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P2 Top 200 > 24 Drugs And Counseling Points For PPCP 2 > Flashcards

24 Drugs And Counseling Points For PPCP 2 Flashcards

1
Q

Spironolactone

A

Points

  • Watch for dehydration (Cap rxn, slack skin, gums being colored)
  • Gynecomastia (breast enlargement, tenderness)
  • Basic side effects
    - Diarrhea, N/V, ab cramping, decreased libido, rash
  • Can be with or without food BUT STAY CONSISTENT!!
  • Avoid any other K products or foods that contain high potassium supplements
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2
Q

Apixaban

A

Points:

Common side effects:
Nausea, Syncope, and hemorrhage (watch for blood in stool (coffee grounds), watch for more bruising)

  • do not suddenly stop this medication
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3
Q

Atorvastatin

A

Points:

  • Watch for muscle pains ( like working out when you did not), Rhabo is big issue which will have a large amount of pain
  • Look for liver disfunction (jaundice, dark urine, fatigue)
  • watch intake of grapefruit juice and reduce alcohol consumption
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4
Q

Metoprolol

A

Points:
- Watch for dizziness (especially when you first start as your body adjust to the medication

  • May cause diarrhea, headache or depression as well as fatigue
  • If diabetic monitor glucose closely due to that it can mask effects of hypoglycemia
  • don’t suddenly D/C the med
  • take with food or immediately following meals
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5
Q

Hydrochlorothiazide

A

Points:
- Can cause dizziness, blurred vision and vertigo

  • Watch for electrolyte imbalance, watch for constipation, diarrhea, N/V
  • watch for Photosensitivity
  • maintain good amount of hydration
  • avoid alcohol cuz it can lead to orthostatic hypertension
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6
Q

Lisinopril

A

Points:
- N/V, dizziness, headache

  • watch for angioedema of face (swelling of face, lips, throat) D/C med and contact MD
  • watch for persistent cough starting
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7
Q

Losartan

A

Points:
- Females if you plan on prego, do not use this medication if you become prego

  • Can cause dizziness, back pain, nasal congestion
  • still watch for angioedma but much less likely
  • avoid potassium supplements
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8
Q

Diltiazem

A

Points:
- Will make dizzy when first starting medication so don’t plan on doing this especially if you’re just starting the medication

  • Can cause headache, rash, flu-like symptoms
  • watch for hypotension, bradyarrhythmia, syncope
  • Don’t suddenly stop the medication
  • Can cause constipation and worsen GERD
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9
Q

Amlodipine

A

Points

- Headache, Dizziness, flushing, pedal edema

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10
Q

Nitroglycerin

A

Points:
- make sure your sitting when taking medication

  • Can cause headache, dizziness, flushing
  • Place under tongue and let it dissolve, may repeat two more times every 5 minutes for max of 3 doses
  • ER doses make sure you have 8-12 hours of nitrate free period
  • Storage information, keep in original bottle and keep on person, want to replace every 3-4 months to get new ones so that the potency is kept
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11
Q

Warfarin

A

Points
- Watch for bleeding

  • Stay consistent with the drug. Watch changes in diet that include high K content, watch alcohol use
  • make sure to mointor INR and keep appointments
  • inform dr about changes of diet or supplements that you start to take
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12
Q

Enoxaparin

A

Points:
- watch for bleeding

  • Inject in fatty areas at the sides of waist
  • inject refilled air bubbles with medication
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13
Q

Doxazosin

A

Points:
-Watch out for things that require alertness when starting med, it will cause dizziness and syncope, bigger effect when you first start

  • can cause headache, edema, fatigue
  • take ER with breakfast
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14
Q

Colchicine

A

Points
- report signs of neuromuscular toxicity (problems with muscle movements, not being able to move)

  • will cause diarrhea, abdominal pain, N/V
  • if using for prophylaxis gout report if you have a flair
  • don’t suddenly D/C med
  • avoid grapefruit products
  • if you miss a dose don’t double up

***without regard to meals

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15
Q

Famotidine

A

Points
- can cause headache, dizziness, constipation or diarrhea

  • if twice daily take in morning and at night, if once daily take medication before bedtime
  • can use with anti acids as well
  • doesnt have to be given with food if prophylaxis, but if taking for treatment use 30-60 minutes prior to food
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16
Q

Levothyroxine

A

Points:
-Take in the morning on empty stomach 30-60 minutes prior to anything else with only water so it is best absorbed. Separate out other meds that can bind to it by 4 hours (antiacids, iron, and ca)

  • get levels checked every 6 weeks.
  • make sure watch for signs of hyperthyroid: Tachy, sweating, unexplained weight loss, heat intolerance, palpitations, headache
  • it can take weeks in order to start to feeling changes
17
Q

Metformin

A

Points:
-watch for signs of lactic acidosis (exhaustion or fatigue, muscle cramps, diarrhea, headache, body weakness)

  • stay hydrated
  • can cause diarrhea and flaulance which will typically improve after a few weeks of use
  • avoid alcohol
  • take these with meals
18
Q

Liraglutide

A

Points:
- diarrhea, N/V, fatigue, dizziness

  • use once daily without regard to meals
  • proper injection technique, 2 inch around belly button, rotate site, Change needle and don’t reuse them, no need to pinch
  • If dose is missed, skip the missed dose and resume schedule. If more than 3 days is missed you will have to retiratin is needed
19
Q

Insulin Glargine

A

Points

20
Q

Sitagliptin

A

Points
- watch for signs of pancreatitis (middle abdomen pain,

  • watch for sever joint pains
  • common side effects = headache, upper respiratory infection
  • watch if you have heart failure due to increase of edema
21
Q

Gabapentin

A

Points:
- watch for changes in mood and increased depression symptoms

  • Watch for increases in dizziness especially when first starting the drug
  • can cause edema, N/V, fatigue symptoms
  • watch for anaphylaxis and angioedma
  • don’t suddenly D/C drug if on it for a while cuz it can increase risk of seizures
  • don’t take with alcohol or other CNS agents cuz it will cause more CNS depression
  • can be taken with or without food
22
Q

Clopidogrel

A

Points:
- watch for prolonged bleeding

  • make sure to warn dentist of providers your on this medication
  • watch for rash, itching, diarrhea
  • don’t D/C this drug suddenly
  • AVOID OTC ASA and NSAIDS while taking medication and watch for using OTC omeprazole or esomeprazole
  • Taken with or without food
23
Q

Latanoprost

A

Points:
- remove contact prior to use and wait 15 minutes, allow at least 5 minutes between use of multi eye products

  • watch discoloring of the iris of the eye (can be reversed if D/C drug)
  • can cause some eye pain and stinging or itching of the eye
  • store in fridge until opening, once opened it can be stored at room them per up to 6 weeks

MOA: increased outflow of aqueous humor

24
Q

Lansoprazole

A

Points:
- if using for long term watch for signs of osteoporosis including to report fractures (hip, wrist)

  • Side effects: abd pain, constipation/diarrhea, nausea, dizziness or headache
  • take the medication 30 minutes prior to meals
  • may open up the pill and place into apple sauce and drink with a glass of water

P2 Top 200 (19 decks)

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