Cardiovascular (Counseling Points)

Question 1

clopidogrel

Answer 1

avoid NSAIDs unless instructed by doctor due to increased bleeding risk
seek medical attention for unusual or prolonged bleeding or bruising
avoid abrupt discontinuation

Question 2

warfarin

Answer 2

avoid NSAIDs unless instructed by doctor due to increased bleeding risk
seek medical attention for unusual or prolonged bleeding or bruising
avoid abrupt discontinuation
keep dietary vitamin K and alcohol consumption consistant
many drug-drug interactions
take missed dose ASAP but dont take 2 in the same day

Question 3

rivaroxaban

Answer 3

seek medical attention or unusual or prolonged bleeding
gastroenteritis
vomiting
cough (pediatric patients)

Question 4

furosemide

Answer 4

sun sensitivity
decreased electrolytes (Ca++, K++, Mg++)
dizziness upon standing
avoid taking at bedtime due to increased urination

Question 5

spironolactone

Answer 5

gynecomastia
increased serum potassium
diarrhea
irregular menses

Question 6

hydrochlorathiazide

Answer 6

sun sensitivity
dizziness upon standing
avoid taking at bedtime due to increased urination

Question 7

lisinopril

Answer 7

avoid during pregnancy
dizziness
dry cough
headache
increased serum potassium

Question 8

losartan

Answer 8

avoid during pregnacy
dizziness
headache
increased serum potassium

Question 9

amlodipine

Answer 9

leg swelling (edema)
headache

Question 10

metoprolol

Answer 10

dizziness
fatigue (goes away in 7 days)
take with food (better absorption)
lowers heart rate
do not discontinue medication abruptly - increased cardiovascular risk