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    tony guerra

    Explore "tony guerra" with insightful episodes like "Ep 96 Pre-Reg Practice Question 6 Conversion Factor Pharmacology Calculations", "Ep 94 Pre-Reg Practice Question 4 Biologic Pharmacology Calculations", "Ep 93 Pre-Reg Practice Question 3 - Pediatric Pharmacology Calculations", "Ep 92 Pre-Reg Practice Question 2 - Pediatric Pharmacology Calculations" and "Pharmacist Authors Series Wrap-Up (Summer 2023)" from podcasts like ""Memorizing Pharmacology Podcast: Prefixes, Suffixes, and Side Effects for Pharmacy and Nursing Pharmacology by Body System", "Memorizing Pharmacology Podcast: Prefixes, Suffixes, and Side Effects for Pharmacy and Nursing Pharmacology by Body System", "Memorizing Pharmacology Podcast: Prefixes, Suffixes, and Side Effects for Pharmacy and Nursing Pharmacology by Body System", "Memorizing Pharmacology Podcast: Prefixes, Suffixes, and Side Effects for Pharmacy and Nursing Pharmacology by Body System" and "Pharmacist's Voice"" and more!

    Episodes (56)

    Ep 96 Pre-Reg Practice Question 6 Conversion Factor Pharmacology Calculations

    Ep 96 Pre-Reg Practice Question 6 Conversion Factor Pharmacology Calculations

    While the UK and United States have different methods for assessing their health professionals often the calculations and math(s) strategies are the same. I invite you to enjoy this 12-part series on Part 6 of preparing for the Pre-Reg exam but will also help those in the states that are looking to improve their skills in nursing, pharmacy technician, and pharmacist skills. Here's the Memorizing Pharmacology book link:  https://www.audible.com/pd/Memorizing-Pharmacology-Audiobook/B09JVBHRXK?source_code=AUDFPWS0223189MWT-BK-ACX0-281667&ref=acx_bty_BK_ACX0_281667_rh_us

    Want more options?

    Find the book here: https://geni.us/iA22iZ 

    and subscribe to my YouTube Channel  TonyPharmD here: https://www.youtube.com/c/tonypharmd

     

    Auto Generated Transcript:

    Welcome to the Memorizing Pharmacology podcast. I’m Tony Guerra, the pharmacist and author of the Memorizing Pharmacology book series, bringing you mnemonics, cases, and advice for succeeding in Pharmacology. Sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residencyteachable.com.

    Let’s get started with the show. The patient is prescribed a cytotoxic medicine at a dose of 30 mg per meter squared daily for 3 days. The patient weighs 80 kilos and is 1.8 m tall. The body surface area equation is given to you: meter squared equals the square root of weight in kilograms times the height in centimeters divided by 3600.

    We want to make sure that we’ve got good conversion factors. How many capsules are needed? So, 10 milligrams per one capsule are needed to provide the 3 days per course of treatment. We have 30 mg per meter squared per day, 3 days per course, 80 kilos, and 1.8 m.

    Let’s look at when we put it in the body surface area equation. We see our weight was 80 kilos; our height needs to be changed from meters to centimeters. So, we have 80 kilos and then we see 180 cm, and then that 3600 is constant. We work the math and then take the square root to get 2 m squared.

    We’re really looking for the number of capsules at the end. If capsules are at the end, we begin with one capsule over 10 milligrams as our conversion. We need something to get rid of the milligrams and we see that we have 30 milligrams per meter squared per day. Again, these are two denominators: meter squared and day. So we’re going to need to use the 2 m squared (the body surface area we calculated) and the days to get rid of these two so that we’re left with just capsules after we diagonally cross off milligrams, day, and meter squared.

    The answer is 18 capsules.

    Thanks for listening to the Memorizing Pharmacology podcast. You can find episodes, cheat sheets, and more at memorizingfarm.com. Again, you can sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residencyteachable.com. Thanks again for listening.

     

    Like to learn more?

    Find my book here: https://geni.us/iA22iZ

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

     

    Ep 94 Pre-Reg Practice Question 4 Biologic Pharmacology Calculations

    Ep 94 Pre-Reg Practice Question 4 Biologic Pharmacology Calculations

    While the UK and United States have different methods for assessing their health professionals often the calculations and math(s) strategies are the same. I invite you to enjoy this 12-part series on Part 4 of preparing for the Pre-Reg exam but will also help those in the states that are looking to improve their skills in nursing, pharmacy technician, and pharmacist skills. Here's the Memorizing Pharmacology book link:  https://www.audible.com/pd/Memorizing-Pharmacology-Audiobook/B09JVBHRXK?source_code=AUDFPWS0223189MWT-BK-ACX0-281667&ref=acx_bty_BK_ACX0_281667_rh_us

    Want more options?

    Find the book here: https://geni.us/iA22iZ 

    and subscribe to my YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is a Link to my Pharmacy Residency Courses:  residency.teachable.com

     

    Auto Generated Transcript:

    Welcome to the Memorizing Pharmacology podcast. I’m Tony Guerra, pharmacist and author of the Memorizing Pharmacology book series, bringing you mnemonics, cases, and advice for succeeding in Pharmacology. Sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/P/mobile. Let’s get started with the show.

    As I mentioned earlier, some of these are just much easier than the other ones which are quite hard. So, I’ll just read it. Number four: Mr. A, who weighs 60 kilograms, attends a pre-admission clinic at your hospital two weeks prior to having orthopedic surgery. He’s found to have moderate anemia and his doctor prescribes a course of subcutaneous Eprex (Epoetin Alpha). The Epoetin Alpha is given at 300 units per kg daily for 15 days. How many units of Epoetin Alpha will Mr. A be given for the 15-day course?

    Again, with weights, you generally don’t make any change; you don’t have a conversion. These usually stay singular but we do have a couple of conversion factors: 300 units per kilogram per day and then 15 days for the course. So we want to see what our answer is supposed to be. Well, our answer is going to be the number of units per course.

    We have units per kilogram per day over here and then we have 15 days per course. So we get rid of the day here and we have kilograms; get rid of the kilograms so we have the number of units per course. We check our work, cross off the units and we see that we have 60 kilograms times 15 days per course times 300 units per kilogram per day equals 270,000 units per course.

    Thanks for listening to the Memorizing Pharmacology podcast. You can find episodes, cheat sheets, and more at memorizingfarm.com. Again, you can sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/P/mobile. Thanks again for listening.

    Like to learn more?

    Find my book here: https://geni.us/iA22iZ

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is a Link to my Pharmacy Residency Courses:  residency.teachable.com

     

    Ep 93 Pre-Reg Practice Question 3 - Pediatric Pharmacology Calculations

    Ep 93 Pre-Reg Practice Question 3 - Pediatric Pharmacology Calculations

    While the UK and United States have different methods for assessing their health professionals often the calculations and math(s) strategies are the same. I invite you to enjoy this 12-part series on Part 3 of preparing for the Pre-Reg exam but will also help those in the states that are looking to improve their skills in nursing, pharmacy technician, and pharmacist skills. Here's the Memorizing Pharmacology book link:  https://www.audible.com/pd/Memorizing-Pharmacology-Audiobook/B09JVBHRXK?source_code=AUDFPWS0223189MWT-BK-ACX0-281667&ref=acx_bty_BK_ACX0_281667_rh_us

    Want more options?

    Find the book here: https://geni.us/iA22iZ 

    and subscribe to my YouTube Channel  TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Courses:  residency.teachable.com

     

    Auto Generated Transcript:

    Welcome to the Memorizing Pharmacology podcast. I’m Tony Guerra, pharmacist and author of The Memorizing Pharmacology book series, bringing you mnemonics, cases, and advice for succeeding in Pharmacology. Sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com.

    Let’s get started with the show. I took number three because number three is so similar to maybe five or six on that part one and I’m just going to go over it like I would have solved the problem. So, the first thing I don’t know if I would have read the whole question if I have just numbers at the end and I know that I’m given the number of bottles. Put on my laser pointer here and I’m given the number of bottles that I’m supposed to have. Well, if I have bottles then I know I have to have some kind of conversion that gets me bottles over here and there’s only one conversion: 100 mLs is one bottle. So, I put that there and so now I have the bottles but I have mLs and I need to get rid of those.

    I only see 250 milligrams per 5 mL and I can put this upside down: 5 mLs over 250 is the same as 250 over 5. So, I put 5 mLs over 250 milligrams to get rid of mLs but now I have milligrams. Is there anything to get rid of the milligrams with?

    I see 500 milligrams here and this sometimes gives students trouble: four times a day for 10 days. If you think of it as 500 milligrams per dose, four doses a day for 10 days, that might be a little bit easier when it comes to conversions. So, I put 500 milligrams which is in one dose and now I have the milligrams are gone but now I have the doses. So, 500 milligrams from one dose, how many doses per day? Four doses per day.

    And then I run into trouble because there are three: 10 days, 7 days, and five days parts where I would need to know okay well which of those is right? So now, I might read the question slowly and carefully through to better understand after I’d set it up and I would never do the math ahead of time.

    I always set everything up first before I even attempt the math. So, the question reads: Number three you receive a prescription for a 76-year-old patient for phenoxy methyl penicillin 250 milligrams per 5 mLs oral solution, 500 milligrams four times a day for 10 days. You inform the patient that due to the medication’s short life of seven days once it is prepared you will fulfill part of the prescription and supply the remainder at a later date. The patient agrees to take enough for five days today and will call back for the remainder.

    What is the correct number of 100 mL prepared bottles that you would be supplying today? And what you would put maybe in your own header to write down would be versus total. So what I would do is actually calculate both of them to make sure that you didn’t get stuck in that trap because that’s what it is it’s asking you which of those should you put here is it the five, the seven or the ten to get rid of this day? And the correct number of bottles you’ll be supplying today would be five days.

    And if we do our multiplication and personally, I would get rid of the 500 and 250 by putting a two here and a one here so I could do it in my head: Five times four times two times five makes two hundred so forty times two makes eighty eighty times five makes no five times four is twenty twenty times two is forty forty times five is two hundred.

    And then here, I would have one there so it’d just be a hundred so two hundred over a hundred makes two but then I would also calculate versus total now if you’re in the test you don’t have to do this obviously it’s extra time that you need but to check my work.

    I would say okay but what would the total have been so that i know that i have enough on shelf or on the shelf to fill the order when it’s when the patient comes back in five days and total would be for ten days so i could do calculation again ten times four forty forty times two eighty eighty times five four hundred over hundred makes four bottles or i could just say oh if it’s five days and i double that to ten and two bottles doubles to four bottles either way you get answer but that’s how i think i would solve that one.

    And i think mistake many students make when they start doing calculations is they think it’s like math they’ve done all their lives which is what’s three plus three plus four well you take three then add three then four so you get six plus four is ten and they’re adding from left to right with these calculations you want to go from right to left it makes it so much easier because they’ve already given you this gift of units for answer so if you have units for answer only choice has to match in some way units for answer and then that takes you backwards until you get whole equation built from left to right how much you would finally do calculation.

    Thanks for listening to the Memorizing Pharmacology podcast. You can find episodes, cheat sheets, and more at memorizingfarm.com. Again, you can sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com. Thanks again for listening. Thank you!

    Like to learn more?

    Find my book here: https://geni.us/iA22iZ

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Courses:  residency.teachable.com

     

     

     

     

     

    Ep 92 Pre-Reg Practice Question 2 - Pediatric Pharmacology Calculations

    Ep 92 Pre-Reg Practice Question 2 - Pediatric Pharmacology Calculations

    While the UK and United States have different methods for assessing their health professionals often the calculations and math(s) strategies are the same. I invite you to enjoy this 12-part series on Part 2 of preparing for the Pre-Reg exam but will also help those in the states that are looking to improve their skills in nursing, pharmacy technician, and pharmacist skills. Here's the Memorizing Pharmacology book link: https://www.audible.com/pd/Memorizing-Pharmacology-Audiobook/B09JVBHRXK?source_code=AUDFPWS0223189MWT-BK-ACX0-281667&ref=acx_bty_BK_ACX0_281667_rh_us

    Want more options?

    Find the book here: https://geni.us/iA22iZ 

    and subscribe to my YouTube Channel  TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Courses:  residency.teachable.com

     

    Auto Generated Transcript:

    Welcome to the Memorizing Pharmacology podcast. I’m Tony Guerra, pharmacist and author of the Memorizing Pharmacology book series, bringing you mnemonics, cases, and advice for succeeding in pharmacology. Sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/p/mobile. Let’s get started with the show.

    I’ll just read it. The following hospital prescription is written for a seven-year-old child weighing 24 kilograms. The one translation I made or conversion factor I created was reminding you what 10 really means when you have a weight per volume. It’s 10 grams per 100 mLs, so you know 20 would be 20 grams per 100 mLs, and then 0.5 grams per kilogram. Normally I use yellow, but for whatever reason yellow didn’t come up against that gray background.

    The infusion rates, this gets a little bit confusing, so I left it that way, although I really don’t like seeing it that way with two forward slashes. When we see a fraction, we usually we’re used to seeing a numerator over denominator, but here we have a numerator over a denominator and then another four slash. It just makes it a little confusing, but really at 0.6 mL over kilograms and then hours is also a denominator, so those are both on the bottom and we’ll see how that works when we’re doing our conversions.

    How about what we have are three times and then when I say times I mean that quite literally. And let me get my pointer out here. I mean 30 minutes, 30 minutes, 30 minutes, but then an unknown and that’ll be kind of the twist at the end here that makes it a little bit tougher. But what is the total infusion duration of the immunoglobulin if it is infused at the prescribed rate? Well, we know it’s 30 plus 30 plus 30 plus something and we want it to the whole minute, so that’ll also be part of our conversion.

    But the first thing to do I think is just say all right well I know eventually I’m going to have to know how many mLs I’m infusing total and I don’t really have that set up right now so let’s go look at that. All right so I have a 24 kilogram seven-year-old child and 0.5 grams per one kilogram. 100 mL per 10 grams equals the mLs. And I mentioned again I prefer to go right to left so if I see mLs I need a conversion factor that has mLs. Well this one didn’t have mLs but this one does so I put the 100 mLs over 10 grams and then I need to get rid of this gram because the gram is not over here so I see 0.5 grams over kilograms and I don’t see kilograms over here so I need to get rid of it and I get rid of 24 kilograms so then we cross out diagonally our units. I’ll get rid of the kilograms, get rid of the grams and we’re left with the mLs. So the total infusion will be 120 mLs.

    Okay so that’s a nice number to work with and we’ll see we’re going to be able to figure out the infusion quantities for the first three but we’re going to need this 120 for our fourth infusion quantity. So there are two ways you could do this. And I mentioned this long way versus short way. The short way is to recognize that you’re going from 0.6 to 1.2 to 2.4 and you’re really doubling and then doubling again. Okay so you could really just put it over here and go 0.6 plus 1.2 plus 2.4 is going to end up at 4.2.

    Or you can go through each of them and say okay well this one’s going to be 7.2 mLs and this one would be 14.4 and this would be 28.8 all together though we end up with the same product that we’re gonna or sum that we’re going to have 50.4 mLs.

    So again if we have mLs as something that I’m looking for I need to have my conversion factor of mLs over kilograms per hour and as I mentioned we have that strange denominator one on the bottom so we need to multiply by kilograms and by hours because there’s no hours over here in the answer.

    Okay so we can do that three times. I can get this 50.4 so if we’ve used 50.4 so far we know the total is 120 from the last equation that we did then the infusion quantity for the fourth segment is 120 mL minus 50.4 or 69.6 mLs. But unfortunately that’s not what the question asked. The question wanted to know what’s the total infusion duration. So we have that one of the unknowns known now now that we’ve calculated the 69.6 mLs and we can put plug that in.

    So instead of having the hours here where we knew it was 0.5 of an hour or 30 minutes we know the answer we know it’s 69.6 mLs is the total amount so what we do is we do a little bit of rearranging here and we see that we’re going to have to move the 24 over so 1 over 24 when you move it from the left to the right and then again we have to move the 4 under the kilograms per hour and then when we do this calculation eventually we come up with 0.725 hours.

    So I know you could just do 0.725 times 60 but I still like to do the entire thing to make sure that I’ve got the right factors so 0.725 hours times 60 minutes over one hour makes 43.5 minutes. So we already had our 90 at the very beginning of the question, we just need to add our 43.5 minutes to get 133.5 rounded to the nearest whole minute as per the question or 134 minutes.

    So just one kind of caveat that if you’re filling in answers it sounds like you would want to go through the entire test and make sure that every answer is done properly here because you could have just left it at 133.5 and then gone on to the next but I want to make sure that we’re attentive to the actual question.

    Thanks for listening to the Memorizing Pharmacology podcast. You can find episodes, cheat sheets, and more at memorizingfarm.com. Again, you can sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/p/mobile. Thanks again for listening.

    Like to learn more?

    Find my book here: https://geni.us/iA22iZ

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Courses:  residency.teachable.com

    Pharmacist Authors Series Wrap-Up (Summer 2023)

    Pharmacist Authors Series Wrap-Up (Summer 2023)

    TPV Episode 235:  Pharmacist Authors Series Wrap-Up (Summer 2023)

    15 episodes went by fast!  The Pharmacist Authors Series was my 2023 summer project. 

    Some take-aways:

    • I liked the series so much that I want to do it again.
    • Hearing pharmacist authors share samples of their books was awesome!
    • The pharmacist authors liked the series too.
    • You may have found/read a book from this series.
    • You may have been inspired to write a book too.
    • You may have connected with a pharmacist author and/or followed them on social media.

    Behind the scenes info:  

    📌 I recruited guests ~6 months ago (January 2023).  

    📌 I recorded interviews between March 1, - May 14, 2023.

    📌 I published ~2 episodes/week in June and July 2023.

    Publishing a podcast series is a lot of work, but I enjoyed the challenge.  I love how the series turned out!

    THANK YOU for listening!  

    Thank you to my guests for spending time with me and sharing your books with my audience!  

    Thank you for listening to episode 235 of The Pharmacist’s Voice ® Podcast!

    To read the FULL show notes, visit https://www.thepharmacistsvoice.com/podcast.  Select episode 235.

    Subscribe to or follow The Pharmacist’s Voice ® Podcast to get each new episode delivered to your podcast player and YouTube every time a new one comes out!  

