Cardio Med Sheet

Question 1

What two meds are best for blacks? (which ones should we avoid?)

Answer 1

Use Thiazides or CCB

Avoid ACE/ARBs

Question 2

Best meds for chronic kidney disease

Answer 2

ACE or ARB

Question 3

Diuretic

Answer 3

Chlorthalidone 12.5-25mg daily

Question 4

Chlorthalidone

AE/CI

Answer 4

CI: sulfa allergy
AE: decrease K,Mg; increased UA, glucose

Question 5

Which diuretic should be used with HF or renal insufficiency?

Answer 5

Furosemide

Loop Diuretic

Question 6

Beta-blocker

Answer 6

Atenolol 25-100mg daily

Question 7

Atenolol

AE/CI

Answer 7

CI: bradycardia, sinus node dysfunction, heart block, Pulm edema, pregnancy
AE: fatigue, insomnia, depression, bradycardia, ED, decreases HDL, increased TG, masks hypoglycemia

Question 8

ACE Inhibitor

Answer 8

Lisinopril 5-40 mg daily

Question 9

Lisinopril

AE/CI

Answer 9

AE: cough, hypoTN, rash, hyperkalemia
CI: hx of angioedema, bilateral renal artery stenosis

Question 10

CCB (Dihydropyridine)

Answer 10

Amlodipine 2.5-10mg daily

Question 11

Amlodipine (AE)

Answer 11

tachycardia, peripheral edema

Question 12

What can you add to chlorthatidone to offset the K+ loss?

Answer 12

Spironolactone

Question 13

Three drugs to use with HF

Answer 13

Furosemide
Lisinopril
Digoxin

Question 14

Digoxin

AE/CI

Answer 14

AE: GI, rash, dizzy, new arrhythmias
CI: V fib

Question 15

Angina TX

Answer 15

Nitroglycerin SL 0.3-0.6 mg q 5 min x 3

Question 16

Nitroglycerin (AE)

Answer 16

bradycardia, HOTN, edema, tachycardia, HA, nausea

Question 17

Statin - for dyslipidemia

Answer 17

Atorvastatin 10 mg qday

Question 18

Atorvastatin

AE/CI

Answer 18

CI: liver disease, pregnancy
AE: hepatotoxicity, myopathy, neuropathy, increased risk of DM

Question 19

Dyslipidemia (increased cholesterol & TG)

Answer 19

Fenofibrate

Question 20

Fenofibrate (AE)

Answer 20

increased bile lithogenicity, GI complaints

Question 21

Warfarin (AE)

Answer 21

Hemorrhage, purple toe syndrome, skin necrosis