+ kansas association of nursing students shan nanji copyright - kisspharm l.l.c

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+ Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C.

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Page 1: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

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Kansas Association of Nursing StudentsShan Nanji

Copyright - KISSPharm L.L.C.

Page 2: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

+Thank You!

Kansas Association of Nursing Students!

Copyright - KISSPharm L.L.C.

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Page 3: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

+About KISSPrep

KISSPharm

8 online programs

Live Test Prep in Miami

Nursing School and EMS School Coming Soon

Copyright - KISSPharm L.L.C.

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Page 4: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

+My Parents:

Copyright - KISSPharm L.L.C.

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Page 5: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

+My Dog, Hero…

Copyright - KISSPharm L.L.C.

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Page 6: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

+Stay Positive!

Copyright - KISSPharm L.L.C.

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Page 7: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

+Limitless

Copyright - KISSPharm L.L.C.

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Page 8: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

+Why is pharmacology so important?

Up to 25% or more of your NCLEX

Used each and every day in practice

New drugs introduced daily

Most drugs administered by nurses

Side effects monitored by… nurses!

Copyright - KISSPharm L.L.C.

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Page 9: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

9+What is Cancer?

Rapidly dividing cells Out of control, rapidly dividing cells…

Where are rapidly dividing cells located in a normal body? Skin Hair GI Bone Marrow

Vitamin/Pregnancy Connection

Mechanism of Action Connection

Why does this folate connection `matter…?

Side effects Our method: understand concepts, don’t memorize

Page 10: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

10+ANS – Parasympathetic & Sympathetic Basics

Parasympathetic - “CHOLinergic”

MUSCARINIC - Most

Page 11: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

11+Parasympathetic System

- CHOLinergic

M1 – CNS/ENS

M2 – Heart

M3 – EG BB Increases Exocrine Gland Secretion Increases Gut Motility

Bronchoconstriction

Bladder contraction

Page 12: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

12+

Bethanachol

CHOLinergics

Page 13: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

13+CHOLinergics

BethanaCHOL – Post op and neurogenic ileus and urinary retention

Page 14: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

14+

Methacholine

CHOLinergics

Page 15: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

15+CHOLinergics

MethaCHOLine – Induces bronchospasm used in Asthma Challenge Test

Page 16: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

16+CHOLinergics

Bethanachol – Post op and neurogenic ileus and urinary retention

Methacholine – Induces bronchospasm used in Asthma Challenge Test

Page 17: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

17+CHOLinergics

BethanaCHOL – Post op and neurogenic ileus and urinary retention

MethaCHOLine – Induces bronchospasm used in Asthma Challenge Test

Page 18: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

18+Anti-ACh – Anti-CholinergicsMOA:

So, if cholinergics agonize M3………………an Anti-ACh will ANTAGONIZE M3.

Antagonizing M3 will cause: Decrease Exocrine Gland Secretions Decrease Gut Motility Bronchodilation Bladder relaxation

Page 19: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

19+Anti-ACh

aTROPine, HomaTROPine/TROPicamide: Mydriasis w/Cyclopegia

Page 20: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

20+

Benztropine

Anti-ACh

Page 21: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

21+Anti-ACh

BenzTROPine – Lipid Soluble (CNS Entry) for Parkinson's, and EPS Symptoms due to antipsychotics

Page 22: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

22+Let me break it down for ya…

Fat SolubleLong Half Life

SmallLiver

Page 23: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

23+Anti-ACh

Ipratropium

Page 24: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

24+Anti-ACh

IpraTROPium – Safe to use in Asthma and COPD

Page 25: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

KISSPharm - www.KISSPharm.com

25+Let me show you how it works…

Tiotropium Bromide

Tio-TROP-ium BromideQuestions:

1) What kind of drug is it? Anti-ACh (Anti Cholinergic)

2) What is it used for? COPD/Asthma. Brand name: Spiriva!

3) What is this drug’s mechanism of action? Blocks M3

Page 26: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

+Tetracyclines “+-etracyclins”

MOA: Bacteriostatic Bind to 30s Prevent Attachment of Aminoacyl-tRNA Limited CNS Penetration DO NOT take with Milk, Antacids, or an Iron Containing

Prep

RESISTANCE: Decrease Uptake Into Cells or Increased Efflux Out of Cells by

Plasmid Encoded Transport Pumps

Shan Nanji - [email protected]

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Page 27: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

+Tetracyclines “+-etracyclins”

RESISTANCE:

Decrease Uptake Into Cells Or

Increased Efflux Out Of Cells By Plasmid Encoded Transport Pumps

Shan Nanji - [email protected]

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Page 28: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

+Tetracyclines “+-etracyclins”

S/E: GI Distress Discoloration of Teeth Inhibition of Bone Growth in Children Photosensitivity C/I in Pregnancy

Shan Nanji - [email protected]

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Page 29: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

+Tetracyclines “+-etracyclins”

Thirty S subunit

Tummy

Taller

Transport Pumps (resistance)

Teratogen

Shan Nanji - [email protected]

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Page 30: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

+Tetracyclines “+-etracyclins”

Doxycycline Hepatic Excretion

Demeclocycline ADH Antagonist Can be Used a Diuretic in SIADH

Minocycline Effective against acne Effective against Rosacea

“Mi–NO like acne”

Shan Nanji - [email protected]

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Page 31: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

31+Alpha and Beta Receptors

Check, check, check it out!

Page 32: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

KISSPharm - www.KISSPharm.com

32+Understand Equations. Don’t Memorize.

CO = SV * HRCardiac Output = Stroke Volume * Heart

Rate

African Americans & Hispanics – High Sodium Diet

Middle Aged Caucasion Males – High Stress

Elderly Males - Atherosclerosis

Page 33: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

33+KISS Success Stories

Page 34: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

34+KISSPrep

Campus Visits

Group Pricing for Classes/Institutions

Page 35: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

35+KISS Guarantee

100 % PASS Rate

25 Hours

Know what is right!

Money back guarantee Tutor Schedule PASS!

Page 36: + Kansas Association of Nursing Students Shan Nanji Copyright - KISSPharm L.L.C

Copyright - KISSPharm L.L.C.

36+Exclusive Offers:

Pharmacology - 25 months: $134.95

Anatomy – 25 months: $134.95

NCLEX – 25 months: $239.95

Today’s Special Offer

Lifetime Access to Pharmacology + Lifetime Access to Anatomy + 25 months NCLEX Only: $134.95

Lifetime access is ONLY offered at convention!