ICU HAP (both have 3 letters) needs 3 antibiotics
    Antipseudomonal BL, Antipseudomonal FQ and Vanco
     
    Last edited: 05.24.12
  9. xiphoid2010

    xiphoid2010 7+ Year Member

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    disease state that need vanc trough of 15-20.: triple B, heart and lung.

    Brain: meningitis
    Blood: bacteremia , sepsis
    Bone: osteomyelitis
    Heart: endocarditis
    Lung: pneumonia

    If you can answer the question my preceptor asked me: "what's the tissue penetration" for 3 of the above, you just earned some browney points.

    Since I graduated, 2011 IDSA guideline added 2 more:
    Necrotizing fascitis: hopefully you won't encounter too many of those.
    MRSA with MIC of >/=1: Check your hospitial's antibiogram to see if MIC creep is an issue. I usually wouldn't recommend vanc for MIC of 2.
     
    Last edited: 05.24.12
  10. Lisochka

    Lisochka Senior Member 10+ Year Member

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    great! I love it!
     
  11. PharmerMBA2013

    PharmerMBA2013

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    Cholinergic (parasympathomimetic) effects:

    Salivation
    Lacrimation
    Urination
    Defecation
    Gastric
    Emptying

    Therefore anticholinergic effects would be anti-SLUDGE
     
  12. gsRx

    gsRx

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    Cute as a Flute

    Cutivate (Brand) = Fluticasone (Generic)

    Retail ingenuity at its finest.
     
  13. Ackj

    Ackj 7+ Year Member

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    I learned SLUDGE with the last two being GI upset and Emesis
     
  14. bacillus1

    bacillus1 7+ Year Member

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    Currently studying for NAPLEX, so can post tsome things as I come across them.

    Meloxicam, etodolac and nabumetone are 3 relatively COX-2 selective NSAIDs (besides the obvious one of celecoxib).

    Mnemonic: MEN have COX.

    Will share any other ones I come across.
     
  15. PharmDstudent

    PharmDstudent 7+ Year Member

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    Are you out of your mind? No freakin' way!!! My poor grandpa!

    This is what everyone's face at the hospital where I worked looked like whenever I told them that my 82 year old grandfather with ILD had been put on Augmentin for pneumonia... completely shocked!
     
    Last edited: 05.24.12
  16. mustang sally

    mustang sally 7+ Year Member

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    For some reason on rotations I always had a hard time remembering which salt form of metoprolol is XL so

    succinate lasts sooo long but tartrate times out.
     
  17. rxlea

    rxlea Almost a unicorn Moderator Emeritus 5+ Year Member

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    Omg hahahaha love this one!
     
  18. Auriel619

    Auriel619 5+ Year Member

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    Oh snap, so no augmentin for elderly patients? Is it because of possible kidney dysfunction?
     
  19. rxlea

    rxlea Almost a unicorn Moderator Emeritus 5+ Year Member

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    Renal impairment just requires dose adjustment...and you shouldn't use XR below CrCl 30, though.
     
  20. rxlea

    rxlea Almost a unicorn Moderator Emeritus 5+ Year Member

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    what's wrong with augmentin in elderly? Unless you're worried about cdif or the patient develops severe diarrhea (dehydration?) or hypersensitivity. I'm missing something here...

    It's not the best choice but why isn't it a choice?
     
  21. bacillus1

    bacillus1 7+ Year Member

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    I believe augmentin alone doesn't cover your atypicals. You can use it as a combo though (source: IDSA guidelines).
    So, what's wrong with augmentin as a combo? Just curious, as the guidelines actually have it listed as a preferred agent (though a lot of hosps use ceftriaxone).
     
  22. Lisochka

    Lisochka Senior Member 10+ Year Member

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    That is awesome! Thank you!


    I had a hard time differentiating between Metoprolol succinate and tartrate.
    Here what helps me: ER sucs (Metoprolol Extended release is succinate)
     
  23. Lisochka

    Lisochka Senior Member 10+ Year Member

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    Love it!
    I am studying for NAPLEX too!
     
  24. rxlea

    rxlea Almost a unicorn Moderator Emeritus 5+ Year Member

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    Right but she's acting like you can never give it to elderly.
     
  25. PharmDstudent

    PharmDstudent 7+ Year Member

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    As a combo would probably be decent (not great) but not as monotherapy. We're at the point where the max max dose is preferred, Augmentin 2g BID - not good! What's the point in using a washed up drug in an 82 year old with ILD? He was given a dose that was too low as well, Augmentin 875 BID. Poor grandpa! Good thing we got it changed to Levaquin. :D
     
  26. bacillus1

    bacillus1 7+ Year Member

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    Well, to be fair, the person who posted wrote "add levaquin", not use it alone.
     