    Apple Podcasts   https://apple.co/42yqXOG 

    Google Podcasts  https://bit.ly/3J19bws 

    Spotify  https://spoti.fi/3qAk3uY 

    Amazon/Audible  https://adbl.co/43tM45P

    YouTube https://bit.ly/43Rnrjt

    Below is a full list of the dates, authors, and book titles in the Pharmacist Authors Series 👇🏻

    (Part 1 of 15) June 5, Introduction to the Pharmacist Authors Series (Episode 220)

    (Part 2 of 15) June 9, The Pharmacist’s Voice ® Podcast Episode 221:  Interview with Salam Kabbani, PharmD about her book: COVID Long-Hauler:  My Life Since COVID

    (Part 3 of 15) June 12, The Pharmacist’s Voice ® Podcast Episode 222:  Interview with audio engineer Julie Walthers from Whole Story Studio: https://www.wholestorystudio.com/ 

    (Part 4 of 15) June 16, The Pharmacist’s Voice ® Podcast Episode 223 Interview with Erin L. Albert, PharmD on her book The Life Science Lawyer

    Part 5 of 15) June 19, The Pharmacist’s Voice ® Podcast Episode 224 Interview with Sue Ojageer, PharmD on her children’s book The Pharma Heroes:  The Power of Precision Medicine

    (Part 6 of 15) June 23, The Pharmacist’s Voice ® Podcast Episode 225: Interview with Tony Guerra, PharmD about his Pharmacist Residency and Career Series (8 books)

    (Part 7 of 15) June 26, The Pharmacist’s Voice ® Podcast Episode 226:  Interview with Christina Fontana, PharmD about her book Moving Beyond the Counter:  Elevating into Heart-Centered Health Care through Entrepreneurship

    (Part 8 of 15) June 30, The Pharmacist’s Voice ® Podcast Episode 227: Interview with Jade L. Ranger, PharmD, about her book Mustard Seed Mentality: Unscripted Pearls of Wisdom from a Wife, Mother, and Entrepreneur

    (Part 9 of 15) July 7, The Pharmacist’s Voice ® Podcast Episode 229: Interview with RDML Pam Schweitzer, PharmD and her daughter Amy Graves about their children’s book Alice and Jack Hike the Grand Canyon

    (Part 10 of 15) July 10, The Pharmacist’s Voice ® Podcast Episode 230: Interview with Cory Jenks, PharmD about his book Permission to Care:  Building a Healthcare Culture That Thrives in Chaos

    (Part 11 of 15) July 14, The Pharmacist’s Voice ® Podcast Episode 231: Interview with Donna Bartlett, PharmD about her book MedStrong:  Shed Your Meds for a Better, Healthier You - Aging Well Through Deprescribing 

    (Part 12 of 15) July 17, The Pharmacist’s Voice ® Podcast Episode 232:  Interview with Frieda Wiley, PharmD about her book Telecommuting Psychosis:  From Surviving to Thriving While Working in Your Pajama Pants.  Plus, we touch on her 3 children’s books in development.

    (Part 13 of 15) July 21, The Pharmacist’s Voice ® Podcast Episode 233:  Interview with Tim Ulbrich, PharmD about his book Seven Figure Pharmacist:  How to Maximize Your Income, Eliminate Debt, and Create Wealth 

    (Part 14 of 15) July 24, The Pharmacist’s Voice ® Podcast Episode 234:  Interview with LaQuoia Johnson, PharmD about her book How Rxacism Manifests Inside the Small World of Pharmacy

    (Part 15 of 15) July 28, Pharmacist Authors Series Wrap-Up (Episode 235 - solo show)

     

    Ep 89 Online Money-Saving Community College Pharmacology Class, PreMed Classes, and Online PreMed Advising

    Ep 89 Online Money-Saving Community College Pharmacology Class, PreMed Classes, and Online PreMed Advising

    If you need an online asynchronous pharmacology course, go here: https://www.dmacc.edu/programs/pdp/pre-pharmacy/Pages/online-pharmacology-class.aspx 

    If you want pre-med and college advising through the new 1-credit online course I teach, SDV 108, you can go here: https://www.dmacc.edu/schedule/Pages/result.aspx?Term=202401&Subject=SDV course 11395 I'm Anthony Guerra.

    Find the book here: https://geni.us/iA22iZ 

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to TonyPharmD YouTube Channel here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Courses:  residency.teachable.com

    Everyone knows you can save a ton of money going to community college instead of a four year school, but do schools look down on it? While some do, Harvard accepts community college classes, so it's reasonable under our current economic conditions that it's a good choice. 

    Auto Generated Transcript:

    Welcome to the Memorizing Pharmacology podcast. I’m Tony Guerra, pharmacist and author of the Memorizing Pharmacology book series, bringing you mnemonics, cases, and advice for succeeding in pharmacology. Sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet, or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/p/mobile. Let’s get started with the show.

    Hey, welcome to the Memorizing Pharmacology podcast. Our pharmacology course is half full here at Des Moines Area Community College for fall, so as you’re going through summer, if you feel like you may not make it, see if you can’t enroll again. It only takes a day. You just become a guest student, but you’re welcome to sign up for pharmacology there if you are maybe pre-med or pre-pharmacy or pre-something.

    This fall is the first time I’m going to be teaching SDV 108, which is Student Development 108: The College Experience. It’s normally like an orientation course to the college, but because I’ve always helped pre-professional students, whether it’s PT school or pharmacy school or med school and all that stuff, a lot of those students like to join me. So it’s SDV 108 and it’s section WWT. If you want to get that kind of advice about what courses to take and those types of things, I can help you there. It’s just a one-credit online class and anybody can take it.

    Something I’ll talk about a little bit more as well is cross enrollment, which is if you are a full-time student at DMACC, you’re welcome to take one course up to three credits at Drake, Iowa State, or Grandview in the fall and spring semester. And what that does is it makes not only their advisors available to you, you get I think even an email to the college, but what it allows you to do is kind of one, see if that’s maybe a college that you’d like to go to to finish up your four years, but what it also does is it reduces the limit. So when you’re applying or going to another four-year school, there’s only so many classes you can take at a community college and I think it’s around 64 credits. And what this does is it gives you four-year degree credits and so that means that if you were to do that for three semesters, let’s say, that would be nine fewer credits that nine more credits you could take at community college because you took them at a four-year school. And again, those courses are free if you take them at the other college.

    So what I wanted to get into now is the actual pre-med curriculum. I think there’s a lot of confusion about it and so what I’m going to do is I’m going to actually show you the courses that you would take here at DMACC. And again, you have to be very careful because each med school is a little bit different and you’re going to apply to probably I think the average is about 15 med schools that people apply to. So you kind of start with your first choice and make sure that you’ve kind of taken enough courses for most of them. And I’ll go through it but I’ll show you what two years of pre-med would look like at a community college.

    So let’s just open up this Excel file and what I’ve done is I’ve put them all in four semesters. I wouldn’t recommend this. This is a very very challenging experience and what I’m going to do after I talk to you about the DMACC pre-med classes is I’m going to show you the exact courses I actually took and the way it actually worked out for me which was not this clean. This makes it look like you just go for four semesters then you go and get a four-year degree and all as well. This will get you an associate of science two-year degree here at DMACC but again 17 credit classes with these types of classes are very challenging. I would spread it out and I’ll talk about that a little bit.

    So let’s start with the first and second semester: The College Experience or SDV 108, the class that I’m teaching this fall. I definitely think that you should take this class really early on because it ensures you’re taking the right classes. You’re not taking too many or too few, and you’ve got somebody that you can talk to every single week about your courses. As your thinking changes, you can also talk to your instructor about that.

    The first thing we usually talk about is General Chemistry one and two. This is why you would want to take it in your first year of college and this is why you wouldn’t. If you took AP Chemistry and you just never took the test, or you had a really good experience with chemistry in high school and you’re very strong at math, then yeah, take Gen Chem. But if you don’t feel so strong about math or college, then I might hold off on taking Gen Chem until later.

    Even Iowa State, which is where more students from DMACC go than any other public college in this state, considers Organic Chemistry a junior level class. So you could take Gen Chem here in the second year and then take Organic up there. Or you could take classes at both. There’s nothing that says that once you’re done with Community College, you have to go and only take classes at a four-year school. I’ve actually done some overlap and that sometimes is even better. We’re only 25 minutes apart so if you live in the middle, it’s 15 minutes to each.

    But General Chemistry one, General Chemistry two, Chem 165, 175, here’s where it gets a little bit goofy with General Biology one and two because some of the schools want you to have Anatomy and Physiology and some of them are just like just have a Biology class or a specific class and some of them even want Genetics and things like that. But I’m just putting the General Biology one and General Biology two here just so you can see them.

    Calculus is a bit of a difficult thing to put in the first semester because many students are not ready to take Calculus first semester. I had already taken it in the summer of my junior year as an audit and then I took it again in the fall and I passed it. And then I really struggled with Calculus two and I’ll talk about my story later but generally either Calculus one or Statistics, you know, you can pick which one. Statistics would probably be a better freshman year class or first semester Freshman Class than Calculus one.

    And then maybe you’ve already taken Sociology or something like that again so important to have someone in your corner just kind of talking you through everything making sure that everything that you’ve done in high school aligns with what you’re doing in college and so forth.

    The second year would be Organic Chemistry one, Organic Chemistry two, General Physics one, General Physics two and this is the non-Calculus based Physics that I’m talking about. And then Intro to Psych, Intro to Ethics, and then Principles of Microeconomics and  fundamentals of world communication, again, these hit all of the requirements for an associate of science degree. You might ask why I’m saying AES and not AA. Well, the Associate of Arts is really more humanities-based and pre-med is super science-based. So, an associate of science tends to hit all of the things. This is the same for pre-pharmacy, pre-physical therapy, and some other things like that.

    The reason I talked about cross-enrollment is because we don’t have biochemistry as a junior year class here. But in that situation where you’ve got cross-enrollment, you would be able to take biochemistry at Iowa State University, which I believe is only three credits without the lab. Often they don’t even want the lab one, they just want that you’ve taken biochemistry. That is a possibility and I believe you would actually take the class for free although you’d have to pay for your own books.

    Here’s where it comes down to biology. Does the school want anatomy and phys1, anatomy and phys2? Are you thinking about a biology degree? Those are each four credits, micro was four credits. Then I teach a pharmacology class because it’s amazing that you take so many classes for pre-med but so few of them actually help you with medical school. Biochemistry would, pharmacology would to some extent, organic chemistry does to some extent, psych does but really many of the classes have very little to do with the actual course content you’ll have in med school.

    Many of the students that I have also are either going to be nursing majors or they’re thinking about physician assistant. But that’s what it looks like on the page where you’re going to have four semesters get your two-year degree all as well. I’m going to show you what it really looks like.

    This is what pre-med really looks like, well at least it did for me. Don’t worry about the years, it’s a long time ago but it’s actually amazingly the same. The summer that I was between my junior and senior year I thought I might want to be an engineer. I thought might want to be a physician again. I really didn’t know what these were as I have nobody in my family that was in these professions. My parents were both in computers and I just said okay well let me go see what a college class is like.

    I’d never been in a college classroom before and I audited calculus one where I would go to class. I didn’t take the tests, I could have if I wanted to but the reason why I audited it was because I had an engineering camp in the middle of classes and so there’s no way I would have passed the class if I had taken it for credit.

    So by auditing it, I got to know a little bit about courses and that made things a lot easier in the fall. I’d already been in the class, I kind of knew what was going on and then I ended up with a B but then I’d never gotten anything lower than a C.

    I did get a D in my midterm but I brought it up to a C in one time but I’d never gotten anything below a C and all of a sudden I got an F in calculus 2. That’s a really bad thing for two reasons and it was unnecessary.

    Firstly, I recognized that I was not passing the class early enough that I could have withdrawn so the most important thing I can tell you here is that it’s better to take a W than it is to take an F.

    If you look at the rest of my courses you’ll see I’ve taken three W’s no F’s because I learned my lesson and maybe I had to learn my lesson that way but taking a five credit F is a really bad thing if you know and and did manage to get out of it by doing so well on the entrance exam.

    Let me talk more about this in a little bit so then I go on to four-year School in the University of Florida and you know Three B’s and two two A’s.

    I did well in chemistry and micro and my honors class and then brought my calculus one grade up to an A. You might ask why did you take that again didn’t you already take calculus? And yes, indeed, did and thought that well maybe what happened with Calculus 2 was i didnt “Learn it well enough,” I said. "Alright, let me take it again and see if I’ve learned it better. Maybe that’s the thing, but I found out that’s not really the case. What had happened was, I just wasn’t focused. It was my senior year of high school. I just wasn’t as focused as I needed to be to pass a course like that. So, I’ll talk about when I did actually pass it later. Okay, let me maybe make these a little bit bigger. I think it’s a little bit tough to see at the font I’m working at right now.

    So there we go. Now you can kind of see them a little bit better and I can make that even bigger there. Alright, so that was my experience in first semester. I did well, it was about a 3.4 or 3.5 GPA, I think it was closer to a 3.4. Then I really struggled in the spring and I learned from that calculus mistake that okay, when you’re struggling and you’ve got a lot of responsibilities in a semester, then maybe it’s time to let something go.

    What I did was, I said okay well, I’m actually enjoying this bio lab. It’s tough to take the lab without the course but I still got a C plus and chem lab, I got a C plus and Kim, I got a B. So again, I was struggling a bit with chemistry. I realized that maybe that was too many credits and you know, I took the honors class, took the writing class, did okay but again it was more like uh…I think it was maybe a 2.9 or a 3.1 somewhere around there but it was not a good GPA compared to the 3.4.

    But again, I persisted and kept going and my GPA was not ruined by failing biology; that was the key. Okay so then then you know, I realized that man having all those labs was just absolutely devastating so I was like, ‘I’m going to take a semester with no labs.’ So integrated bio one wasn’t…I already taken the lab so I got a C Plus organic, got a B and organic was a bear but the way they do it at Florida is they put the two lab credits in the second semester none in the first.

    Then I had my honors class uh…General psych, did okay and then stats…I really struggled with stats…the math…I just understood calculus better than stats and it just was a thing where I just wasn’t that great at it.

    Okay and then this was my really bad semester and I think a lot of us have this where you know it’s just fatigue…I think whereas just like man…I really don’t know where I’m going…I don’t know that um…this pre-med journey or pre-professional journey is something I really want…I don’t even really have a major…I think my major was chemistry if you were to like look at my transcript.

    And see what’s his major? I think it was chemistry but I really didn’t know what was going on and this was just a survival semester so…I got a C in BIO two, C in bio2 lab, D plus an organic two, C in the lab, C plus in philosophy class and…I was just like…I cannot do physics on top of all of this.

    So that was really really a low point and two things had me move: first the University of Florida if you’re an honor student you get what was At least at the time, I had an out-of-state tuition waiver, so I was paying in-state prices. And at in-state prices, it was better and cheaper to go to Florida than it was to go to my home school of Maryland. But then once that tuition waiver was gone, Maryland actually became a little bit cheaper. But the other thing was I kind of needed a fresh start. I needed a new environment and I was like, you know what, let’s do this over and see how I can do. Okay, so I transferred to the University of Maryland College Park.

    And you know, you say, okay, well, they’re going to go easy on you or whatever. No, absolutely not. This is my first semester at the University of Maryland: organic chemistry 2. I had to retake the lab because although I passed the lab, organic chemistry doesn’t come without a lab at Maryland, so I had to take that. I took calculus 2 and then I took the first semester of a three-semester calculus-based physics. You don’t have to do that for med school. I just didn’t know. I’m like, well, maybe I’ll still be an engineer. It just took me on my third year to get to calculus 2. I mean, I was taking calculus and organic and physics and I took them all in the same semester. And then I took intro to theater. And I think it’s crazy that I get a B in theater and I get a B in organic, right? And calculus and physics. Like, I’m really proud of that 3.0. Like, it was, I recovered from my bad fourth semester there at Florida. I was back on the right track and all that stuff.

    And right around here was when I kind of discovered that maybe I’m going to try other health professions. And that’s when I looked into physical therapy and physician assistant and pharmacy. And with pharmacy, I could actually go to a pharmacy on campus and volunteer. And that’s what ended up being my major.

    So I ended up going in spring and signing up for the other physics that I had to take. But then this happens to a lot of people: you’re like, well, I’ve already kind of taken everything. So all I was doing was saying if I don’t get into pharmacy school, I’m still going to want to get a degree. And I could still get a BA in chemistry or a BA or a BS in biology. So I still was on track to get a degree of some kind or another.

    And what I did was: I took my Shakespeare and took my required English class or literature class and took microbiology because even if I don’t need it, I can still take it. And I actually really enjoyed micros like one of the very few A’s I got in my college career. But for some reason microbiology is very hands-on, very great. We had a great teaching assistant, great professor. I really enjoyed it.

    Physics was still a struggle and I made the shift: I was like, “I am not taking calculus-based physics again.” Like, “I really just…my engineering dreams were dashed.” Like “Okay, I’m not getting a BS in chemistry,” which is different than a BA. “I’m not getting…not going to become an engineer.” Let’s just take the non-calculus based physics 2 and move on.

    And then also took biochemistry and what happened was: “I got my acceptance so early that” “I was like well” “I don’t really need biochem.” “I can still go to class but” “I don’t need the stress of trying to pass biochem and physics at the same time.” And “I was really worried about not passing physics.” So this may seem strange but it’s better to withdraw from a class that you aren’t going to pass and pass the one that you need so that you can keep moving forward because if “I hadn’t passed physics” “I either would have to take it in summer if they would conditionally accept me or” “I might have to wait another year.” So “I was like alright well let’s let’s just go to biochem class” “I’m not gonna” “I’m just gonna audit it.” And “I must not have filled out the paperwork to audit it.” “I meant to audit it but” “I ended up withdrawing from it.” And then B in Shakespeare, A in micro, C in physics and then “I made it on to pharmacy school.” At least at the time, I had an out-of-state tuition waiver, so I was paying in-state prices. And at in-state prices, it was better and cheaper to go to Florida than it was to go to my home school of Maryland. But then once that tuition waiver was gone, Maryland actually became a little bit cheaper. But the other thing was I kind of needed a fresh start. I needed a new environment and I was like, you know what, let’s do this over and see how I can do. Okay, so I transferred to the University of Maryland College Park.

