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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
common SEs Metformin
N/V/D- take with meals headache
26
severe SEs Metformin
Lactic acidosis- serious muscle aches/ burning
27
Interactions Metformin
CONTRAINDICATED with contrast media avoid if recent MI/ stroke concurrent use of psyllium, propranolol, fluoroquinolones, MAOIs
28
Special monitoring Metformin
monitor glucose
29
Amlodipine indications
HTN stable/ variant angina
30
How to take Amlodipine
take with or without food at the same time of day
31
common SEs Amlodipine
peripheral edema pulmonary edema- reduce sodium, lifestyle modifications dizziness, fatigue, hypotension
32
severe SEs
Hepatotoxicity (clay-colored stools, orange urine)
33
Amlodipine interactions
avoid NSAIDs
34
Special monitoring Amlodipine
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
Metoprolol
Lopressor, TOPROL XL
36
How is Metoprolol taken?
with or right after a meal
37
common SEs Metoprolol?
dizziness headache fatigue
38
Severe SEs Metoprolol?
Heart failure- fluid retention, difficulty breathing
39
Special precautions?
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
Simvastatin
Zocor
41
How is Simvastatin taken?
take in the evening
42
common SEs Simvastatin?
constipation headache diarrhea
43
severe SEs Simvastatin?
Rhabdomyolysis
44
Omeprazole
Prilosec
44
indication Omeprazole
GERD duodenal/gastric ulcer H. pylori infection
45
common SEs Omeprazole?
diarrhea abdominal pain
46
severe SEs Omeprazole?
C. difficle diarrhea fractures pancreatitis
47
Omeprazole interactions?
st. johns wart
48
Omeprazole special precautions?
monitor for osteoporosis
49

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