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CAPSTONE > Counseling Station > Flashcards

Counseling Station Flashcards

1
Q

Levothyroxine indications?

A
  1. hypothyroidism
  2. TSH suppression
  3. pituitary
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2
Q

What are common SEs with levothyroxine and how are they managed?

A

Decreased appetite
Anxiety
Diarrhea
insomnia

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3
Q

How should Levothyroxine be taken?

A

30-60 min before breakfast on an empty stomach

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4
Q

When will levothyroxine start working?

A
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5
Q

What are serious SEs with levothyroxine and how are they monitored for?

A
  1. aggravation of preexisting CV disease
  2. hyperthyroidism
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6
Q

What interactions does levothyroxine have?

A

take 4 hours apart from antacids, iron, and calcium supplements
may interact with grapefruit juice

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7
Q

What are special instructions or precautions with levothyroxine?

A

monitor blood glucose in those with diabetes

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8
Q

Lisinopril

A

Prinivil, Zestril

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9
Q

Lisinopril indications?

A

HTN
ST-segment elevation MI
HFrEF

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10
Q

How is Lisinopril taken?

A

with or without food at the same time of day

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11
Q

Lisinopril common SEs?

A

dizziness, headache, N/V, cough

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12
Q

Lisinopril severe SEs

A

angioedema- look for swelling especially around the face
liver failure- dark orange urine, clay colored stools

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13
Q

What interactions does Lisinopril have?

A

avoid if breastfeeding, NSAIDs, Azathioprine, cyclosporine, potassium supplements

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14
Q

What are special monitoring for lisinopril?

A

monitor for s/s of hypotension
persistent cough

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15
Q

Atorvastatin indications?

A

Hyperlipidemia
Primary and secondary prevention of ASCVD

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16
Q

How to take Atorvastatin?

A

take with or without food on an empty stomach;
suspension: empty stomach

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17
Q

common SEs with atorvastatin?

A

myopathy
diarrhea
headache
nasopharyngitis

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18
Q

severe SEs with Atorvastatin

A

Rhabdomyolysis- severe muscle pain

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19
Q

What are interactions with Atorvastatin?

A

avoid if pregnant or breastfeeding, antivirals
interact with grapefruit juice

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20
Q

Missed dose Atorvastatin

A

take ASAP unless within 12 hours of next dose then skip

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21
Q

What are special monitoring parameters for Atorvastatin?

A

monitor blood glucose with diabetes- may increase A1c

22
Q

Metformin

A

Glucophage

23
Q

Metformin indications?

A

diabetes
PCOS

24
Q

How should Metformin be taken?

A

Take with meals (evening meal is ER/taking QD)

25
Q

common SEs Metformin

A

N/V/D- take with meals
headache

26
Q

severe SEs Metformin

A

Lactic acidosis- serious muscle aches/ burning

27
Q

Interactions Metformin

A

CONTRAINDICATED with contrast media
avoid if recent MI/ stroke
concurrent use of psyllium, propranolol, fluoroquinolones, MAOIs

28
Q

Special monitoring Metformin

A

monitor glucose

29
Q

Amlodipine indications

A

HTN
stable/ variant angina

30
Q

How to take Amlodipine

A

take with or without food at the same time of day

31
Q

common SEs Amlodipine

A

peripheral edema
pulmonary edema- reduce sodium, lifestyle modifications
dizziness, fatigue, hypotension

32
Q

severe SEs

A

Hepatotoxicity (clay-colored stools, orange urine)

33
Q

Amlodipine interactions

A

avoid NSAIDs

34
Q

Special monitoring Amlodipine

A
  1. avoid driving and other tasks that call for alertness until you see how this medication effects you
  2. rise slowly when standing
  3. be cautious on stairs
35
Q

Metoprolol

A

Lopressor, TOPROL XL

36
Q

How is Metoprolol taken?

A

with or right after a meal

37
Q

common SEs Metoprolol?

A

dizziness
headache
fatigue

38
Q

Severe SEs Metoprolol?

A

Heart failure- fluid retention, difficulty breathing

39
Q

Special precautions?

A
  1. Avoid driving or doing things that require you to be alert until you know how this drug affects you
  2. rise slowly from sitting position
  3. be cautious on stairs- use railings
40
Q

Simvastatin

A

Zocor

41
Q

How is Simvastatin taken?

A

take in the evening

42
Q

common SEs Simvastatin?

A

constipation
headache
diarrhea

43
Q

severe SEs Simvastatin?

A

Rhabdomyolysis

44
Q

Omeprazole

A

Prilosec

44
Q

indication Omeprazole

A

GERD
duodenal/gastric ulcer
H. pylori infection

45
Q

common SEs Omeprazole?

A

diarrhea
abdominal pain

46
Q

severe SEs Omeprazole?

A

C. difficle diarrhea
fractures
pancreatitis

47
Q

Omeprazole interactions?

A

st. johns wart

48
Q

Omeprazole special precautions?

A

monitor for osteoporosis

49
Q
A

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