    And you know, you say, okay, well, they’re going to go easy on you or whatever. No, absolutely not. This is my first semester at the University of Maryland: organic chemistry 2. I had to retake the lab because although I passed the lab, organic chemistry doesn’t come without a lab at Maryland, so I had to take that. I took calculus 2 and then I took the first semester of a three-semester calculus-based physics. You don’t have to do that for med school. I just didn’t know. I’m like, well, maybe I’ll still be an engineer. It just took me on my third year to get to calculus 2. I mean, I was taking calculus and organic and physics and I took them all in the same semester. And then I took intro to theater. And I think it’s crazy that I get a B in theater and I get a B in organic, right? And calculus and physics. Like, I’m really proud of that 3.0. Like, it was, I recovered from my bad fourth semester there at Florida. I was back on the right track and all that stuff.

    And right around here was when I kind of discovered that maybe I’m going to try other health professions. And that’s when I looked into physical therapy and physician assistant and pharmacy. And with pharmacy, I could actually go to a pharmacy on campus and volunteer. And that’s what ended up being my major.

    So I ended up going in spring and signing up for the other physics that I had to take. But then this happens to a lot of people: you’re like, well, I’ve already kind of taken everything. So all I was doing was saying if I don’t get into pharmacy school, I’m still going to want to get a degree. And I could still get a BA in chemistry or a BA or a BS in biology. So I still was on track to get a degree of some kind or another.

    And what I did was: I took my Shakespeare and took my required English class or literature class and took microbiology because even if I don’t need it, I can still take it. And I actually really enjoyed micros like one of the very few A’s I got in my college career. But for some reason microbiology is very hands-on, very great. We had a great teaching assistant, great professor. I really enjoyed it.

    Physics was still a struggle and I made the shift: I was like, “I am not taking calculus-based physics again.” Like, “I really just…my engineering dreams were dashed.” Like “Okay, I’m not getting a BS in chemistry,” which is different than a BA. “I’m not getting…not going to become an engineer.” Let’s just take the non-calculus based physics 2 and move on.

    And then also took biochemistry and what happened was: “I got my acceptance so early that” “I was like well” “I don’t really need biochem.” “I can still go to class but” “I don’t need the stress of trying to pass biochem and physics at the same time.” And “I was really worried about not passing physics.” So this may seem strange but it’s better to withdraw from a class that you aren’t going to pass and pass the one that you need so that you can keep moving forward because if “I hadn’t passed physics” “I either would have to take it in summer if they would conditionally accept me or” “I might have to wait another year.” So “I was like alright well let’s let’s just go to biochem class” “I’m not gonna” “I’m just gonna audit it.” And “I must not have filled out the paperwork to audit it.” “I meant to audit it but” “I ended up withdrawing from it.” And then B in Shakespeare, A in micro, C in physics and then “I made it on to pharmacy school.”

    I had worked in such difficult classes though because the Pharmacy College admissions test only tested calculus one and really mostly first semester organic chemistry. And I was so far ahead of that that I scored a 99th percentile overall. It’s unusual for someone to be so strong in English as I was but I just had you know kind of a passion for it. So I did really well on my entrance exam. And this is back when it was harder to get into pharmacy school than Medical School. The numbers were much higher.

    Believe it or not, back in the late 80s, there was actually a glut of Physicians. That is, there were too many Physicians and it just was not necessarily the most desirable field to get into as it is now. You have to have a 3.8 cumulative, 3.5 or 3.6 overall when you’re looking at med school as far as the GPA.

    But this is what I want to show you is that since I was kind of a chemistry major and maybe I would have ended up being a chemistry teacher or biology teacher and I was gonna finish that chemistry degree but then I did four years of pharmacology or pharmacy school. I’m like well, I already kind of did a chemistry degree like do I really want to finish that? And so I decided much later that you know I would like to finish my bachelor’s degree but I really did like the Shakespeare class and the writing classes and the theater class and all that stuff.

    So let’s take a look at my English major which I did finish at Iowa State which is an engineering school. It’s just so funny. But I want you to look at the grades: the only A- I received in my English classes was in grammar. So you know my inability to do those, I just could not put grammar together in a way that I could get the full A.

    And so when you’re looking at the best major for pre-med, the reality is that many of us are going to struggle with those chemistry classes right? And this hard science is and there’s a reason they’re called the hard Sciences.

    But what I did was in that second half of things is I got all A’s. So if you were to add up all of my grades, basically, I had about a 3.0 from undergrad first and second year and then I had almost a four point on the second. I would have been around a 3.5. And yeah, I would have been on the way low side of things but my strength has always been in test taking.

    So if I had taken the MCAT, I think it would have done well. The reason I can say that is that I did take the GRE and I scored in the 98th percentile in English and the 87th percentile in math which is really really unusual usually like the engineers scored 99 in math and like you know low on English and then the English major score high on English but low in math.

    So, by completing an English degree by completing a hard science degree, everything came out a lot better. And then now, looking at my life, now, I’m really more of an author and a teacher because of these classes that I took in the liberal arts.

    There are a couple of things I did want to talk about with this degree is that some of the courses I took here when as a community college professor because I was like huh, “I get to take free classes.” And “I’d always been interested in taking literature.” So “I started taking some lit classes creative writing classes” um just you know when “I wasn’t working.”

    And then “I also was like well” “I have to get this language requirement.” And “I don’t remember if there was a language requirement with this particular college with Iowa state but” “I was like okay well” “let me just see if” “I can pass the test.” And so “the CLEP test” “I spoke enough Spanish” “that” “I was able to get through immediate intermediate Spanish too.” And “I got those 12 credits for a hundred dollars.” Like “that was all” “I needed to do.”

    But again, “I think” “the combination of taking a course” “the pre-med coursework with a major like English or history or those types of things which actually have a much higher acceptance rate than med school than biology major does.” It makes you much more balanced and it makes things a lot easier because there are other things you also need to be able to do in that med application which is you need to be good at the interview, you need to be good in writing your letter and all of those things. And obviously, an English major is going to write an amazing med school letter.

    So, I’ll go back to that page of the DMACC as and kind of maybe shrink it up a little bit so you can see it all on one page. But really, this whole idea that people actually complete this in this way is unusual. It’s much more likely that a rising junior senior in high school is going to have completed many of these classes. You want to kind of look at them in a way that is going to work well with your school.

    And so the last thing I wanted to point out was there’s always that kind of talk about, do colleges take Community College classes? And this is the AAMC document guidance documents for 2024 and here’s the University of Iowa and they say we have no problem with Community College classes. That’s fine, you go ahead and take them. You say okay well that’s Iowa, that’s a state school, that’s fine. What about more prestigious schools? Alright, let’s look at Harvard. Harvard said Community College classes, those will be just fine. That’ll be great. Online courses maybe not. Community College classes yeah if you go to them that’s great.

    So when you’re looking at the colleges or Med schools that you’re looking at it’s actually much more rare that a college would not want Community College classes because community colleges represent if you’re a minority student we represent half of minority students going into college like we’re just much more diverse we just are. Many reasons socioeconomic for one of them but there are many reasons why we have that.

    But the other thing is I just don’t know why you would want to take an organic chemistry class where you have 300 people in the class versus where you have 24 people in the class. I mean that you literally would it is impossible in a DMACC for you to be more than 30 feet from the professor like you physically cannot like you would have to leave the room.

    Like I just don’t understand why you would want to be all the way back in an organic chemistry class trying to pass that class in a much larger section. So I understand why some people might say oh well it’s easier well it’s easier because it’s easier to get help there’s only one Professor. I mean maybe there’s a bunch of TAs but how long have they been teaching? All the professors here we don’t have grad students here we all are have doctorates and so forth.

    So I just think that I’m really bullish on Community College as a way to get these classes and to move in especially with the way things have been going with expenses and things. I mean seriously 175 dollars a credit hour, you can go to college here for less than five thousand dollars a year so your total cost of tuition is less than ten thousand dollars here to get a degree. For some of you, that’s a quarter or a semester or a part of a semester.

    So again I’m you know,  I really think it’s a great opportunity that you can have taking community college credits. And one last thing that I want to point out is, as I was doing this pre-med thing, I wasn’t like, “I’m gonna be a doctor, burn the ships,” and all of that. I was saying, “I might want to be an engineer physician.” And then as I’m kind of going through this, I’m like, “Well, I’m struggling and I’m learning how to do this. Maybe I might want to be a teacher,” which I ended up being eventually. So maybe I could be a chemistry teacher or biology teacher or something like that, maybe even a math teacher. I finally get through calculus three which I heard is easier in calculus two.

    So you know, I know I went to almost 30 minutes in this episode but I really just wanted to let you know that when you’re thinking about pre-med, don’t feel like everybody actually gets it right. Like that you never see what other people do. It’s actually much different and it’s actually probably a much more zigzag path than it is just this straight and narrow take these classes go to med school live a perfect life and so forth.

    So need my help? Well, Tony the pharmacist at gmail.com happy to help you out. Thanks for listening to the memorizing pharmacology podcast. You can find episodes cheat sheets and more at memorizingfarm.com. Again, you can sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com forward slash P forward slash mobile. Thanks again for listening.

    Like to learn more?

    Find my book here: https://geni.us/iA22iZ

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

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    Ep 90 How to Calculate Final Exam Grade Needed in Pharmacology or Pathophysiology etc

    Ep 90 How to Calculate Final Exam Grade Needed in Pharmacology or Pathophysiology etc

    Sometimes it's tough to figure out how to calculate your grade during the semester, but once your grades are in with only a single grade left, your final, it's easy as a single equation below which are the examples I did in the video. 

    FE = Final Exam Grade Needed

    RG = Required Passing Grade

    FW = Final Exam Weight Percent as Decimal (.30, .20, . . . )

    CG = Current Grade

     

    FE = RG – ((1 – FW) x CG)) / (FW)

    FE = 77 – ((1 - .30) x 100) / (.30)

    FE = 77 – (70 ) / .30

    FE = 7 / .30

    FE = 23%

     

    FE = RG – ((1 – FW) x CG)) / (FW)

    FE = 77 – ((1 - .30) x 70) / (.30)

    FE = 77 – (49) / .30

    FE = 28 / .30

    FE = 93%

     

    FE = RG – ((1 – FW) x CG)) / (FW)

    FE = 77 – ((1 - .30) x 67) / (.30)

    FE = 77 – (46.9) / .30

    FE = 30.1 / .30

    FE = 100.33%

    Auto Generated Transcript::

    Welcome to the Memorizing Pharmacology podcast. I’m Tony Guerra, the pharmacist and author of The Memorizing Pharmacology book series, bringing you mnemonics, cases, and advice for succeeding in Pharmacology. Sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com.

    Let’s get started with the show. This is a question that comes up a lot: How do I figure out what my final exam grade needs to be for me to pass the class? It depends on a couple of factors. What is your bar? Do you need to pass with an 85, 80, 75, or is a 73 passing like a C minus? So, what is needed to pass is the required passing grade.

    First, you need to calculate what your final exam grade needs to be. Then we’ll figure out what is the required passing grade. This is usually set by your program. Then you want to know the final exam grade as a percent. So what we’re saying is, if your final exam is 30, you want to put 0.30. If your final exam is 20, then put 0.20, and so on.

    The last one is what is your current grade? The current grade is going to be the opposite of the final exam weight and we just need that as a number.

    Here’s the equation itself: The final exam grade needed is equal to the required passing grade minus (1 minus the final exam weight as a percent) times the current grade, divided by the final exam weight.

    So what does this look like in practice? We’re saying that our final exam grade needed is going to be our required passing grade of 77 minus 70 divided by 0.3 which ends up being 7 divided by 0.3. This person has a 100 in the class going into the final and just needs a 23 percent.

    So if there are four questions on multiple choice, it literally means that probability would say that if they picked all C they should pass with the final. But what might be is that you are actually below the line. So let’s say right now instead you have a 70 in the class, can you still pass the class? Well, the answer is yes.

    So what we do is we put in a required grading and we’re just using 77 as a number which is a C plus or close to it. The 1 minus the FW (final exam weight) of 30 is going to be a 0.3 and that gives us 70 times 0.7 and then we multiply times the current grade and we’re just saying you have a C minus or 70 and then we end up with 49 over 0.3 our final exam weight so total you would need 28 out of 0.3 or a 93 percent to get a 77.

    So in this case it actually helps you that the final exam is worth so much because it means that it’s still mathematically possible for you to pass the class where it becomes mathematically impossible to pass the class is right around 767 for something like this and we can do that calculation as well.

    So let’s say at your school the passing is 85 instead of 77 it would be 85 minus (1 minus 0.3 times your current grade) right over 0.3 assuming that 30 percent is your final exam.

    Again it’s very flexible you can change it however you need but the idea is to be able to go into the final exam knowing exactly where you stand in every class so that you can better divide your time so that you make sure that you spend most time on classes that you’re a little bit behind and a little bit less time on classes that you’re way ahead.

    Thanks for listening to the Memorizing Pharmacology podcast! You can find episodes, cheat sheets, and more at memorizingfarm.com again you can sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com.

    Thanks again for listening!

    Interested in Pharmacology?
    Find my book here: https://geni.us/iA22iZ 

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to my YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Courses:  residency.teachable.com

    Ep 86 Cutting Pharmacology Study Time in Half

    Ep 86 Cutting Pharmacology Study Time in Half

    Cutting Pharmacology Study Time in Half

    Find the book here: https://geni.us/iA22iZ 

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to TonyPharmD YouTube Channel here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Courses:  residency.teachable.com

    In this episode I go over why it takes so much longer to study for pharmacology than other classes and what to do about it. 

    Auto Generated Transcript:

    Welcome to the Memorizing Pharmacology podcast. I’m Tony Guerra, pharmacist and author of the Memorizing Pharmacology book series, bringing you mnemonics, cases, and advice for succeeding in pharmacology. Sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/p/mobile. Let’s get started with the show.

    Okay, welcome to the Memorizing Pharmacology podcast. I just wanted to teach you how to cut your pharmacology studying in half. So before I get started, online pharmacology class is still available. We opened up a second section because it looks like the first section might fill. So just go to DMACC, DMACC and then pharmacology PHR185 is the name of the class or the class number.

    Okay, so what I want to do is just give you a quick example. So I live in North Ankeny and there is a grocery store HyVee that we go to and then there is also a South Ankeny HyVee. When you go to the North Ankeny HyVee, this is the one I know, this is the one I go to all the time, the groceries are on the left of the building. If I need something that is not grocery, I know it’s on the right of the building. But if my kids say, okay, well Dad we’re out of milk and orange juice and cheese or something like that, I know to go in the right part of the building. I know to go to the back refrigerator section and if it’s just milk I can just go to the registers and I can go to the back right. I can go get what I need and come right back out and be done. On the other Ankeny one, I would have to go all the way to the left side, go all the way to the back left and then come out in the left door.

    So I just want to give you that quick example because when we talk about pharmacology and why I wrote the book Memorizing Pharmacology: A Relaxed Approach and you know somebody just put a comment on my YouTube video, hey you know thanks for cutting down my study time. That’s the whole point of mnemonics is to make it so that your time is much more efficient whether using the second edition or the first edition it doesn’t matter.

    But when people say oh okay well it’s just about the endings and the suffixes and things like that, that is incomplete and I want to show you why. Okay so besides the endings and suffixes and things like that, what I’m looking at right now is you can go online look on Amazon and this is the free preview of the book and when you look at GI for example and we’re going to start with too much acid.

    The first thing you would give somebody or something somebody would take is they just go to over-the-counter and just get some antacids and they take those and that would reduce the amount of acid in their stomach. Okay, the next thing they would go to is an H2 blocker. That is a little bit more potent, it’s going to last quite a bit longer than an antacid. It can be taken on a regular basis maybe two weeks if somebody is having chronic acid or chronic GERD or chronic reflux.

    And then if they were to go into a situation where they were actually going to be treated with antibiotics and an acid reducer, it’s more likely you would get a proton pump inhibitor. Now yes I talk about the endings. The generic antacids are actually the same chemical name as generic names kind of unique in the way they do that. And what we do is we put calcium carbonate and magnesium hydroxide one is constipating one causes diarrhea we put those opposite each other and we put them in a pair.

    Then for histamines we have cimetidine which is the first one that came out has all of the side effects and then famotidine which has many fewer side effects which is the newer one and then it has that new Zantac brand name in addition to Pepcid.

    And then we go to our proton pump inhibitors esomeprazole and omeprazole you know the S and R if you need to get into that in your particular pharmacology class where you have the right hand and left hand but more important thing is that it is in an order.

    So in same way that I would go into HyVee in North Ankeny HyVee and if I need to go get dairy and maybe a card for someone I would go into right side of store and then I would go into back right of store but then if I know I need to get like a frozen pizza or something I would know I’d go to middle of store and then if I need to go get some dessert or something like that back left of store If I needed to get some crab rangoons, you know, just a snack or something like that, they would be on the left of the store. And then maybe some Starbucks on the way out, left of the store. But if I go to the South Ankeny HyVee, that actually reverses almost. Because if I need to get dairy, it’s on the left hand side of the store. The Starbucks is in the middle of the store on the left side. And so maybe I would start there, kind of get that thing to go in your cart. And then I would put the pizza and the milk and everything and I would go get it on the left side of the store.

    So what I’m telling you is that yes, okay, those prefixes, infixes and suffixes are helpful. But the more important thing is that you have a list that’s going to have things in order. And that order is how you’re supposed to learn it. And the order you’re going to want to learn it in is the one where, okay, what is the least invasive medication that we’re going to use? What is the next least invasive and so forth until you get to the very strongest medicine? Or with beta blockers, first generation, second generation, third generation. Calcium channel blockers, non-dihydropyridines versus dihydropyridines. Okay, when you talk about antihistamines, it’s going to be which ones are the non-sedating versus the sedating. The sedating came first and then the non-sedating came second. First generation, second generation.

    What I’ve done is, the reason this can cut your time in half is that I’ve already done it for you. I’ve already told you this is what has allowed students to be successful in the past already. They’ve already found that this is the order that makes it so much easier for them. This is the order that makes sense for them. And for you visual learners, this is the one that you want to draw it and you want to draw this drug first, this drug second, this drug third. Or with something like the RAAS, the renin-angiotensin-aldosterone system, you would of course put something that is going to affect angiotensin II like an ACE first and then an ARB second because that’s what the order is going to be in the picture. Or with diuretics, you’re going to start with the glomerulus and you’re going to start with mannitol and then you’re going to go down the loop of Henle like a water slide. You’re going to come back up and you’re going to use furosemide and then you’re going to go to the distal convoluted tubule into hydrochlorothiazide and then you’re going to go into the collecting duct where you have spironolactone or eplerenone, those potassium-sparing diuretics.

