class 11: pharm Flashcards
Antiarrhythmic drugs +
Antihypertensives
B Blockers
Ca Channel Blockers
Only Antihypertensives
Diuretics
ACE inhibitors
ARB blockers
B-blockers end with what
lol
what are the effect of b-blockers
Decrease HR and BP, bronchoconstriction.
indication for b-blockers
Coronary artery disease (CAD), HTN, arrhythmia.
b- blocker consideration
- Use RPE for exercise prescription
- Do NOT use in asthma, COPD
- No abrupt withdrawal
CA Channel Blockers: end with what
“-Pines and -Zems”
CA Channel Blockers: used for what
CAD, HTN, arrhythmia.
what is a adverse effect of both ca- blackers and beta blockers
orthostatic hypotension
what is an example of a diuretic
Furosemide (Lasix)
Spironolactone (Aldactone)
Hydrochlorothiazide (HCT)
for what conditions are diuretics used - lasix
HTN, CHF, Edema, pulmonary edema.
what is the highlighted side effects of diuretics - lasix
reflex tachycardia,
everything eles is hypo
Spironolactone (Aldactone) - side effect
hyperkalemia,
what is hyperkalemia,
a condition where there is too much potassium in your blood
what is hypercapnia
Too much carbon dioxide ((CO_{2})) in the blood
ACE Inhibitors end with what
“-Prils”
(Captopril, Enalapril, Lisinopril)
ACE Inhibitors: side effect
hyperkalemia.
DRY HACKING COUGH,
ARB Blockers: end with what
“SARTANS”
(Losartan, Telmisartan, Candesartan)
ARB Blockers: side effect
HYPERKALEMIA.
Cardiac Glycosides: end with
oxin
Cardiac Glycosides function
Slows down the HR but increases the strength of contraction (increases CO).
Cardiac Glycosides: side effect
DIGOXIN TOXICITY
Arrhythmia, palpitations, fatigue, GI disturbances, visual disturbance,
hyperkalemia, confusion, delirium.
Nitrates – Nitroglycerin used for what condition
Angina Pectoris
how do we give doses - Nitrates
sublingually, 3 doses every 5 mins.
The patient must sit/lay when taking nitroglycerin. If there is no relief, the
patient may be having an MI. Call EMS.
are nitrates short term or long term drugs
short term
beta or calcium blockers can be used long term
Anticoagulants: two names
Warfarin (Coumadin), Heparin
what is INR
measures how long it takes blood to clot.
what is a normal INR
Normal: 0.9-1.1
what INR is a contraindication to exercise
> 4.0 increase in exercise routine
may be contraindicated or
modified; discuss with physician
> 6.0 Bed rest till corrected
what are the Antiplatelets:
Aspirin, Clopidogrel
what are the side effects of Antiplatelets:
Peptic ulcers, gastritis, risk of internal bleeding.
Selective NSAIDS vs Non-selective NSAIDS
selective - Adverse cardiovascular
effects > risk of MI, stroke
nonselective - Gastric ulcers, bleeding,
nausea, vomiting
what can overuse lead to Tylenol
Overuse causes liver damage leading to Jaundice, clay- colored stools.
No more than 6 tablets (500mg) a day.
Opioids: examples
Morphine, Oxycodone, Hydrocodone, Fentanyl, Methadone
Benzodiazepines: end with what
pam or lam
Diazepam (Valium), Clonazepam (Klonopin), Alprazolam (Xanax)
Benzodiazepines: used for what
Muscle spasms, anxiety, insomnia, alcohol withdrawal, acute epileptic attacks.
what are Cyclobenzaprine (Flexeril) use for
Reduce muscle spasms, myofascial pain syndrome, fibromyalgia.
what is myofascial pain syndrome
a chronic pain condition where pressure on specific points in muscles, called trigger points, causes localized pain that can sometimes radiate to other areas of the body
no fatigue complaints
referred pain
what is fibromyalgia
a chronic condition that causes pain and tenderness throughout the body.
It can also cause fatigue, sleep issues, and problems with memory and mood.
morning stiffness
Baclofen used for what
MS, SCI
reduce muscle spasticity seen with spinal cord lesions
Botulinum Toxin (Botox): used for what
Works on CNS, blocks release of Acetylcholine
Use: Muscle spasticity, seen with cerebral palsy.
what are the 3 Bronchodilator Drugs
Beta-2 agonists:
Antimuscarinic: (Cholinergic):
Corticosteroids:
Beta-2 agonists: end with what
rol/ol
Short acting: Salbutamol, Albuterol (Ventolin)
Long acting: Salmeterol, formoterol
Antimuscarinic: (Cholinergic): end with
pium
Short acting: Ipratropium
Long acting: Tiotropium
Corticosteroids: end with
solone
Budesonide, prednisolone
Antibacterial Drugs - examples
Penicillin, Cephalosporin, Vancomycin, Gentamicin
Antibacterial Drugs - side effect
ototoxicity (BPPV),