Chapter 44 Antihyperlipidemics & Drugs To Improve Peripheral Blood Flow Flashcards
What is HDL?
Good cholesterol
Transportto liver for elimation
What is LDL cholesterol?
Bad cholesterol!
What is VLDL?
Mostly triglycerides
No cholesterol
What is chylomircons?
Transport fatty acids and cholesterol to liver
What are some nonpahrmacologic methods for reduction of cholesterol?
Stop smoking
Reduce salt
Reduce fats
Reduce cholesterol intake 300mg a day
Exercise
What are the types of antihyperlipidemics?(5$
Bile acids sequestranrs
Fibric acid
Nicotonic acid
Cholesterol absorption inhibitor
Statins
How does bile acid sequestranrs help cholesterol?
THIS BINDS TO EVERY OTHER MEDICATONS!!
TAKE AN HOUR OR TWO LATER OR BEFORE !!
Reduce LDL levels by binding with bile acids in the stomach
What are the 3 side effects of bile acid sequestrants?
Constipation
Flatulence
Steatorrhea
What is fibrates?
Contraindicated with what?
Side effect?
Reduces trig and VLDL
Anticoagulants = bleeding
Dizzy, cholethiasis
What does niacin do?
Biggest side effect?
B vitamin, larger dose to achieve cholesterol lowering
Flushing
IGNORE THIS!!!
Wuat does cholesterol absorption inhibitor do?
Must be combined with what to be fully absorbed?
Acts in cells in the small intentions and blocks cholesterol absorption
Statin
What does statins do?
Is it the first line treatment?
Side effects ? (2)
Inhibit the enzyme HMG COA in cholesterol
Yes
Rhabdomyolysis & muscle cramps
( muscle cramps, break down muscle )
( patients wil say I’m still sore after a weekend, super SORE!!! More than normal )
What should you avoid with stains?
Grapefruit juice
Statins increase toxicity in what?
Digoxin!!
What do you want to monitor for statins??
Creatine kinase & LFTS