    There is an order for everything and the reason why it’s taking you so long to figure out pharmacology is because you are figuring out the order for yourself. You are reinventing the wheel. I’m telling you I’ve already done this. I’ve been teaching this for 15 years. The reason why so many people want to use this book and I want to say it’s close to almost 10 000 a year that will use this book is because I’ve already put everything in order for you.

    And yes I get it, you’re gonna get some maybe some of your lectures are going to have like study notes for the exam and things like that but the question is and you can figure this out really quickly does the order match the order that I’ve put them in? Okay when you look at GI does it look like this is in an order from least to worst something like that?

    Alright well if you got questions donateguerra@gmail.com but again the easiest way to do this use videos on YouTube or whether you get book Audible lets you get it for free if you’ve never had one with them before but if you are not doing things in an order that you’ve already established or somebody has established for you then you’re probably making it twice as hard as it needs to be. You’re spending twice as much time on pharmacology than you need to.

    And I assure you it will make it so much easier because once you make this class take up less of your time you can spend more time on other classes and then you feel so much better because once you’ve made it so that okay now I’ve got enough time to do everything that’s when anxiety starts to go away. That’s when you start to feel confident. That’s when you’re helping your classmates and when you’re helping your classmates you’re learning it even better.

    And we get on this kind of wheel of just success where it just builds on each other because now you’re helping other people learn and you totally remember it. Alright Tony the pharmacist gmail.com if you’ve got questions otherwise I will talk to you in the next episode.

    Thanks for listening to the Memorizing Pharmacology podcast. You can find episodes, cheat sheets and more at memorizingfarm.com. Again you can sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/p/mobile. Thanks again for listening.

    Like to learn more?

    Find my book here: https://geni.us/iA22iZ

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to my YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Courses:  residency.teachable.com

    Ep 85 Pharmacokinetics and Pharmacodynamics Pharmacology Mnemonics

    Ep 85 Pharmacokinetics and Pharmacodynamics Pharmacology Mnemonics

    Pharmacokinetics and Pharmacodynamics Pharmacology Mnemonics

    Find the book here: https://geni.us/iA22iZ 

    and subscribe to TonyPharmD YouTube Channel here: https://www.youtube.com/c/tonypharmd

    Free pharmacology audiobook if you've never had one with Audible before:

    https://www.audible.com/pd/Memorizing-Pharmacology-Audiobook/B09JVBHRXK?source_code=AUDFPWS0223189MWT-BK-ACX0-281667&ref=acx_bty_BK_ACX0_281667_rh_us

    Here is the Link to my Pharmacy Residency Courses:  residency.teachable.com

    These two words, pharmacokinetics, and pharmacodynamics, get confused; I wanted to put up a quick way to remember the difference. If you want a longer explanation, go to episode 21, pharmacology basics, in the NGN NCLEX Memorizing Pharmacology Playlist. 

    Auto Generated Transcript:

    Hey, welcome to the Memorizing Pharmacology podcast. I’m Tony Guerra, your host. Always check the show notes to see if there’s a link. You may be able to get one of the Memorizing Pharmacology books for free if you’ve never been an Audible member before. Again, the best way to succeed in a Pharmacology class is to have already taken pharmacology, and any of these books can be listened to in a weekend or a week of going back and forth. So with that, welcome to the show.

    In this episode 85 of Pharmacokinetics versus Pharmacodynamics Pharmacology Mnemonics, I wanted to make sure that you understand the difference between the two things but also how to remember what the difference is and what the important components of pharmacokinetics and pharmacodynamics are.

    Let’s start with what pharmacokinetics really is. It’s just a combination of two words: there’s pharmacology which is ‘pharmaco’ which is drugs and then ‘logy’ which is a study of, so study of drugs. Because with Latin we turn things around. Kinesiology is the study of movement. So if you know a Kinesiology major, you know they’re helping you work out in those things. So I’ve got my little owl here studying and then a runner here. So study of drugs and movement. So when you go to pharmacokinetics, it’s the study of drug movement.

    Okay, so what does that mean practically? Well, there are four big pieces to it and there’s an order to it. So we want to use the ADME mnemonic: A for absorption, D for distribution, M for metabolism, and E for excretion. But what we also need to know which we don’t necessarily usually hear a mnemonic for is what each goes with.

    So absorption goes with small intestine. That’s usually where it is. It’s not the stomach; actually, the most absorption is small intestine because there’s a lot more surface area there. Distribution is the blood; again blood is a tissue. Metabolism is the liver; then it goes to the kidney.

    So we want to imagine this medication going into the small intestine being absorbed into the blood going to the liver and then being excreted from the kidney. So how do we remember that? I use ‘small I blinked’ as my mnemonic: so small I for small intestine, the B for blood, the L I N is in liver then and then K I D is the end of blinked.

    I get that blink is spelled B L I N K E D not B L I N K I D but go with me here. So absorption distribution metabolism excretion is small intestine blood liver then kidney.

    Pharmacodynamics though is pharmacology; we’ve got our owl studying study of drugs but Dynamics is a force that causes a system change effect so one of those forces would be like a storm so when we’re talking about pharmacodynamics we are talking about the effects of drugs okay so what effects is this drug going to have on the system which is your body okay so what we do is we have to figure out first is that drug an Agonist or an antagonist we won’t get into partial Agonist right now so an Agonist is one that will activate something so if you’ve taken an inhaler like albuterol ProAir HFA that is a beta Agonist that is going to activate your lungs and open them up an antagonist would be like a beta blocker like metoprolol that is going to affect your heart it’s going to block the hearts beta receptors reducing heart rate okay and then we get into you know how these can oppose each other if you get something like Propranolol which also lowers heart rate at the same time that it’s kind of blocking the lungs so we won’t get into that part but that’s pharmacodynamics okay and a really good way that I’ve always seen this presented is in relationships okay so when you have a relationship Dynamic you’re going to have a protagonist this is the hero and an antagonist this is the villain and if you’ve just seen um Mario Brothers which had Mario as the protagonist and Bowser as the antagonist then you get what I’m talking about one is a blocker one is an activator okay so in relationship Dynamics a person is receptive to the protagonist the hero and not to the antagonist and that conflict drives the story in pharmacodynamics we’re just changing the word the receptor is receptive to the drug Agonist not the antagonist and so the antagonist blocks the effect and then causes the opposite so let’s go back to our idea of the lungs and the heart if we have an Agonist that opens up the lungs the antagonist would close up the lungs if we have an antagonist that lowers heart rate then an Agonist would increase heart rate so let’s not use the words good and bad we’re just going to use the words Agonist and antagonist as activate or block okay but that’s what pharmacokinetics and pharmacodynamics are thanks for listening to the memorizing pharmacology podcast you can find episodes cheat sheets and more at memorizingfarm.com again you can sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile friendly self-paced online pharmacology review course at residency.teachable.com forward slash P forward slash mobile thanks again for listening sure!

    Like to learn more?

    Find my book here: https://geni.us/iA22iZ

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to my YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Courses:  residency.teachable.com

    Ep 84 Failing Nursing Pharmacology and Pathophysiology on Reddit (How to Avoid This)

    Ep 84 Failing Nursing Pharmacology and Pathophysiology on Reddit (How to Avoid This)

    Failing Nursing Pharmacology and Pathophysiology on Reddit (How to Avoid This)

    Nursing school is a balancing act, so the first semester is especially dangerous because you haven't set the way you work. In this episode, I talk a little bit about two courses that are especially difficult and how to get through them by getting ahead. 

    Find the book here: https://geni.us/iA22iZ 

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to TonyPharmD YouTube Channel here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Courses:  residency.teachable.com

    Auto Generated Transcript:

    Hey, welcome to the Memorizing Pharmacology podcast. I’m Tony Gary, your host. Always check the show notes to see if there’s a link. You may be able to get one of the Memorizing Pharmacology books for free if you’ve never been an Audible member before. Again, the best way to succeed in Pharmacology class is to have already taken pharmacology and any of these books can be listened to in a weekend or a week of going back and forth. So with that, welcome to the show.

    I wanted to talk a little bit about this Reddit post where a student failed out of nursing school because they failed both pharmacology and pathophysiology. The way that it works is they needed a 78 to pass and they got a 70 in both classes which traditionally you know you pass with a C and that’s a C minus or something like that. What happened though is that the school doesn’t let you fail more than one class.

    I want to talk a little bit about first of all why it happens in these two classes because it tends to be patho and farm and what you can do about it and then what you can do to really prevent it. First things first, tremendous empathy to someone who has the courage to take three tries to get admitted to a school and then struggles this way.

    It’s a really strange thing to say it’s better to get let’s say you’re taking five classes which I think she was but it’s better to get 577s than it is to get four A’s and one seventy and certainly to get three A’s and two seventies. What is I feel like a little bit difficult first is taking farm and patho in first semester when you haven’t really kind of gotten a hold of what’s going on with professional school and how you really want to adjust that’s pretty tough.

    I find that it’s a lot easier to get prepared for pharmacology than it maybe is to get prepared for pathophysiology so pathophysiology again it really kind of depends on how strong your anatomy and physiology courses were and then with pharmacology you can do a couple of things. You can actually take pharmacology before pharmacology and you can also study it through some books and things like that.

    In this episode, I just wanted to kind of talk about first of all there’s a lot of positive vibes to comfort this student but let me just kind of talk a little bit about what I’ve got going on now. For the new NGN NCLEX, I created a playlist on YouTube and you can just always listen to the podcast but what’s gonna happen is I’m gonna have so many episodes that it is going to start getting a little bit mired in this way.

    You can just kind of either see what the episodes are and make your own playlist or you can just kind of go down the playlist to make sure that you’re getting all the pieces that you need. It’s just called NGN NCLEX Memorizing Pharmacology playlist on Tony Farm D and again free to anybody, you’re welcome to use it. I’ll continue to build this out over the summer and should be done by August where I feel really comfortable about having a ton of information on there for you.

    If you just want a book to help you out it kind of depends if you’re like the student who is going into first semester pharmacology. The way Audible does it is you can just get the book for free and if you don’t like Audible in the first 30 days, you can cancel no questions asked and then they charge you like 15 bucks a month.

    So it’s really just do you want to have those extra books do you want to have access not just get the books you buy but also get a ton of other books that that you’re able to get too so they kind of just depends if you’re somebody that is a commuter or somebody that has a lot of time not a lot of time but a lot of time where they are commuting or working out or those types of things and audio works for you so Memorizing Pharmacology, the second edition or the first edition first edition is just one that people just like the narrator again I kept a British narrator with the second edition, but some people still prefer the first and then memorizing pharmacology mnemonics. If you’re a little bit more advanced or maybe you’re going into PA school or you’re going into pharmacy school and the brand names are really a big deal, that could also be one for you. And then if you want something really short, it’s only like three hours. Good night Farm will give you 350 branded generic names. It’s really more just the mnemonics but there’s one more where, you know, it’s 18 hours of pharmacology if you really want that. And that’s questions answers and rationales books one to seven. So, you know, the first step maybe just take the free book for a couple of weeks, listen to it. The books were usually like six or seven hours, so it’s reasonable that you could finish in that time and decide you don’t want to continue and that’s fine. If you want something a little bit more, you can do the self-paced pharmacology course. It’s got the quizzes and the videos and that’s really for someone that feels like they don’t need a full Preparatory course like out of college but still want to have the videos. They still want to have quizzes. They still want to have something that kind of continues on with them. And then the last is really if you want to have the accountability of actually having a class in the summer, it’s only 10 weeks so it’s pretty quick. Goes middle of May to just before just beginning of August and that’s PHR185 pharmacology at DMACC again. It doesn’t matter what state you’re in, it’s online tuition so there’s no charges for being out of state or I don’t even think there are charges for being out of country. So if you’re in Canada and want to do these, you know, you can do them as well but you’ll just email me if you’ve got a question at a-a-g-u-e-r-r-a at dmacc.edu. Happy to help you. You really just click in to become a guest student. It takes a day there’s no transcripts or anything like that it’s just here I’m here for one class or I’m here for one or two classes and this can help you. And I’ve said over and over but really to succeed at pharmacology, you have to have taken pharmacology and really this is just saying imagine if instead of just going right into a medical Spanish class for example, you actually got to go to Spain or Latin America or Mexico for a couple of weeks and instead of just taking a class, you were actually reading the signs and going and ordering things and talking with people about the words and then you took the class. And that’s what these books and what the courses and all that is about is that when you get into the class that it’s a lot easier because you’ve already seen it before now. The bigger thing that nobody ever talks about is the time suck and what I mean is like a vacuum where what happens is that you will have maybe four or five classes usually five classes and there’s an expectation that you’re gonna have okay I’ve got this much time in the day I’m going to divide those classes by five and I’ll spend X number of hours on it only to find that sometimes pharmacology and pathophysiology are taking twice as much time as the other classes and that you didn’t really budget for that amount of time with your family with your work and all those things. And so what taking pharmacology ahead of time or if you could find a patho course, those are a lot harder to find. If you took a pharmacology class ahead of time, what it does is it frees up that extra time and instead of you being the one that’s kind of falling behind in all your classes, you’re actually ahead in Pharmacology. Actually, it becomes your superpower. So this sounds strange but imagine instead of going into the NCLEX dreading the 16 that you can have in Pharmacology and the other way around, you’re like oh cool a pharmacology question I know these and that you’re already 16 into the exam and that you’ve you’re like okay well I know I can get this 16 no problem so it really can be that way because what happens is if you’re ahead then you’re able to help the other students when you’ve helped the other students you go from what is an absorption rate of around 10 to 15 percent with lecture to about 90 when you’re teaching someone else how to do it. So the big thing I should call it like the online jumpstart pharmacology class but that might just get too weird but I think that um well I know for sure that those students that have either read the book gone into the courses and taken pharmacology after they’ve already had pharmacology are moving about 11 points so if they were going to get a 77 they would get like an 88 or something like that so about 11 points is what would have been a little bit different when you talk about uh taking that course so again if you’ve got questions you know where to get me but I just wanted to kind of put this in there before I get on to the next clinical topic uh again you know I’m sorry if you failed path though and failing farm and patho is just brutal but really it’s did you take pharmacology before pharmacology in some way and if you’ve taken a little bit of time to learn the language you’re not going to get behind you’re going to get ahead and you’re going to have opportunities to help others thanks for listening to the memorizing pharmacology podcast. You can find episodes cheat sheets and more at memorizingfarm.com. 

     

    Again, you can sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com forward slash P forward slash mobile. Thanks again for listening.

    Like to learn more?

    Find my book here: https://geni.us/iA22iZ

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to my YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Courses:  residency.teachable.com

     

     

    Ep 82 How to Pass Chemistry on the First Try

    Ep 82 How to Pass Chemistry on the First Try

    How to Pass Chemistry on the First Try

    Find the book here: https://geni.us/iA22iZ 

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to TonyPharmD YouTube Channel here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

    In this episode, I interview Dr. Richard Roberts, a chemistry professor at Des Moines Area Community College, who gives some great advice on succeeding in chemistry. If you are interested in taking an online chemistry or pharmacology class, here's the link  https://www.dmacc.edu/programs/pdp/pre-pharmacy/Pages/online-pharmacology-class.aspx 

     

    Auto Generated Transcript:

    Welcome to the Memorizing Pharmacology podcast. I’m Tony Guerra, a pharmacist and author of the Memorizing Pharmacology book series, bringing you mnemonics, cases, and advice for succeeding in Pharmacology. Sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly, self-paced online pharmacology review course at residency.teachable.com/P/mobile.

    Let’s get started with the show. Before we get started with the show, I just wanted to talk to you quickly about online courses. At Des Moines Area Community College (dmacc.edu), we have both Chemistry 122, which is IntroChem, and Pharmacology PHR185 available online. We’re going to talk about some tips to get through a chemistry class but honestly, you know, I’ve been teaching this for 15 years now. Most of the time when someone doesn’t do well, it’s not because of their ability.

    It’s because of life getting in the way and it’s having so many responsibilities all at once including getting to a certain place at a certain time. Sometimes the online option, which to be fair actually requires I think a bit more autonomy than sometimes the in-person where you’re told you know it’s this day and all of that stuff. I think that it is a really good option for some people who have things in the way. So we’ll talk about how to succeed in chemistry class and to some extent pharmacology.

    Do check out the online pharmacology course which is half full. It really fills up once semester’s over and students realize there is no summer class for them to make that class up at other colleges. Then the chemistry class, you can get on the waitlist or enrollment for fall starts here in a couple of days so dmacc.edu if you want to check those out or if you have questions just email me at Tonythepharmacist@gmail.com.

    Again, the whole point of all of this is to help you succeed on your journey to becoming a health professional and not letting pharmacology and chemistry get in the way but instead allowing those two courses to be the ones that are foundational to helping you succeed.

    Alright, welcome to the Memorizing Pharmacology podcast. Today I have Dr. Richard Roberts who teaches chemistry at the local community college and what I wanted to do is I wanted to ask him a bunch of questions about chemistry and getting good at chemistry that can really help us in Pharmacology.

    So Dr. Roberts, welcome to the Memorizing Pharmacology podcast. “Thank you Tony, glad to be here.”

    Okay so the first thing is when we talk about chemistry there’s a Stanford study that showed that the one class that knocks out more pre-meds and science students as they move through STEM and things like that is chemistry but the data actually show that it’s not that the class is hard it’s that students’ perceptions of themselves is a little bit low in terms of their abilities.

    What are some of the things you’ve been able to do in your career to help students kind of increase their chemistry confidence? “I think a lot of it is about spending less time actually teaching and more time actually with the practice portion of the student experience. I know that I try to avoid lecture as much as possible and when I do lecture I try to keep it down to five to ten maybe 15 minutes at a time because I think it’s better for students to actually have an opportunity to struggle with the material rather than watch me do the material for them.”

    “I kid them that I am sometimes like the Bob Ross of chemistry so you know I can watch five programs of Bob Ross painting landscapes and after that experience buy myself a bunch of paints but it never really turns out so I think it’s all a matter of practice. I’m sure that Bob probably practiced his craft for a number of years before he got so good at it.”

    “Yeah and he had a certain voice with that and he would kind of whisper into it as if he’s talking to a single person and that’s how you know you’re supposed to address them.”

