Cardiovascular: Random Flashcards
niacin: SE
flushing (IR)
liver toxicity (ER, long-acting)
niacin: forms
immediate-release
extended-release
long-acting
no-flush (doesn’t work as well)
hyperlipidemia
high cholesterol
TG
triglycerides
statins: SE
myopathy
elevated liver enzymes
myopathy
diffused muscle pain / weakness
Pravachol / pravastatin: DI
Biaxin
cyclosporine
fibrates
Mevacor / lovastatin: DI
Biaxin
Sporanox
limit grapefruit
Zocor / simvastatin: DI
Biaxin
Sporanox
cyclosporine
fibrates
digoxin
limit grapefruit
Crestor / rosuvastatin: DI
gemfibrozil
cyclosporine
anticoagulants
Lipitor / atorvastatin: DI
Biaxin
Sporanox
cyclosporine
fibrates
digoxin
limit grapefruit
Statins with most interactions
lovastatin
simvastatin
(atorvastatin)
Statins with fewest interactions
pravastatin
rosuvastatin
bile acid sequestrants: forms
powder
(Welchol/colesevelam also tablet)
bile acid sequestrants: mech
insoluble, nonabsorbable resins that bind up bile acids in the gut to reduce cholesterol
bile acid sequestrants: SE
lot of stomach upset, gas, constipation
bile acid sequestrants: DI
separate from all other meds by 4 hrs (binding)
fibrates: mech
inhibit cholesterol synthesis
(to lower cholesterol)
CK / CPK
creatine kinease
blood test measuring muscle breakdown
increases myopathy risk
combining fibrate with statin
fibrates: SE
myopathy
liver toxicity
statins: full class name
HMG-CoA reductase inhibitors
statins: mech
inhibit enzymes that produce cholesterol
niacin (commonly known as)
vitamin B3
fish oil: DI
blood thinners
(warfarin, aspirin, clopidogrel)
[only with high doses of fish oil]
fish oil: mech
reduce TG
PCSK9 inhibitor: def
biologic injectable for high cholesterol
PCSK9 inhibitors: storage
refrigerate
store in original packaging
bring to room temp 30-40 min prior to inj
PCSK9 inhibitors: freq
inject 1-2 times per month
Blood pressure: top number
systolic blood pressure
pressure when heart is beating
Blood pressure: bottom number
diastolic blood pressure
pressure when heart is at rest
diuretic: mech
water pills
remove excess fluid and salt to lower blood pressure (antihypertensive)
thiazide diuretics: DI
sulfa allergies (similar structure)
thiazide diuretics: SE
dizziness
photosensitivity
diuretics: lab tests
BUN
SCr
electrolytes
BUN
blood urea nitrogen
(kidney function)
SCr
serum creatinine
(kidney function)
loop diuretics: SE
dizziness
photosensitivity
excessive urination
low potassium
loop diuretics: DI
sulfa allergies (similar structure)
potassium-sparing diuretics: DI
potassium supplements
potassium-sparing diuretics: SE
hyperkalemia
hyperkalemia
high potassium
HCTZ
hydrochlorothiazide
diuretics in IV form
Lasix / furosemide
Bumex / bumetanide
beta-blockers: mech
block action of beta receptors in heart and blood vessels
(heart rate slows, blood vessels dilate, blood pressure lowers)
bradycardia
slow heart rate
beta-blockers: SE
dizziness
drowsiness
slow heart rate/bradycardia
worsening asthma
beta-blocker precaution
taper off slowly to prevent reflex tachycardia
calcium channel blockers: DI
grapefruit
digoxin
erythromycin
clarithromycin
calcium channel blockers: precaution
each drug may come in many different forms
calcium channel blockers: SE
dizziness
bradycardia
flushing
edema
headache
CCB
calcium channel blocker
edema
swelling