  27. PharmDstudent

    PharmDstudent 7+ Year Member

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    No. Read:
    If you go to the recommendations, IDS as you suggested, it doesn't mention adding anything to respiratory fluoroquinolones or Augmentin, only beta lactams plus a macrolide.

    Edit: And unfortunately, the NP still under dosed his Levaquin at 500mg. :scared:
     
  28. joetrisman

    joetrisman 5+ Year Member

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    Interestingly, the azithro article out this month said there was no statistically significant difference in mortality from cardiovascular or otherwise between levo and azithro. Either way your QTc be on the up and up :cool:
     
  29. bacillus1

    bacillus1 7+ Year Member

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    It says "If You're old Diabetic (Age & Diabetes are risk factors so if you have any additional risks)
    and you just can't win
    Add Levo or Moxi (Add Levoflox or Moxiflox to Macro or Doxy)
    Or Augmentin"

    Also, per guidelines for comorbidities:
    "A b-lactam plus a macrolide (strong recommendation;
    level I evidence) (High-dose amoxicillin [e.g.,
    1 g 3 times daily] or amoxicillin-clavulanate [2 g 2
    times daily] is preferred; alternatives include ceftriaxone,
    cefpodoxime, and cefuroxime [500 mg 2
    times daily]; doxycycline [level II evidence] is an
    alternative to the macrolide.)"

    I do agree, however, that that's a really high dose of Augmentin. Better to use ceftriaxone.

    If I posted anything wrong in this thread, don't feel like talking about it anymore, as the issue has been discussed as much as needed.
     
    Last edited: 05.24.12
  30. Ackj

    Ackj 7+ Year Member

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    If I did I would be posting. Think it was on an old computer or something.
     
  31. Ackj

    Ackj 7+ Year Member

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    Yeah, I think the confusion was that the "or augmentin" is on a different line. "add levo, moxi, or augmentin" is reasonable considering the first part was macrolide. That's actually something that I've got confused on for several different treatment protocols: we need parenthesis for the ANDs and ORs.
     
  32. bacillus1

    bacillus1 7+ Year Member

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    Another one:
    Naratriptan and frovatriptan have the longest half-lives of all triptans, and also have a longer onset of action.

    Mnemonic: Not Fast (N for naratriptan, F for frovatriptan).
     
  33. ravingrabbid

    ravingrabbid Senile Member 7+ Year Member

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    Here's my contribution:
    statin equivalencies for LDL lowering ~40%

    Rosuvastatin 5mg, Atorvastatin 20mg, Simvastatin 40mg, Lovastatin 80mg, Pravastatin 80mg, Fluvastatin 80mg

    Mnemonic - RASLPF 5-20-40-80

    HIV drugs
    NRTIs: abacavir, didanosine, emtricitabine, lamivudine, stavudine, tenofovir, zidovudine
    mnemonic: Adel's Tz

    NNRTIs: delavirdine, efavirenz, etravirine, nevirapine, rilpivirine
    mnemonic: Deen R

    PIs: atazanavir, darunavir, fosamprenavir, indinavir, lopinavir, nelfinavir, (ritonavir), saquinavir, tipranavir

    mnemonic: Adfil nst - avir

    And a random one for Reyataz b/c of hyperbilirubinemia
    atazanavir = banana-vir

    only PI you don't have to boost - Viracept = Vira-except (nelfinavir)
     
  34. xiphoid2010

    xiphoid2010 7+ Year Member

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    easy way to remember which HIV meds are protease inhibitors: all meds that end in "-navir".

    After this, it's easy to remember the 3 other that ends in "-vir", they are RAT: R (raltegravir) is integrase inhibitor, AT (abacavir, tenofovir) are nukes.
     
  35. habeansha

    habeansha 7+ Year Member

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    class 1 antiarrhythmics
    · Class IA: double quarter pounder: disopyramide, quinidine, procainamide
    · Class IB: mayo lettuce tomato pickles: mexiletine, lidocaine, tocainamide, phenytoin
    · Class IC: more fries please: moricizine, flecainide, propafenone
     
  36. PharmacyGirl7

    PharmacyGirl7 2+ Year Member

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    I always get these confused for heartburn/ GERD:

    PEPcid, PREvacid, PRILosec, PROtonix(alphabetical)

    FLOP: (famotidine lansoprazole omeprazole pantoprazole)
     
  37. pharaday

    pharaday 5+ Year Member

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    Calcium CARBonate has to be taken with food (think carbonate - carbohydrate), and calcium citrate can be taken without regard to meals.
     