    “Yeah, I play parts of your videos but when you actually add up the minutes that I use never more than a minute or two at a time.”

    “So when a student comes sometimes math is something that’s a real struggle for them even though maybe they just they just pass statistics with a C or a B. One of the things that students can do to really improve their math, because we don’t mean it to be this way, but chemistry can be a math class in disguise sometimes. I guess that’s kind of unfortunate. I know that I always say that you know math is kind of the language and glue of most of the sciences in one way or another. I know that even biology, when you really get down to it, has a fair amount of math. And it comes down to practice. I always enjoy talking with students who tell me that they’re not good at math. I always tack on ‘yet’. It’s one of these things like my kids will, you know, when they’ve taken various music lessons, they want to quit because they’re not good at piano. And I always say ‘well, yet’. And I’m sure that everybody that took up the study of piano probably reached that same point in their study where they felt like they were never going to be good at it. And it just, you know, different people are going to take a different amount of practice to develop that skill.

    Okay, well something that happened with the pandemic is the kind of move to some online classes, classes that traditionally were not even allowed to… Well, let me back up and say that sometimes programs like nursing and medicine would not accept the chemistry class that was taught online. But now with the pandemic, that may have changed for some. And I know that many of our students, our average student is a single parent with two children who’s about 27 or 28 years old. Online is a boon for them to not have to come in, to get that child care and those types of things. Tell me a little bit about how you’ve adapted the online to chemistry because that’s really hard to do.

    Well, I think one of the biggest hang-ups that schools have had is about the lab portion of the class. So if there was accepting institutions, I know that our local big regent institutions had some pushback probably 10 or 12 years ago about the possibility of online classes and their biggest hang up was that students weren’t getting the experience with the hands-on portion. During the pandemic we kind of lucked out and a couple of our instructors had been teaching online for some time and we were able to kind of piggyback on that. They were using kits from one of the commercial sources and I don’t know whether I can mention a name. I’ll skip mentioning the name but there are several commercial lab producers out there and that kind of kept us afloat. And ever since then we’ve kind of maintained a few sections of these just for those students. And I know that in kind of my online conversations with students getting to know them, a lot of them are just as you described. They’re single parents, they might even be parents with a partner but nonetheless if they have small children that kind of limits their ability to travel. It’s like do I go to school and then not only am I paying a couple hundred dollars a credit for the class but I’m also spending several hundred dollars a week for daycare. We also get students that live in remote locations, rural locations that may not have the opportunity to travel to a nearby college. So it does expand the opportunities for students.

    Yeah, I actually had the chance to take the kits on the molecular kids and I just thought okay well I’ll just go to their houses thinking you know just be in the area and I found that it was actually a half a day that I took to send out these. I think it was maybe 14 kits where I was going and turning off the paved road was not an uncommon thing but it was really neat to meet them.

    Well, I guess one of the biggest things that students are worried about is their grades and it’s almost a self-fulfilling prophecy if they do poorly on the first exam all of a sudden they’re like ‘see, I told you, I told you I wasn’t good at chemistry’. What are some of the ways that students can work on that confidence and say that it’s not that you are bad at chemistry, you had a bad exam?

    Here is my attempt to correct the text:

    "That’s feedback that your preparation might need to change in some way. What are the things you can do after test one? Because test one is a point, it’s not a trend, right? How can we make sure that that trend trends up?

    Well, I’m glad you kind of mentioned that it isn’t just all bad. I usually have an exercise after that where I kind of call it a triage experience where I have them identify things that they were good at on that test. Because they obviously, if they’ve been studying at all, they probably were able to gain some skills in some areas. It’s not a complete loss. What were the things that you did the worst at? How can you kind of recover that material? Because chemistry is one of these classes that kind of builds. It’s like a big snowball and if you miss out on some of these early concepts, it’s going to hurt you in the long run. So how can we recuperate that? Are there any barriers that they had in their preparation? Sometimes they’ll admit that they worked too much in the weeks preceding a test. How can you change things so that you can afford yourself more time and more ability to prepare for the next test? So I kind of put a little bit of the ball in their court to get them to realize that they have the ability to change things, to give themselves a better opportunity for success later. And I also try to be intrusive with my communication. So sometimes if I notice that they’re not getting assignments completed on time, I start emailing them. And pretty soon, just like my children, if I pester them enough, they just get tired of me asking them to unload the dishwasher.

    So we had something due for sixth grade math. There’s a test today and I was with the girls this morning and I was like okay, well what I want you to do is I just want you to write the questions on paper and then answer the quiz. And they feel okay if all three have to do it but if there’s any exclusion they don’t.

    So let’s kind of finish up with the one I’ve asked you a bunch of questions. What would be the one thing that maybe you’ve learned in all these years that is absolutely essential for succeeding in chemistry or even in life? But what is that kind of like this: if you do this one thing, everything becomes a lot easier?

    I think a lot of it comes down to just positive attitude and allowing yourself to invest in what you’re actually studying. I know that I took a lot of classes that I considered obstacles, like art appreciation or something like that. But in the long run, I always tried to look for the hidden gem in all of these things. And I always tell students that there’s probably bound to be something that they enjoy about the class. It may not be the content, it may be the students that they’re surrounded with, their neighbors, or maybe they enjoy me telling dad jokes every day or things like that.

    I’m sorry, dad jokes? Back when we were young we just called them jokes but apparently as they age they become dad jokes.

    So trying to make the experience as inviting and as fun for the students as I possibly can. Kind of letting them know that there is an opportunity to make small mistakes along the way and it’s all right. Everything will turn out all right. And not to dwell on something that didn’t go well for you because the chances are that if you have a positive attitude and actually invest in what you’re doing, you’re probably going to have more successes than failures along the way.

    So trying to keep everybody thinking positively as they can.

    There’s got to be a dad joke in there. So keep your eye on the proton or something like that.

    Look at the protons, not the electrons. You know, and I think I lost an electron. Are you sure? I’m positive.

    All those things, yeah.

    So okay, well thanks so much for being on the Memorizing Pharmacology podcast.

    Thank you Tony. Thanks for listening to the Memorizing Pharmacology podcast. You can find episodes, cheat sheets and more at memorizingpharm.com. Again, you can sign up for the email list at memorizingpharm.com to get your free suffixes cheat sheet or find our mobile friendly self-paced online pharmacology review course at residency.teachable.com/p/mobile. Thanks again for listening.

     

    Like to learn more?

    Find my book here: https://geni.us/iA22iZ

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to my YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

     

    Ep 81 How Much Pharmacology is on the NGN NCLEX

    Ep 81 How Much Pharmacology is on the NGN NCLEX

    How Much Pharmacology is on the NGN NCLEX

    Find the book here: https://geni.us/iA22iZ 

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to TonyPharmD YouTube Channel here: https://www.youtube.com/c/tonypharmd

    Beginner Book Link: https://www.audible.com/pd/Memorizing-Pharmacology-Audiobook/B09JVBHRXK?source_code=AUDFPWS0223189MWT-BK-ACX0-281667&ref=acx_bty_BK_ACX0_281667_rh_us

    Advanced Book Link: https://www.audible.com/pd/Memorizing-Pharmacology-Mnemonics-Audiobook/B07DLGC8MP?source_code=AUDFPWS0223189MWT-BK-ACX0-118296&ref=acx_bty_BK_ACX0_118296_rh_us

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

    The new NGN NCLEX is going to test your vocabulary and reading comprehension, and the first step is to understand how much pharmacology is on there and what to do about it. 

     

    Auto Generated Transcript:

    Welcome to the Memorizing Pharmacology podcast. I’m Tony Guerra, pharmacist and author of The Memorizing Pharmacology book series, bringing you mnemonics, cases, and advice for succeeding in Pharmacology. Sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/P/mobile. Let’s get started with the show.

    Hey, welcome to the Memorizing Pharmacology podcast. I just want to talk briefly about the Next Generation NCLEX. The new exam is out April 1st and uh we’ll talk a little bit about how much pharmacology is on there but I think that the most valuable thing you can do is make sure you understand the question and you’re going to have a lot more reading on this with the six three case studies uh six questions each and when you start looking at the case studies what you’re going to find is there’s going to be terms that you know really well, there’s terms there that you don’t know at all and there’s terms that you think you know.

    And I think the most valuable thing you can do is to have a running list of all the terms as you’re going through your practice questions that you don’t really remember or don’t really understand and then go back to memorizing them. So I get it, the NCLEX is supposed to be about understanding the scenario and all these things but if you don’t know what certain terms are then you’re in trouble.

    So what’s going to come into play here and uh you know I hate to bring you back to English class but you know if you have something like the word diaphoresis that’s sweating but diaphoretic is someone who has sweated in the adjectival form is an adjective and so on and you may not necessarily, you might know like the word in one way but maybe not know it in another. And I think that one of the real ways to get an advantage is to improve your reading comprehension of the words that are in there.

    So maybe you take a practice exam and when you go back through the practice exam I think one of the keys is to make sure that you understand all the terms and anytime you come into a condition or something you really don’t know, you’re going to want to take the time to really slow down and make sure that you memorize or remember that word.

    So this is the Memorizing Pharmacology podcast so we’ll focus on that part of it but I just went to nclex.com and how to prepare and they’ve got a big sample pack of questions and an exam preview and there’s almost 150 questions in there so a really good preparation in terms of number of questions to understand what’s going on but you have to go to the candidate test plan to see what percentage is going to be pharmacology.

    And so we go down through the test plan. I would have showed you questions but it’s copyrighted and they made clear that they don’t want that being shown in that way but if you look at pharmacological and parenteral therapies, you’re looking at 13 to 19 percent okay. So if you see 13 to 19 percent and you have between 85 and 150 questions, quick back of the napkin math means that you could have as few as 11 questions if you were done with 85 again that 13 percent or if you finished at 85, you could have answered 16 uh questions but it can go all the way up to almost 29 pharmacology questions which represents almost 20 percent of the exam.

    So when I’m looking at this and I’m saying all right well how would I want my students to prepare for something like this it really comes down to reading comprehension and making sure that I know every single word on there. And the big words, that problem with pharmacology questions is that if you don’t know what the drug is for then you really can’t answer the question. And that’s unlike where okay I’ve got this case, I see all these things happening all these pieces put together, I think I can kind of make a reasonable assessment of what’s going on but if you have a straight line, what’s going to be an adverse effect you need to watch out for with blank, and you’re like, I don’t know what blank is. Well, it’s extremely difficult to get that one right. So when I think about something like that, I’m always treating it like a language. Like I’m trying to learn this new language and you learn medical terminology and then you kind of took that into anatomy and physiology and then into pathophysiology and then through your nursing clinicals, then you are now applying all of that.

    But with pharmacology, the words don’t really conform to traditional English in their pronunciation. And when you need to figure like, oh gosh, what’s this one for? They don’t give you a list of well here are the drugs you need to know. There is no such list. So what we have to do is go and use okay what are the most commonly used medications. And so that’s where memorizing pharmacology, that original book that everyone still loves, I think.

    Most of James Gillies, I mean he’s Scottish but it’s a British narrator basically where that really he introduces you. So that’s the first baby step, just listen to it and understand okay I get how to start picking up the language as I’m going to and from clinicals or to and from college. Because what you want to do is you want to kind of hear it and then all of a sudden your reticular activator is going to be open. So just as maybe you bought a blue car and all of a sudden you see blue cars everywhere.

    Same thing, once you start hearing these terms all of a sudden you’re gonna start hearing people say them and then they’re gonna really stick. So it’s not about trying to get okay I’ve got to get a thousand questions done and so forth. It’s about taking the time to go back and say okay what words did I not understand or there’s some medication names in there that I really needed to know whether it’s some pathophysiologic terms that I didn’t know was there some different form of a verb or some form of a word that was in its adjectival or adverbial form that made it more difficult for me.

    Okay let’s go back to the roots and this exam is very much a reading exam so if you struggle or haven’t really been challenged to read out loud then now is the time to start. And where you see yourself starting to stumble that’s really where you’re gonna want to start working through these words.

    Although it’s a British narrator, I directed his pronunciation to be the American pronunciations even with something as simple as beta blocker which in the UK would be beta blocker. We use albuterol they use salbutamol and so everything in here is the United States versions but the key is to get that vocabulary down.

    So once you start understanding the vocabulary that you’re looking for, you’re having these conversations with others or even getting ready to make sure that you succeed in your pharmacology class because I’ve said over and over again, you have to really take in Pharmacology to do really well in Pharmacology. That may seem counter-intuitive but it’s what I found.

    Then you’re ready to start really working with the bigger mnemonics and those bigger mnemonics are the memorizing pharmacology mnemonics. And I’ve shared a bunch of them on the podcast but what you really now need to do is say okay now that I understand what the word is I need to know where it fits in.

    And so now you’re talking about okay how do I remember a dihydropyridine versus a non-dihydropyridine calcium channel blocker? Okay which one was the one that affects the heart and the vessels which one just affects the vessels? Okay I’ve got an alpha Agonist versus an alpha antagonist okay which one’s going to open up the vessels which one’s going to close up the vessels which one’s going to cause fainting?

    You know I’ve got a beta blocker, what’s it going to do? So beta, the B always goes with bradycardia kind of pushes it down okay why would I use a beta Agonist? Okay well now I’m going to open up the lungs and all of these different pieces that come with it that goes into the memorizing pharmacology mnemonic.

    So first it’s just like grade school, you first learn the words and then you learn the words relation to each other. And I think the biggest challenge that’s going to happen with this NCLEX ngn and again my undergraduate degree is in English although my doctoral Pharmacy.

    I really know that when you create case studies that everybody has to take and there are three case studies, six questions each. The reading comprehension, how quickly you can read, how quickly you can understand what’s going on and separate the pieces so that you don’t get lost in the forest for the trees as it were. I think that’s really what’s going to be the thing that separates those that pass with just the 85 questions and those that are really struggling to the 150 or maybe even failing.

    So you know, it’s like well, when would I have time to read? Well, I’m not asking you to read for pleasure. I’m just saying that when you do your practice tests and you have your practice questions rather than just say okay these are the ones I got right and these were the ones I got wrong. I would go through all the questions and go through okay these were the words I didn’t understand even in the ones that you got right because there’s one in four chance a lot of times that you got it right but you didn’t know.

    That you maybe didn’t know it because it’s really going to be a reading comprehension exam and as fair or unfair as that is, that’s what the decision has been to do this now. Yeah, it would have maybe made more sense in this kind of digitally technological world that we could have somebody actually creating these kind of scenarios where you’re actually listening to it and here’s what’s happening this is what you see what do you do and I’m sure it will get there eventually.

    But right now, the NGN is really the Next Generation NCLEX is really, I think a reading exam and the best way to improve your reading is to write down the word that you didn’t know. Use the mnemonics that I’ve given you in the podcast and the books and all those things to find a way to remember them because there are some things that it just gets so. The word I want to use is it gets the terminology kind of overpowers it and you’re just like oh my gosh what is going on here what are all.

    How am I not familiar with these words and it’s not that you weren’t familiar with them, it’s that you’ve never read them. You’ve only heard them or maybe you’ve glanced at them or seen them. So I think that as you kind of continue on, I think you’re gonna have to become much more conversational and much more fluent in reading as you’re kind of moving toward the NCLEX and so forth.

    So one way to get that good feeling and to make sure that you know what the question is saying is to get better at reading and you get better at reading by doing the vocab words. So anyway, if you got questions for me, Tony the pharmacist at gmail.com again if you’ve never had an audiobook on Audible before memorizing pharmacology whether it’s the first or second edition or memorizing pharmacology mnemonics if you’re kind of getting toward okay well how do I put all of this together.

    I think that either of those can be really helpful on making sure you understand the question so that you can answer it well. Thanks for listening to the memorizing pharmacology podcast. You can find episodes, cheat sheets, and more at memorizingfarm.com again. You can sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile friendly self-paced online pharmacology review course at residency.teachable.com forward slash P forward slash mobile. Thanks again for listening. Thank you.

     

    Like to learn more?

    Find my book here: https://geni.us/iA22iZ

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to my YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

     

     

    Ep 80 Male and Female Reproductive Pharmacology Suffixes

    Ep 80 Male and Female Reproductive Pharmacology Suffixes

    Male and Female Reproductive Pharmacology Suffixes

    Find the book here: https://geni.us/iA22iZ 

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to TonyPharmD YouTube Channel here: https://www.youtube.com/c/tonypharmd

    I hit some of the high points in reproductive male and female pharmacology regarding prefixes, suffixes, and infixes. If you want a more detailed review, you can check out the audiobook:  https://www.audible.com/pd/Memorizing-Pharmacology-Audiobook/B09JVBHRXK?source_code=AUDFPWS0223189MWT-BK-ACX0-281667&ref=acx_bty_BK_ACX0_281667_rh_us

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

     

    Auto Generated Transcript:

    Welcome to the Memorizing Pharmacology podcast. I’m Tony Guerra, pharmacist and author of the Memorizing Pharmacology book series, bringing you mnemonics, cases, and advice for succeeding in Pharmacology. Sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/P/mobile. Let’s get started with the show.

    Okay, I wanted to go over male and female reproductive pharmacology suffixes. I’m Tony Guerra, your host. Just wanted to make sure that I say suffixes, but we’re going to see some things that are in between which are technically infixes versus prefixes and so forth. So let’s just take a look here at what we’re kind of dealing with.

    So testosterone, a lot of people think the ‘one’ is what makes it a certain type of drug but really we’re talking about these male hormones. We’re really talking about the ‘ster’ for steroid and you’ll notice that ‘sterone’ is also in progesterone but the male hormone is testosterone brand AndroGel which is a controlled substance. It can be, I guess addicting is the way to put it, and it’s an anabolic steroid something that is going to build up muscle versus remember catabolism, anabolism. Catabolism breaks down or crushes, anabolism builds up.

    Estrogen, the ‘estr’ is uh was Premarin and that came from pregnant mare’s urine so the ‘prma’ and ‘in’ for prma Rin and then progesterone the progestin this is the other half of it. So when we look at these individually you know I always think of the Four A’s with testosterone and we got this really brave guy here and this really anxious guy here but there is that addictive potential it is C3 it can cause anxiety okay can cause acne so kind of think about uh you know really what is it like to be a high school guy is what I was thinking is like well you’ve got to deal with um potential for you know addiction with uh you know whether it’s video games to other stuff you’ve got anxiety being you know accepted by your peers you’ve got acne and then aggression as you kind of go through puberty and all those things so testosterone that’s kind of testosterone in a nutshell.

    We then go to kind of understanding okay well let me identify which one is the progestin and which one is the estrogen and the way again to do that is the ‘gest’ g-e-s-t is the progestin and the ‘estr’ is the estrogen so this is trisprintech which is a um one of our combined birth control pills slight risk of blood clots smokers really should just be using progestin only there can be significant cardiac effects and how long do you have to wait as a smoker well really you should be waiting almost a whole year before if you stop smoking to go on an estrogen type to avoid that increased cancer risk.

    In terms of cancer risk, you’re going to usually see breast and cervical go up endometrial ovarian and colorectal go down but the pictures here the breathe and the heart are specifically for that smoking to use progestin only versus a combination pill when we talk about alpha blockers and five Alpha reductase Inhibitors we’re really talking about a kind of a one-two punch for BPH or benign prostatic hyperplasia where the immediate relief comes from tamsulosin or Flomax okay so this is an alpha one blocker.

    The problem is it doesn’t actually fix the problem it just allows you know easier urine flow so you’re going to see some of those adverse effects which you’ll see with any Alpha blocker first dose phenomenon or syncope where somebody gets kind of a fainting hypertension reflex tachycardia though these things are much less likely than their than tamsulosin’s cousins like doxazosin and terazosin or terazosin however you pronounce however you want to pronounce it and those guys but still possibility because Alpha One really pregnant women foreign.

    And you’re going to see that this is kind of the first thing you give and you’ll give them together but this is kind of providing relief during the months that it takes for The Other Drug to work so it works quickly it’s going to eventually be removed you’re not going to give both medications for the long term so what we’re trying to do long term is we’re trying to shrink the prostate and do testosteride or finasteride those are the two drugs that do it avidart is dutasteride finasteride.

    Finasteride is one of those weird drugs that has two brand names for two different indications so the Propecia side of finasteride a much smaller dose is going to help with somebody’s male pattern baldness or hair growth and then the Proscar is prostate care so caring for the prostate that has BPH. So the 5-alpha reductase inhibitor, it’s really stopping DHT that’s what it’s doing. You’ve got to worry about ED, decreased ejaculate and libido, gynecomastia and hair growth and you can see that somebody who’s dribbling or having this issue with BPH might say you know what those adverse effects are not worth it to me so compliance may be an issue. Contradicting pregnant women, you don’t want them to handle it. You would have to double glove if you did and then it takes up to six months to work.

    So again, Tamsulosin first and just think of the alpha as the first um you know Alpha One as the first and then the five Alpha as the one that comes a lot later and because five months is close to six months you can think of five Alphas about how long it’s going to take for this to hit its full effect. Sildenafil versus Tadalafil so these are for rectal dysfunction, the stem is a fill afil and they increase nitric oxide to help with the erection so phosphodiesterase five Inhibitors now priapism or priapism however you decide to pronounce it is a four hour erection and an emergency.

    There are some treatments for it I’m not going to go over them but the key is that um if it’s a four hour erection you really don’t want to um you need to go to the hospital. It’s contraindicated with nitroglycerin and that’s because it would create a tremendous drop in blood pressure and this is the big difference like well why would I take Viagra versus Tadalafil. And when Viagra first came out it was Sildenafil okay but once Tadalafil came out you saw the bathtubs or the two bathtub commercials and the reason for that is that it lasts up to 36 hours.

    So Sildenafil if you think the time is right and the time is wrong well you’re out of luck but Tadalafil provides more forgiveness for the entire weekend and then that was the kind of big big difference between the two. Okay uh just a little bit about our story with the triplet pregnancy for those of you that don’t know right now I have three 11 year old girls they’ll be turning 12 in July but there are a couple of drugs that kind of came along uh on the ride with us and that allowed them to be uh how they are now.

    But uh Metformin uh was the drug that we use not Clomiphene so Clomiphene is a drug that is often used for those that can’t um conceive and Metformin just did the trick. And so there’s only a one in ten thousand chance of having triplets uh it’s very unlikely so that was great but what happened was we had the chance and we did not take it to abort one of the children um to increase the chances of the other two and we turned that down and that was what we thought was oh my God we’ve killed them all because they almost came out at 19 weeks.

    One of the girls just kind of decided and she’s is the alpha she’s the one that’s just like she’s already moved to you know another room in the house you know basically uh you know on her way out at 11. But uh Magnesium what was needed to stop the contractions uh she my wife went mag toxic and Nifedipine, the calcium channel blocker, dihydropyridine suppresses contractions uh long enough for them to start getting Betamethasone which is that steroid injection that helps with their lungs.

    And they were delivered at 27 weeks in three days so the magic number is 28 weeks we got almost there uh it was actually I think time for almost another shot coming up and unfortunately they didn’t get it, that would have made it alot easier for them but uh you know uh just uh really really lucky and um you know this was our first, second and last and I have a whole blog at ankenytriplets.com. But just I just want to show you, I think I talk too much about the words and don’t show you what the impact is but this is what happens when you when the medications go right and you discover these things and you can have someone that’s as tiny as they are uh survive and thrive. So this is Brielle um, we thought she was praying but maybe she was just kind of relaxing and just kind of putting the you know the hands to the side.

    Our entrepreneurial one uh this is Tegan and she’s got her 20 bill right there but we’re just trying to show how small they really were. So if you look at your you know billfold and take out a dollar, you can see they’re just an inch or two bigger than the dollar bill or your iPhone really um. This is if you just want some perspective, this is my index finger and um this is Rhian who’s wrapping her fingers around my finger so just tiny tiny and you can see just how how um thin that skin is as they’re in the giraffe okay.

    And they’re they have their uh sun, I call them sunglasses on but they have their little visor on there because they’re trying to avoid chronic Terrace and they’re under the UV light. And then I think this picture really shows as I’m taking the temperature under the arm there just how tiny uh they were and how fragile they were and just uh what a real miracle it was. So just uh thankful for all the medications and how it all worked out.

    Again, this information is provided for informational purposes only, not intended to provide or should not be relied upon for medical or any other advice. I urge watchers, listeners, and readers to consult with a medical professional with any medical condition. Again if you need me, Tony the pharmacist at gmail.com.

    Thanks for listening to the Memorizing Pharmacology podcast. You can find episodes, cheat sheets, and more at memorizingfarm.com. Again, you can sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/P/mobile. Thanks again for listening.

     

    Like to learn more?

    Find my book here: https://geni.us/iA22iZ

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to my YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

     

    Ep 79 Acid Reducers and Peptic Ulcer Disease Pharmacology Mnemonics

    Ep 79 Acid Reducers and Peptic Ulcer Disease Pharmacology Mnemonics

    Acid Reducers and Peptic Ulcer Disease Pharmacology Mnemonics

    Find the book here: https://geni.us/iA22iZ 

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to TonyPharmD YouTube Channel here: https://www.youtube.com/c/tonypharmd

    Peptic Ulcer Disease has several important concepts to remember; in this episode, I touch on some mnemonics to help you remember them. If you're interested in checking out the course online for a refresher you can go here: https://residency.teachable.com/p/mobile or if you need a credit course, here: https://www.dmacc.edu/programs/pdp/pre-pharmacy/Pages/online-pharmacology-class.aspx 

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

     

    Auto Generated Transcript:

    Hey, welcome to Memorizing Pharmacology Podcasts, Episode 79: GI Medications Pharmacology Mnemonics. So let’s just talk a little bit about the ulcer and then we’ll get on with it. The big thing is that once you get this ulcer, you can’t really fix it as much as you can create an environment for it to heal. So the number of things that you can do to kind of do that include eradicating H. pylori which is found in a greater percentage of the ulcers, smoking cessation, alcohol reduction, stress reduction, spicy food reduction; all those things can help. But again, making it so that the body can heal itself.

    So what are some drugs that cause ulcers? Again, alcohol is a drug so ETOH (ethanol), then bisphosphonates like alendronate, ibandranate (again watching for those stems), the NSAIDs ibuprofen, naproxen. Even though Celebrex or celecoxib is supposed to do it less, it still can be a problem. And then steroids like prednisone.

    So we start with things that we could maybe not use a medication for to help deal with these kind of GI symptoms and issues and make things better. And so we’ll use the mnemonic SAFER: SAFER for Smoking, Alcohol, Food diary, Exercise, Reducing stress and NSAIDs. I didn’t really know how to put that in there because we’re taking away a drug so is that non-drug? Sort of. So I just had a little breathe image here for smoking, alcohol just kind of reducing that; have your coffee instead. Here’s your food diary, then getting some exercise, reducing some stress (yoga whatever it takes) but all the things that would make it so that there’s less acidic environment and of course not using the NSAIDs if possible.

    Antacids: You are probably familiar with these colorful chalky tasting limestone things and the big thing to know about antacids first is that they’re the only drug whose generic name is their chemical name. So calcium carbonate is Tums, aluminum hydroxide is half of Maalox (it’s really Amphojel) and then magnesium hydroxide would be Milk of Magnesia.

    So when we talk about antacids we’re really looking at which ones are constipating which ones cause diarrhea and you kind of have a little guess which is which here. So pick C or D and with calcium carbonate that one is constipating, aluminum hydroxide is constipating (again it’s Amphojel is going to be the brand name) but if you mix them together magnesium hydroxide and aluminum hydroxide it makes Maalox and then magnesium hydroxide Milk of Magnesia.

    So which cause constipation which cause diarrhea? So the idea is calcium carbonate is constipating, aluminum hydroxide constipating, magnesium hydroxide causes diarrhea. So if we mix constipating drug like aluminum and a diarrhea causing one like magnesium hydroxide then we end up with something that is more comfortable for the patient.

    Alright H2 blockers: I’ve talked about the antihistamines NO MAN where one nose so that you remember the H1 antihistamines are the ones that are in the nose for allergies and the H2 (the buttons by his stomach) those are H2 blockers.

    So H2 blockers all end into -dine so famotidine is Pepcid and now Zantac it used to be ranitidine nice addedine is acid and cymetidine is Tagamet and ranitidine and Zantac but again there’s a reason I put them in this order and the reason is that it’s the ones that we prefer versus the ones that we don’t and the reason we don’t is because of side effects.

    So cymetidine can interact with diazepam lidocaine phenytone propranolol warfarin can cause gynecomastia and then ranitidine; the problem with the NDMA had it pulled off the shelves. Proton pump inhibitors: It’s -prizol ending and then you might see Omeprazole with S Omeprazole and Lansoprazole would duck Pantoprazole and wondering those look awfully the same what’s different and we’re really talking about either changing the rotation of plane polarized light or an enantiomer more of an organic chemistry thing but basically there’s a mirror image and the active one is the one that became the new drug but you know just having the active one versus having the mix of the active and inactive doesn’t necessarily make it better so a lot of times like Dexilant hasn’t really taken over for Prevacid and Nexium maybe to some extent over Prilosec so be careful here because the prizol it’s not Azul you go on the internet and you find these drug cars and they say oh if it ends in a Zoll it’s a proton pump inhibitor that is false if it ends in prazole it might be a proton pump inhibitor but if it ends in conazole It’s actually an antifungal so Fluconazole which is Diflucan, Voriconazole which is Vfend both of those are antifungals so it’s not the azol ending then Aripiprazole which is Abilify and Brexpiprazole which is Rexulti uh those are antipsychotics so really rare to see a stem within a stem that the prizole is in piprazole uh the World Health Organization frowns on such thing and it’s really rare but just be careful make sure that you know if you’re looking at something you know is it de fungal with conazole is it an antipsychotic with piprazole or is it a proton pump inhibitor with prazole so gobs of side effects gobs is our mnemonic or gastroenteritis and you’re going to reduce the acidity which is great for that ulcer but it also allows bacteria to have a chance to thrive osteoporosis B for B12 deficiency and S for secretion rebound so once you stop taking that proton pump inhibitor acid can rebound quite a bit so G-O-B-S is our mnemonic uh H pylori therapy there are many therapies I just put a couple examples of triple and quad therapy so triple therapy is going to be two antibiotics and one acid reducer so Amoxicillin, Clarithromycin, and Esomeprazole makes ACE A C E is the first letter of each of those drugs Amoxicillin, Chlor thermice in the antibiotics, Acetomeprazole the acid reducer or Amoxicillin, Metronidazole, and Omeprazole so Amoxicillin, Metronidazole or the antibiotics Omeprazole the acid reducer again we want to reduce resistance so we use lower doses of more drugs now we can make a quad therapy here where we actually use you know three antibiotics and one acid reducer so a Tetracycline like Doxycycline uh that’s not the brand name it’s a tetracycline so uh it should have really put Tetracycline kind of a Doxycycline and then put the brand names in the parentheses uh that’s antibiotic Omeprazole for Prilosec is NASA reducer Metronidazole is Flagyl which is an antibiotic and Bismuth Salicylate when put in this situation has antimicrobial effects so I put TOMB as the mnemonic Tetracyclin T, Omeprazole O, Metronidazole M, B for Bismuth because once this group comes together it’s curtains for H pylori so it would be buried in a tomb uh Misoprostol or Cytotec so if you think of it as Miso protect all from NSAIDs it’s really what it does and I was just thinking of miso soup delicious uh but that’s the thing I could think of but Misoprostol and it prevents NSAID induced ulcers but it also can be used as a medication absorb abortion labor induction cervical ripening it’s a prostaglandin analog so we see The Prost in the Misoprostol and it is pregnancy category X if you’re not trying to use it for any of the above indications you don’t want to risk it with a patient and that’s why it’s fallen out of favor when you have a Here is the corrected text:

    “Medication that could, you know, harm a fetus, you really try to find something different. I’m going to Cisapride or Propulsid. Again, we don’t really see the brand names but see the soccer ball being propelled through the goal so gastroparesis is usually what the issue is so that kind of stomach that just will not empty so it empties much faster and it’s a prokinetic. So Pro meaning toward and or you know kind of helping out and then kinetic like Kinesiology movement so it is for movement. 

    The problem is that some of its mechanism is dopamine antagonist so dopamine antagonist can result in extrapyramidal symptoms (EPS) and the problem with that is that if someone has Parkinson’s and they have a dopamine deficiency, the last thing you want to do is block the dopamine they do have. So what we want to do is make sure to tell the patient about that EPS and possibilities that come along with it but rarely used medication Sucralfate or Carafate. It sugar coats the crater is how I remember it. It’s a GERD add-on so physician might say okay well let’s give you, you know, Prilosec for the month and we’ll give you a couple weeks of the Sucralfate so that with each meal we’re putting that coating down. It coats the ulcers in that kind of sugary coat. It can cause Bezoars which is really kind of like it’s just a knotted ball of stuff. It can be broken up or surgically removed and then the big issue is this isn’t an absolute contraindication but if you’re a diabetic and you’re taking four sugar pills a day just have to account for that in however you’re reducing the sugar in your bloodstream and then it’s four times a day before meals so again getting that sugar may not be the best thing. So if you can think of Sucralfate or Carafate as a kind of candy, you can remember the concerns about diabetes. 

    This information is provided for you for your informational purposes only and not intended to provide and should not be relied upon for medical or any other advice. I urge readers to consult with a medical professional with any medical condition. Thanks again for listening to the memorizing pharmacology podcast.

    Like to learn more?

    Find my book here: https://geni.us/iA22iZ

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to my YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

     

    Ep 78 College Online Pharmacology Course - Registration is Open Now

    Ep 78 College Online Pharmacology Course - Registration is Open Now

    College Online Pharmacology Course - Registration is Open Now

    Find the book here: https://geni.us/iA22iZ 

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to TonyPharmD YouTube Channel here: https://www.youtube.com/c/tonypharmd

    Here is the link to the summer online course:  https://www.dmacc.edu/programs/pdp/pre-pharmacy/Pages/online-pharmacology-class.aspx 

    and to the audiobook if you want to get a head start:

    https://www.audible.com/pd/Memorizing-Pharmacology-Audiobook/B09JVBHRXK?source_code=AUDFPWS0223189MWT-BK-ACX0-281667&ref=acx_bty_BK_ACX0_281667_rh_us 

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

     

    Auto Generated Transcript:

    Welcome to the Memorizing Pharmacology podcast. I’m Tony Guerra, pharmacist and author of the Memorizing Pharmacology book series, bringing you mnemonics, cases, and advice for succeeding in Pharmacology. Sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/P/mobile. Let’s get started with the show.

    Okay, welcome. This is a video showing how to register for the online pharmacology class and the books you’ll need. Tuition, try to get everything in here, questions that everybody has. So first, if you want to find it just put in DMACC pharmacology or DMACC pharmacology class. DMACC stands for Des Moines Area Community College. It’s a 10-week class and it is completely online. It is completely asynchronous so that means that you have deadlines each week.

    You do not have to be in a video at any time or any specific time. Rather, you watch the videos, complete the exercises, and then you’re graded on your submissions there and the discussions as well. Okay, so we do have a limitation of the number of students that can register for it but you would register here. So again, you put in DMACC pharmacology, it’s going to bring you to this page and then you register. If you’re not from DMACC, you just register as a guest student. It takes like a day total to get you registered and that just means that you’re not planning on getting a degree from here, you’re just signing up. And then if you are a DMACC student, you can just normally register for classes through that registration started for non-DMACC students on the 15th of March 2023.

    To find out if the syllabus is something that’s appropriate for you, you can also find the summer syllabus from last year here and the fall syllabus as well. It’ll be the same books, same content this summer as it was last except for those things when I update something as far as maybe a change in a drug that’s approved or something new and things like that. Tuition is not non-resident tuition if you are out of state rather it is the online tuition. It’s a four credit course and we did that because a lot of schools that are maybe four-year schools want to see an extra credit if it’s coming from a community college but again 208 dollars per credit hour seems reasonable. It’s 178 in tuition plus thirty dollars in online support fee per credit hour so you can do the math on that times four but again it is a 10-week course.

    This was when everybody was able to register for summer so March 15th, you register for summer if you’re thinking about spring or fall it’s taught every single semester. It’s just in summer we have so much demand for it we actually open two sections usually in the summer but that’s not always the case hopefully we will again open two sections okay.

    The dates start on May 23rd of 2023 and end on August 3rd of 2023. You will get if you are trying to transfer this out a couple of days after that you will be able to transfer it and what you can do is you can just say hold my transcript for final grades and that will allow it to transfer to wherever it is that you need it to transfer to make up for if for example you had a bad spring and weren’t able to pass pharmacology some colleges allow this some don’t and again it’s really up to your college to decide if that’s going to be appropriate for them.