  38. DrWrong

    DrWrong Give me knowledge. 5+ Year Member

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    Easy way to remember the MAOIs

    STRIP (selegiline, tranylcypromine, rasagiline, isocarboxazid, phenelzine)

    Important Triptans

    ZIM (zomig, Imitrex, Maxalt) contraindicated with MAOIs

    MZ (Maxalt, Zomig) both have ODT

    ZI (Zomig, Imitrex) both have injections
    Eletriptan is contraindicated with 3A4 inhibitors

    Tigecycline doesn't cover the Ps (Pseudomonas, Proteus, Providencia)

    Interferon Beta 1"a" is Avonex/Rebif and 1"b" is Betaseron/Extavia

    Probably more, but those are the ones I can think of for now. Mostly just stuff I'm memorizing for the board exam at this point because we all know MAOIs aren't prescribed anymore.
     
  39. Sabres1988

    Sabres1988

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    Alright this thread got me thinking that creating some of these would be a great way to study for NAPLEX so here is some helpful stuff for NAPLEX people...feedback is much appreciated....


    Anti-Psychotics
    High EPS= Low sedation, Low CV effects, Low Anti-Cholinergic Effects
    Low EPS= moderate/high sedation, moderate/High CV effects, High Anti-cholinergic
    Medications (Generic Name) that have an E in their name after the first 4 letters that is not the last letter in the name (i.e. halopEridol) have high EPS


    CHF
    LVF=CHOPPED
    Cyanosis, Hemoptysis, Orthopena, Paroxsymal Nocturnal Dyspnea, Pulmonary Edema, Dyspnea
    LEFT= EF< 40%
    RVF= GRAPHES
    Gallop Rhythm, Ascites, Pulmonary Hypertension, Edema, Splenomegaly
    Drugs that Exacerbate CHF
    DRUGS WITH Negative Inotropic Effects
    ABC's
    Antiarrythmics, Beta-Blockers , CCB’s
    Cardiotoxic (HIGH VOLTAGE CARDIO)-Rock and Roll Reference
    ACDC
    Amphetamines, Cocaine, Daunomycin/Doxorubicin, Cyclophosphamide
    SALEN HDG (Sodium/water retainers) “Salen Hot Dogs”
    Salicylate, Androgen, Licorice, Estrogen, NSAIDs, High sodium Drugs, Glucocorticoids

    Warfarin Colors –While Your Dog LOoks around Bag Brown and Light Green Poop Please
    1 mg- Pink
    2 mg- Purple
    2.5-Light green
    3 mg- Brown
    4 mg- Blue
    5 mg- light orange
    6 mg- Dark Green
    7.5 mg- Yellow
    10 mg- White

    I am working on some for Anti-epileptics and ID
     
  40. Ackj

    Ackj 7+ Year Member

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    I like this, although Sahlens are pretty regional, so other posters may not have a clue what you mean. Your username may be Sabres, but they're the official hot dog of the Bills.
     
  41. BenJammin

    BenJammin No Apologies 2+ Year Member

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    I'm sorry...what?

    Oh, it's backwards.
     
  42. BenJammin

    BenJammin No Apologies 2+ Year Member

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    One of the few mnemonics I can share that would make sense to you all is how to remember that the sartans are ARBs. Say "sartan" like a redneck so sar-tun instead of sar-tan and say sartan arb in a redneck accent. You'll never forget it. Sartan arb. Sartan arb. Sartan arb.
     
  43. Lisochka

    Lisochka Senior Member 10+ Year Member

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    You guys are awesome!
    I just used on Friday men love cox :) its so easy to remember!

    What about orac contraception? I am dying there with all those feminine names
     
  44. bacillus1

    bacillus1 7+ Year Member

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    Lol it was have, not love, but whatever helps u remember i guess.
     
  45. GatorPrePharm

    GatorPrePharm 2+ Year Member

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    I have one that a preceptor taught me on rotations....

    It has to do with the clotting factors that Warfarin inhibits in order of half life (shortest to longest).

    "SNOT"

    S= Seven (~6hr)
    N= Nine (~24hr)
    O= Ten (the O in SNOT is the zero for the 10) (~40hrs)
    T= Two (~60hrs) (THROMBIN)

    This acronym doesn't account for the anticoagulant factors Protein C (8hrs) and Protein S (~40hrs) which as you can see by the short half life of Protein C is why warfarin can be pro-thrombotic initially (hence bridging with another agent like heparin).
     
  46. jawnly211

    jawnly211 7+ Year Member

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    to play off the anticholinergic effects

    can't see
    can't spit
    can't pee
    can't sh!t
     
  47. jrlbc06

    jrlbc06 2+ Year Member

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    Lio = T3 (3 letters)
    Levo = T4 (4 letters)
     
  48. BenJammin

    BenJammin No Apologies 2+ Year Member

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    When dealing with someone with altered mental status, give them a SNOT rocket.

    Sugar
    Narcan
    Oxygen
    Thiamine
     
  49. zelman

    zelman 5+ Year Member

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    I believe "-sartan" actually comes from Selective Angiotensin RecepTor ANtagonist, which is a pretty good mnemonic itself.
     

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