    For those of you that are in maybe high school or are thinking about medicine or nursing or Pharmacy as a career or maybe and this happens quite a bit if you have pharmacology coming up in fall and you want to take pharmacology now so that when you get into fall with some colleges if you fail pharmacology you would have to repeat the entire year and by doing this with your hardest class it makes sense that okay well I’m just gonna give myself some insurance I’ve already taken the class learned the pharmacology language so that when I go into the class I’m well prepared for it.

    I did this with biochemistry I knew that I would be taking biochemistry in pharmacy school in the first year I knew that was the very hardest class available and so I took it and then ended up actually auditing it for non-credit because that was what I was doing and I didn’t really necessarily want to take the tests and all that but I did attend the courses at Maryland and it was super helpful to have already taken it. I’ve already gone through the Krebs cycle, I’ve already gone through those things. So whether you’re taking it and these are the biggest three reasons people take it: they either take it because they did not pass a pharmacology course and their college does not offer one in the summer or spring or fall or whenever it is. Two, if they’re getting into PA school or they are getting into another type of program that requires pharmacology. Three, they are a student that is interested in the Health Professions, has a little bit of an opening in a class that they want that’s relevant, that’s going to help them in their next phase and this can be nursing or Pharmacy or medicine but many different people you’ll have in the pharmacology class. But again, the fact that it’s only 10 weeks and that is completely asynchronous is helpful to a lot of people.

    So just with the course syllabus, just let you know, the CRNs are not what they are for this time but I’ll just kind of go through the big pieces at the end here. These are the things that we’re going to go over and again it’s in the syllabus that you can download but this is the course schedule and again it’s over 10 weeks. We’re going to use three books and I’ll show you those and give you the rationale for using each of them. These due dates obviously will be updated for 2023.

    Okay, the first one is an open educational resource nursing pharmacology. Unfortunately, it was used for a two credit course so not enough of a book to completely cover everything that we need but because so many of our students are nursing, it was important that we use a nursing book as part of it so that these case studies relate to the nursing profession. Then, the pieces you know, the other credits that we need we use Pharmacology Made Simple and I wrote this book for Elsevier because what we wanted was a book that really makes things quite straightforward but the other big deal is that you can rent it for fifteen dollars for the semester usually around there fifteen to twenty dollars. And so, the OER book is free if you get the eBook and don’t buy the print book. This one was fifteen dollars to rent.

    And then one thing that I find is a real concern is students can’t pronounce the names of the medications or if you’re taking a course that’s online and it’s something like this where you really want to know the medication names an audiobook is an option for this one. You can get the paperback, you can get the audiobook and get the Kindle because I’m on my own Amazon you can’t see it but the audiobook actually is free if you become a member of Audible. So if you decide to do that you can.

    And then I think that was it yeah so again, the way to sign up for the online course is to go to that original page just put in pharmacology DMACC in a Google search, you’ll get to this page whether you’re a guest student or somebody who’s trying to transfer in. It’s a reasonable course to take over summer to kind of either get it out of the way to fix something that happened or again to just get that extra step ahead so that when you come in to take pharmacology at your own College, it is so much easier because you are helping other people rather than being lost in the weeds.

    So if you’ve got questions there’s my link to my email a-a-g-u-e-r-r-a at dmacc.edu. If you call me and leave a message it will actually email me that message so if that’s the way you prefer to contact me as well that’s fine but I’m happy to answer any questions about PHR185 Pharmacology completely asynchronous and online course that’s 10 weeks this summer at Des Moines Area Community College.

    Thanks for listening to the Memorizing Pharmacology podcast. You can find episodes cheat sheets and more at memorizingfarm.com. Again, you can sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/P/mobile. Thanks again for listening.

     

    Like to learn more?

    Find my book here: https://geni.us/iA22iZ

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to my YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

     

    Ep 77 B Vitamin Pharmacology Mnemonics

    Ep 77 B Vitamin Pharmacology Mnemonics

    B Vitamin Pharmacology Mnemonics

    Find the book here: https://geni.us/iA22iZ 

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to TonyPharmD YouTube Channel here: https://www.youtube.com/c/tonypharmd

    Need more help? You can find many of my mnemonics books on Audible that you might be able to get your first for free if you've never had one before: https://www.audible.com/pd/Memorizing-Pharmacology-Mnemonics-Audiobook/B07DLGC8MP?source_code=AUDFPWS0223189MWT-BK-ACX0-118296&ref=acx_bty_BK_ACX0_118296_rh_us

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

    B vitamins can be hard to remember with skipped numbers and names for each B vitamin. In this video, I go over some ways to help you remember.  

     

    Auto Generated Transcript:

    Welcome to the Memorizing Pharmacology podcast. I’m Tony Guerra, pharmacist and author of the Memorizing Pharmacology book series, bringing you mnemonics, cases, and advice for succeeding in Pharmacology. Sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/P/mobile. Let’s get started with the show.

    Alright, today we’re going to go over B vitamin mnemonics. So here we go. First thing of course is that we have water-soluble vitamins versus fat-soluble vitamins. B vitamins are water-soluble as are C vitamins. So here are the names and the trick is how do you remember the number with the name? So B1 is thiamin, B2 is riboflavin, B3 is niacin, B5 is pantothenic acid. Notice there’s a skip between three and five, there is no four. B6 is pyridoxine, B7 is biotin, B9 is folic acid, and B12 it’s cobalamin.

    So let’s kind of move on to the next and what we’ll do is we’ll divide this into thirds. First we’ll take a look at thiamin, riboflavin, and niacin. So the way we’re going to do this is we’re going to go from the bottom up. So we’re going to say that B1 is thiamin looking at this skeleton’s thigh, riboflavin is rib so ‘thi’ from thigh, ‘rib’ from riboflavin and then if you pronounce it I thought it was an Australian accent but it actually comes out more of a South African accent if you say ‘Nick’ rather than ‘neck’ you can get the ‘Nic’ that’s in niacin.

    So again it’s the thigh, the rib and the ‘Nic’. So by the rib and the neck reminds you the B1, B2 and B3 going from the bottom up are thiamine, riboflavin and niacin.

    The next three and we’ll get a little crazy with the picture here but we’re going to have pantothenic acid so pants uh and I have no idea why there was this skeleton with the jeans but it was available for purchase so I was able to get the picture. Pyridoxine think of a pyramid so upside down pyramid the way the rib cage kind of comes down right you guys are old enough to remember Mork and Mindy yeah that was the kind of symbol on the front of Mork uh and then biotin uh the tin hat uh on top of the skeleton.

    So we have B5 is pantothenic acid with pants, B6 is pyridoxine but the pyramid upside down and then biotin is the tin hat okay.

    The last two we’ll use just a forest and a beautiful blue sky so forest for folic acid that’s B9 and then B12 is cobalamin with the cobalt sky. I know this isn’t exactly Cobalt it’s not exactly that blue it’s actually kind of a green but just roll with me here forest and cobalt sky folate and cobalamin are B9 and b12.

    So let’s dive into what they’re good for three at a time so first B1 or thiamin this converts carbs to glucose prevents Wernicke’s encephalopathy in alcoholism or liver disease so a little picture of a beer there and some cirrhotic liver.

    B2 is riboflavin deficiency due to alcoholism vegan vegetarian lifestyle malabsorption just can’t absorb it or lactose intolerance.

    And then B3 niacin is great for high triglycerides where we’re really trying to stabilize that plaque as an add-on for statins where the statins maybe they get the LDL down but just not the triglycerides where you want to be so you can avoid pancreatitis and you would need maybe to give an aspirin 30 minutes before to avoid that flushing effect okay all right let’s move on to the next.

    So B5 pantothenic acid it synthesizes coenzyme A for fatty acid metabolism and you can think of the A in acid and the word acid for coenzyme A and fatty acid metabolism.

    B6 pyridoxine this is for alcoholism and peripheral neuropathy from isoniazid. Isoniazid is one of those drugs for TB okay so again the ripe mnemonic when you have a TB in duration that’s ripe okay so Rifampin isoniazid uh and so forth okay so.

    The XYZ mnemonic is to take the X and Y from pyridoxine and match it up to Z in ice niazid okay and that peripheral neuropathy is really this picture we have this exclamation point and somebody’s really having trouble feeling their fingers uh so fingers and toes That uh, a lot of times for that peripheral neuropathy shows up, it may show up as not being able to button a shirt as well. So it doesn’t necessarily show up as pain, it’s just can’t always just really use your fingers as you’d like to. Biotin that helps enzymes break down carbs, fats and proteins but really skin and hair is where we see it in beauty products especially. So the ‘in’ from Biotin for skin and then the hair again. I just got a picture of someone who’s an athlete, good hair, good skin.

    B9 is folate. This is where we want to prevent those neural tube defects and think of the F in folate and F in defects. Deficiency is a reduced hemoglobin level and really B9 is critical for red blood cell production. To be honest, you need B9, iron and B12 and if you think of a nine iron if you know golf a little bit, a nine iron being used on the 12th hole you can put the nine, the iron and the 12 all together. And there’s a very famous shot on the 18th hole that where someone just yelled out ‘be right’ and the B from ‘be right’ is just you know, be right, be the right shot.

    And so here again we’re using that B so B9 iron on the B12 hole um hopefully that helps you remember that iron B9 and b12 need to go together to really form those red blood cells properly.

    B12 is cobalamin so it’s for macrocytic not microcytic and pernicious anemia so the ‘ma’ in cobalamin for macrocytic, the ‘ni’ in cobalamin for pernicious anemia and then a lot of the letters from anemia are in cobalamin so if you’re somebody that can kind of do those word scrambles I think that’s helpful.

    A lot of those people that have gastric bypass surgery you think oh my gosh that’s so great they you know they don’t aren’t hungry and things like that but really it does cause a lot of problems in terms of B12 um uh Celiac and Crohn’s disease these are two issues that would definitely necessitate adding some B12.

    And then deficiency again just like with B9 and folate I will D equal reduced hemoglobin level for red blood cell production so again both of these really work in tandem to help you know those red blood cells properly form.

    And then this was supposed to be uh the nine iron and the golf course and all of that but it turned out to be just grass and sky but think of a nine iron on the 12th hole and uh I think it’ll be a lot easier to remember.

    Again this is for informational purposes only it is not medical advice so if you’ve got a medical condition consult a medical professional. Thanks for listening to the Memorizing Pharmacology podcast. You can find episodes, cheat sheets, and more at memorizingfarm.com. Again, you can sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/P/mobile. Thanks again for listening.

    Like to learn more?

    Find my book here: https://geni.us/iA22iZ

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to my YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

     

    Ep 76 Poisons and Antidotes Pharmacology Mnemonics

    Ep 76 Poisons and Antidotes Pharmacology Mnemonics

    Poisons and Antidotes Pharmacology Mnemonics

    Find the book here: https://geni.us/iA22iZ 

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to TonyPharmD YouTube Channel here: https://www.youtube.com/c/tonypharmd

    Need more help? You can find many of my mnemonics books on Audible that you might be able to get your first for free if you've never had one before.  https://www.audible.com/pd/Memorizing-Pharmacology-Mnemonics-Audiobook/B07DLGC8MP?source_code=AUDFPWS0223189MWT-BK-ACX0-118296&ref=acx_bty_BK_ACX0_118296_rh_us

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

    Another kind of niche topic is antidotes and poisons where you are expected to know which matches which. In this video, I give you some ways to better pair them together. 

     

    Auto Generated Transcript:

    Welcome to the Memorizing Pharmacology podcast. I’m Tony Guerra, pharmacist and author of the Memorizing Pharmacology book series, bringing you mnemonics, cases, and advice for succeeding in Pharmacology. Sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/P/mobile. Let’s get started with the show.

    Hey, and we’re going to okay welcome to Poisons and Antidotes Pharmacology Mnemonics. What I’m really doing here is just um, I kind of always have to find some way to put things in an order and when you talk about poisons and antidotes it’s really by definition is just matching. So how do you match things up? So what I did was I put them in alphabetical order first. So I took a number of poisons or drugs that you can overdose on and five of them happen to start with A.

    Then a couple started with B, C, D then E then H and then I finished up with O, P, P, S, and W. And so when we talk about these poisons and antidotes it’s really about just keeping them straight in your head and then making a small connection uh to try to help you remember which medication or which uh poison ends up with which antidote.

    So let’s start with the A’s. First of all, acetaminophen’s antidote is acetylcysteine so you can use the ‘acete’ in the very beginning of both of those. Alprazolam and diazepam have Flumazenil as their antidote so the A’s in Alprazolam the A’s and azepam and more generally the stems azolamine azepam for all the benzodiazepines uh flumesonil is the antidote there.

    Anthrax you can if you think of a mirror as Anthrax is the poison and ciprofloxacin is the antidote well if you put a mirror in front of this ax turns around x a so just think of this be xing out Anthrax or something like that okay amitriptyline and aspirin have the same antidote it’s both sodium bicarb and the nice thing is that both of them start with an A so A for amitriptyline goes with the B and C for bicarb so ABC a and aspirin goes with the B and C for bicarb so ABC again.

    So once you get these first five down then you can kind of move on to the next one we’re going to use a couple different letters to kind of move along with those so we’re going to go B, C, D, E, H it didn’t quite work out the way I wanted but again uh you know we’re just trying to get some kind of order so that when we look at the um antidotes it works out.

    So beta blockers and calcium channel blockers both use glucagon as a way to have an antidote and a couple of things I was thinking about here when you have a beta blocker it masks the signs and symptoms of hypoglycemia that normal increased heart rate and things like that it tends to be gone so glucagon is something that you use when the glucose is gone.

    And if you think of beta blockers masking hypoglycemia maybe it’ll all kind of stick in your head and then glucagon again especially with non-dihydropyridines that are going to affect the heart much like beta blockers do we try not to use beta blockers and non-dihydropyridine pyridine calcium channel blockers together maybe that helps you as well um digoxin and digibind.

    I think that that really helps that you know first three letters are the exact same but digibind or Jackson immune Fab that tends to be one most people can remember ethylene glycol is a poison well it’s not it’s a poison if you try to ingest it and from episode uh which is an ADH antagonist those are an E and F okay so we’re going B, C, D, D, E, F.

    And then Heparin and protamine you might not see this but it’s kind of a word scramble if you take the e p a r i n from Heparin you can find e p a r i n in protamine so just a way to connect them and hopefully kind of burn these into your brain uh.

    The last five I was going to go over are two that also have the same antidote organophosphates which maybe we do or don’t think about it as cholinergic and it would be atropine which is the Anticholinergic drug right, if isostigmine which is also cholinergic. Well, it’s an acetylcholinesterase inhibitor which keeps that acetylcholine from being broken down so it is in effect cholinergic. Atropine again is anticholinergic, works against it. Potassium, you think about K Plus on the periodic table of elements, what’s right next to potassium? Well, it’s Buddy calcium CA plus plus and they both have that hard k sound in the beginning to maybe help you put those together. But the calcium or calium that the K represents which is potassium and then the calcium CA gluconate that you would use for that.

    Serotonin syndrome and although I heard it called cyproheptadine, you can call it cyproheptadine to make it easier. Serotonin syndrome and ciproheptadine to use an S sound to connect those and then Warfarin and vitamin K. And if you think of killing happening in warfare, that’s one way to remember vitamin K goes with Warfarin as an antidote.

    So again, this is very much an educational video meant to help you just remember many of the poisons and overdose and antidotes but if something does happen make sure to call your poison control center. As always this is for informational purposes only, it is not medical advice. If you have a medical question contact a medical professional.

    Thanks for listening to the Memorizing Pharmacology podcast. You can find episodes, cheat sheets, and more at memorizingfarm.com. Again, you can sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/P/mobile. Thanks again for listening.

    Like to learn more?

    Find my book here: https://geni.us/iA22iZ

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to my YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

     

    Ep 75 Eye and Ear Pharmacology Mnemonics in 5 minutes

    Ep 75 Eye and Ear Pharmacology Mnemonics in 5 minutes

    Eye and Ear Pharmacology Mnemonics in 5 minutes 

    Find the book here: https://geni.us/iA22iZ 

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to TonyPharmD YouTube Channel here: https://www.youtube.com/c/tonypharmd

    Need more help? You can find many of my mnemonics books on Audible that you might be able to get your first for free if you've never had one before.  https://www.audible.com/pd/Memorizing-Pharmacology-Mnemonics-Audiobook/B07DLGC8MP?source_code=AUDFPWS0223189MWT-BK-ACX0-118296&ref=acx_bty_BK_ACX0_118296_rh_us

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

    A lot of time, eyes and ears get short shrift, but there are a lot of medications that you can readily remember with a few suffixes in this group. 

    Auto Generated Transcript:

    Welcome to the Memorizing Pharmacology podcast. I’m Tony Guerra, pharmacist and author of the Memorizing Pharmacology book series, bringing you mnemonics, cases, and advice for succeeding in Pharmacology. Sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/P/mobile. Let’s get started with the show.

    Hey, welcome to the Memorizing Pharmacology podcast. Today we’re going to go over eye and ear infection pharmacology and some mnemonics that can help you. Let’s get started here with what is maybe better known as swimmer’s ear but external ear infection. So when you have an infection on the outer ear then it actually makes sense to just use drops and put something on it. So you can use something that would be an antibiotic that would take care of the infection but also there’s going to be some inflammation so we’ll use some kind of steroid.

    So the medication that we can use is something like Ciprodex which is a combination of ciprofloxacin and the floxacin ending tells us it’s a fluoroquinolone antibiotic. The FL is for fluoro and then the oxygen is for quinolone and then the dexamethasone, we’ve seen that sewn ending before, that’s a steroid for inflammation. Now you do it a little bit differently for a child versus an adult. A child, you’ll put the head horizontally, pull the earlobe down and then apply the drops. So the word child ends in d and then use that for d for down whereas an adult has a u in it and we go adult up.

    So the head will be again horizontal, we pull the earlobe up and we apply the drop. So child down, adult up. When you have a middle ear infection, the drops aren’t going to be able to get to that infection so we need an oral medication. And I remember my daughter had the tubes put in and a physician said okay well you know what this is our week meeting we’ll give her amoxicillin like well she’s already been on amoxicillin for a whole week. It’s like oh all right well what that means is that it is a beta lactamase producing bacteria that is resistant to Amoxicillin.

    So beta lactamase is an enzyme that the bacteria secretes and it destroys the beta-lactam ring and makes it ineffective in penicillin. So just to be clear, the amoxicillin didn’t work for a week, my daughter still had an infection in her ear and it was because the bacteria made an enzyme that basically broke the amoxicillin ring. So we switched to something a little bit different so we cross off amoxicillin and include amoxicillin with something called clavulanate.

    So Augmentin is just that something that augments amoxicillin by itself and what clavulanate does is it kind of has the bacteria attack it instead of the amoxicillin allowing the amoxicillin to do its job. You can do some work with cephalosporins again cephalosporins tend to begin with CEF or ceph so cephachlor which is seclor and cephyroxine which is sinus F those are both second generation or you might see suffixine which is suprax that’s third generation.

    So what we’re really doing with this middle ear infection is it’s a resistant infection we’re going to give what’s quotation figures a stronger antibiotic now why don’t you want to give clavulanate why don’t you just give that in the first place well you want to reserve it for resistant infections but also it tends to cause a lot of GI upset unlike amoxicillin by itself.

     

    Let’s move on to the eyes. There’s really three big conjunctivitises that you have to deal with. There’s the allergic where we kind of put in an eye drop antihistamine is usually a good way to do it. Something viral, we might have to take an oral medication like oral acyclovir or if it’s bacterial, we have lots and lots of eye drop antibiotics. Fluoroquinolones like we talked about with the ear, Amino glycosides Gentamicin Tobramycin, macrolides like erythromycin and then others will see the kind of neomycin type of thing.

    Alright, well let’s start with the allergy eye drops, the antihistamines. There’s just a number of them and there’s not really as good a stem as this although if you’re familiar with Loratadine which is Claritin, you notice olopatadine which is Pat a day then open which looks a lot like ketoprofen which is a non-steroidal but that’s zaditor and then pheneramine. You may remember the chloropheneramine which is color trimeton from a long time ago that was also an antihistamine which is Opticon A or part of afcon A.

    So again, if the patient has allergy eyes we’re going to try to put an antihistamine drop in there. Usually there’s some water, some redness that’s how allergic conjunctivitis presents. We talk about bacterial conjunctivitis, you’re going to get some crud as it were and you’re going to have eye drops and ointments available. You can use the fluoroquinolones again that’s the floxacin stem ciprofloxacin levofloxacin, aminoglycosides Tobramycin Gentamicin, the macrolides erythromycin and azithromycin.

    So again be careful with that mycin stem, a lot of drugs end in mycin and it just means that the streptomyces bacteria was used to actually make the antibacterial and then the other is like neomycin polymixon B and Bacitracin or polymixon B and trimethoprim. So lots and lots of options when it comes to bacterial conjunctivitis. Viral conjunctivitis actually usually clears up in a week or two maybe three weeks at worst. You’ll probably use an oral medication like oral acyclovir if that’s something we’re going to use.

    Well let’s talk about actually instilling the drop itself so you want to tilt the head back while looking up that’s the first thing and this is kind of a natural thing you kind of look up to the sky you tend not to look down you’re going to pull the lower eyelid down and away foreign drops into that pocket then this is kind of the key is that you’re going to and you’ll probably do this automatically you’ll close the eye okay to get those drops in there so kind of four steps here tilt your head back while looking up pull the lower eyelid down and away squeeze the drops into the pocket and then close the eye.

    Again this information is informational only if you have a medical condition contact a medical professional. Thanks for listening to the Memorizing Pharmacology podcast. You can find episodes cheat sheets and more at memorizingfarm.com. Again you can sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile friendly self-paced online pharmacology review course at residency.teachable.com/P/mobile. Thanks again for listening.

     

    Like to learn more?

    Find my book here: https://geni.us/iA22iZ

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to my YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

    Ep 74 Glaucoma Pharmacology Mnemonics in 10 minutes

    Ep 74 Glaucoma Pharmacology Mnemonics in 10 minutes

    Glaucoma Pharmacology Mnemonics in 10 minutes

    Glaucoma is one of those topics that you see a lot of contraindications with, but not necessarily a good explanation of the pathophysiology. I do a 10-minute run down of the most important aspects of glaucoma with a few mnemonics to help out.  

    Find the book here: https://geni.us/iA22iZ 

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to TonyPharmD YouTube Channel here: https://www.youtube.com/c/tonypharmd

    Need more help? You can find many of my mnemonics books on Audible that you might be able to get your first for free if you've never had one before.  https://www.audible.com/pd/Memorizing-Pharmacology-Mnemonics-Audiobook/B07DLGC8MP?source_code=AUDFPWS0223189MWT-BK-ACX0-118296&ref=acx_bty_BK_ACX0_118296_rh_us

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

    Auto Generated Transcript:

    Welcome to the Memorizing Pharmacology podcast. I’m Tony Guerra, pharmacist and author of the Memorizing Pharmacology book series, bringing you mnemonics, cases, and advice for succeeding in Pharmacology. Sign up for the email list at memorizingpharm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/P/mobile. Let’s get started with the show.

    Alright, welcome to the Memorizing Pharmacology podcast. Tony Guerra, we’re going to do glaucoma pharmacology mnemonics and talk a little bit about the eye. So let’s get started here. So the first thing is what are we really doing with these treatments? The first thing we’re doing is we’re either decreasing aqueous humor out or we are increasing aqueous humor outflow. So we’re actually decreasing the amount of the fluid or we’re helping it get out of there and the big issue is that usually this drainage canal is going to be blocked and it’s just too much fluid in there and that increases pressure. Increased pressure creates damage to the optic nerve.

    So let’s start with acute angle closure glaucoma. So there’s the two types: there’s open angle where we see it wide open here just before the cornea and then there’s closed angle where it’s a bit sharper in the angle here and the real issue is some form of mydriasis so pupillary dilation and that might be that someone put in eye drops so atropine, epinephrine drops which are an anticholinergic or an adrenergic agonist respectively. So atropine is an anticholinergic, epinephrine is an adrenergic agonist that open the eye really wide.

    If you go into a dark room what happens to your eye? Well your eye goes really wide so got our anticholinergic Bud cat here with this really wide open eyes and then excitement and stress. So if there’s some kind of something that makes your fight or flight open up and your body’s epinephrine going then your eyes open up wide there maybe is a crisis. So not only is the crisis causing the excitement and stress but this is an emergency so this acute angle closure glaucoma is something that needs to be treated right away. We’ll talk about some treatments in a bit.

    So let’s talk about or contrast that with open angle glaucoma. So open angle glaucoma is where this angle is still wide open so not an emergency this is going to be something that’s a lot slower. So what’s happening here is the fluid can’t get out okay so it’s just this decrease of aqueous humor outflow and because of that outflow is not happening we have an open ankle glaucoma so it’s much slower than the acute angle closure.

    And causes could be family history, age, ancestry, myopia or you’re nearsighted or elevated intraocular pressure so the FAME mnemonic: F for family history, A for age ancestry, M for myopia and then E for elevated intraocular pressure but again a much slower thing.

    And when we talk about what happens you know what you would expect I was just thinking of the DC Metro and anyone that’s ridden the DC Metro can knows this kind of tunnel that it’s just iconic these concrete tunnels and you can’t help but look down the line and you can’t really see what’s going on in the left you can’t really see what’s going on on the right.

    So not only do you have this kind of tunnel vision but it’s really a synonym for losing that peripheral vision so if you’re a glass half full person you know you have tunnel vision you can still see what’s in the middle if you’re a glass half empty person you can’t see to the sides so just peripheral vision tunnel loss of peripheral vision tunnel vision those are synonyms really.

    Well let’s use this ABCD and two P’s glaucoma stems as a way to memorize which medications work how. So first we could decrease aqueous humor production: You can use an alpha agonist like brimonidine and this works both to decrease aqueous production or increase aqueous outflow beta blockers like timolol also decrease aqueous humor.

    Carbonic anhydrase inhibitors so dorzolamide or dorzolamide really acetazolamide this IV dorzolamide is the eye drop and then a diuretic like mannitol it’s a little more complicated but it made the ABCD mnemonic work but mannitol as well.

    So when you talk about increasing outflow we think of two P’s so you’ve got cholinergic pilocarpine again sludge cat was our cholinergic cat and then prostaglandin and that’s what PG is for and then F2 alpha that’s the receptor so the pH GF2 Alpha analogs, so Latina Pros, there are some other ones but you can see the Prost ending that helps you with that one. So again, the endings on these really help you distinguish Alpha Agonist versus beta blocker versus Carbonic anhydrase inhibitor versus maybe a prostaglandin analog. Alright, so getting into the much bigger ones and we’re really just going to focus on the indication, the mechanism, and the adverse effect. The alpha Agonist promonidine, that’s you know it’s open angle glaucoma and that’s kind of a thing to take home which is some of these are for open angle, some are foreclosed, some are for both. This mechanism is to decrease aqueous humor and increase aqueous humor outflow so it’ll do both but you really have to watch for hypertension and then fatigue. What really might help you with this is that clonidine has those issues in clonidine is that one that kind of stopped the faucet of norepinephrine and if you look at the endings, the CL of clonidine and the brim of bromonidine they’re really really close together.

    Okay, the beta blocker timolol, okay so open angle or acute closed angle glaucoma. Let me get my head out of the way so it’s not blocking the slide. It decreases aqueous humor by blocking beta receptors as it sounds and a lot of times you can use the drug class as the mechanism and then bradycardia is really what we’re worried about again this stimul can get into the systemic system C so Carbonic anhydrous inhibitor dorsolamid which is the trusop or the IV acetozolomide either of those can help with our open angle glaucoma or acute closed angle glaucoma. It decreases that aqueous humor by inhibiting Carbonic anhydrase and again so many times the mechanism and the drug class are the same but watch out you can get quite a bit of blurry vision.

    Our diuretic Mannitol or osmetrol, I don’t want to go into kind of the weeds on this one but it it’s really an emergency drug. The acute closed angle glaucoma, it decreases aqueous humor through a bit of a complex process and with Mannitol because it is such a potent diuretic so close to the glomerulus where where it works in that proximal convoluted tubule hypovolemia is a real concern.

    Okay, the two P’s okay so the first p is cholinergic so pilocarpine or pilocar that’s closed angle glaucoma and it works by contrasting Contracting so ciliary contraction to increase the outflow of aqueous humor kind of squeezes it out through the canal slim and we want to think about the adverse effects as our sludge cat here so those are supposed to be pinpoint pupils. I know cats don’t really have pinpoint pupils the way humans do but think of sludge B so that salivation, bradycardia but pinpoint pupil pilocarpine and I’ll say that 10 times fast that might be an easier way. Pinpoint pupil pilocarpine pinpoint pupil pilocarpine easier way to remember this is the one that’s going to help with that closed angle glaucoma by really narrowing the pupil and ciliary contraction.

    Our second P P2 is a prostaglandin analog so it’s going to mimic that effect so latinoprost or xeletan. The indication is open angle glaucoma increases outflow of aqueous humor by mimicking taking the prostaglandin effect is an analog and then it has this weird pigmentation of the iris or lashes but again now we’re probably not going to use it unilaterally because that would make one eye a different color than the other one but again maybe just a little image here to help you out.

    Okay, so again this is for informational purposes only it is not medical advice so if you have a medical condition consult a medical professional. Thanks for listening to the memorizing pharmacology podcast you can find episodes cheat sheets and more at memorizingfarm.com again you can sign up for the email list at memorizingfarm.com to get your free suffixes cheat sheet or find our mobile friendly self-paced online pharmacology review course at residency.teachable.com forward slash P forward slash mobile thanks again for listening thank you.

    Like to learn more?

    Find my book here: https://geni.us/iA22iZ

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to my YouTube Channel TonyPharmD here: https://www.youtube.com/c/tonypharmd

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

    Ep 73 Antiarrhythmics Pharmacology Mnemonics

    Ep 73 Antiarrhythmics Pharmacology Mnemonics

    Antiarrhythmics Pharmacology Mnemonics

    Find the book here: https://geni.us/iA22iZ 

    or here: https://www.audible.com/pd/B01FSR7HLE/?source_code=AUDFPWS0223189MWT-BK-ACX0-059486&ref=acx_bty_BK_ACX0_059486_rh_us

    and subscribe to TonyPharmD YouTube Channel here: https://www.youtube.com/c/tonypharmd

    Need more help? You can find many of my mnemonics books on Audible that you might be able to get your first for free if you've never had one before.  https://www.audible.com/pd/Memorizing-Pharmacology-Mnemonics-Audiobook/B07DLGC8MP?source_code=AUDFPWS0223189MWT-BK-ACX0-118296&ref=acx_bty_BK_ACX0_118296_rh_us

    Here is the Link to my Pharmacy Residency Coursesresidency.teachable.com

    Antiarrhythmics are usually more of a "can you figure out which class this drug is in" and I give you a number of mnemonics to put the right drug in the right place. 

     

    Auto Generated Transcript:

    Welcome to the Memorizing Pharmacology podcast. I’m Tony Guerra, pharmacist and author of the Memorizing Pharmacology book series, bringing you mnemonics, cases, and advice for succeeding in Pharmacology. Sign up for the email list at memorizingpharm.com to get your free suffixes cheat sheet or find our mobile-friendly self-paced online pharmacology review course at residency.teachable.com/P/mobile. Let’s get started with the show.

    Alright, we’re going to go into antiarrhythmics or antidysrhythmics is really more correct pharmacology mnemonics and the first step is really to see where these are. You’re going to hear class one usually with Roman numerals rather than these kind of numbers but class 1 sodium channel blockers. Class 2 is the beta blocker, class 3 are potassium channel blockers, class 4 calcium channel blockers and class 5 are kind of the unknown or extras. Beta blockers and calcium channel blockers may be familiar from hypertension drugs but these other ones might be a little bit new.

    So there’s Vaughn Williams which is how we kind of classify these and usually your questions are going to be in some way you have to know what the sodium channel blockers are or which ones are potassium channel blockers. So we’re going to do a couple of mnemonics to just kind of get you knowing what’s what and then we’ll go from there.

    So, I made up a little story: NAB money in Kansas City, police are mad. A way to remember that number one is NA which is it’s actually for natrium but it’s sodium so sodium channel blockers and then the B in NAB and you can put two B’s here to make it more clear that it’s going to be beta blockers. And then Kansas City represents three and four which are going to be potassium which is calcium or calium that’s the K and then CA are the calcium from calcium channel blockers so NAB KC and then mad. The others that are kind of in this fifth group are magnesium, adenosine, and digoxin.

    That’s kind of one way to do it. Another way is to maybe make a sentence like some block Kings and castles with mad moves. So the sum is for sodium okay and that would be NA plus block would be for beta blockers. K would be for potassium and kings CA from castles would be calcium channel blockers and then mad moves. The Mad represents the Magnesium, adenosine, and digoxin.

    I’ve got a little picture here of a king and a Castle in chess okay so two different ways to remember those but some students have to remember like all of them like a lot of the drugs within the classes so the class ones actually divided up into class one A, one B, and one C.

    Traditional way to remember this is Double Quarter Pounder with lettuce tomato mayo and more fries please so class 1A is disopyramide, quinidine, procainamide that’s the Double Quarter Pounder. The lettuce tomato Mayo is class 1B lidocaine, mexiletine, tocainide and then class 1C more fries please is moricizine, flecainide, propafenone.

    So if you have to remember all of those then hopefully this is helpful and then we kind of add the other ones so a beta blocker. The nice thing is that the endings are the same so it’s like bisoprolol, atenolol, metoprolol ending with the OLOL. I just put the three Bam Bam for bisoprolol atenolol metoprolol you can think of Class 2 because they are they are you know have two B’s in beta blocker to remind you that’s class two.

    Class three is potassium blockers: The sad poets so sad is for sotalol amiodarone dofetilide and The Poets is for potassium to remember that one, class four is the calcium channel blockers with four very dill pickles. So it’s class four and the Very Dill stands for verapamil and diltiazem. Okay, and then the class five, the Mad group is magnesium, adenosine, and digoxin. So if you have to remember all of them, this is a way to do it. So we can do a little quiz here, make sure that you’ve got this down. So on the left I have sodium, beta blockers, potassium, calcium channel blockers, and then the unknown. And then adenosine, procainamide, metoprolol, diltiazem and amiodarone are not in the right order.

    So how do we get the right order? Well we think about our mnemonics here and our sodium again it’s going to be that Double Quarter Pounder so the P from procainamide. The beta blockers end in OLOL so that’s group two and again two B’s to remind you it’s group two. The potassium is going to be that sad poet and the A in sad poet is amiodarone. Then our four very dill pickles are the diltiazem and the verapamil that’s four. And then the Mad group is adenosine so that magnesium adenosine digoxin that’s in our fifth group.

    And so it would look like this if the answers are correct. Okay so let’s just take a look at some of the characteristics of some of these. So for example if you’ve got group 1A procainamide this is the P in the Double Quarter Pounder it’s good for atrial fib supraventricular tachycardia vtac it’s really chemical cardioversion our mechanism is sodium and hypotension is really the big one here can cause a wide QRS but if we have hypotension as an adverse effect we probably don’t want to give it to a hypotensive patient then congestive heart failure second third degree heart block all of these would be contraindications.

    And then what are we going to do? Well we’ll make sure to watch their labs and then an ECG would also be important as well so that’s procainamide. Get to amiodarone now we’re talking about ventricular fibrillation rather than atrial fibrillation resistant v-tac you can give it for atrial and ventricular dysrhythmias but that’s probably where you would put it potassium is our mechanism again this is group three we kind of skipped over the beta blockers.

    And there’s a number of things that you’re going to have with adverse effects you really want to tell the patient about first the hypotension so just get that blood pressure just kind of dropping blue facial hue I couldn’t use the Blue Man Group because those guys are actually a thing so I just found this picture of and I thought it was clever that they’re kind of pacing and waiting in line and they’ve got blue faces and well blue bodies too and then vision changes.

    So while it’s kind of tough to say well what does vision change look like having this rainbow iris just kind of reminds you that vision changes so hypotension blue facial hue and vision changes bradycardia and shock are really contraindications for this one. And then what do we want to monitor? We want to make sure to put cardiac monitor on and modified valsalva maneuver has just proven to be a bit better.

    And then the Valsalva if you aren’t familiar with it it’s where you kind of plug your nose to pop your ears alright so again this is informational purposes only it’s not medical advice if you have a medical condition contact a medical professional.

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