Drugs Flashcards
Nitrostat
Use: Angina SHORT ACTING NITRATE Keep in sealed dark glass bottle -light and moisture will degrade. Take SL Should work in 3 minutes and last 30-60, if pain unchanged in 5 minutes call 911. SE: hypotension, headaches
Isordil Imdur
USE: Angina Drugs LONG ACTING NITRATE Nitroglycerin Ointment * take daily or 2Xs a day to keep pain away.
Inderal (proprandlol) Lopressor (metoprolol) Corgard (nadolol)
USE: Angina Drugs
BETA ANDERGENIC BLOCKERS
SE: decrease in HR and BP
Procardia Cardizem
Use: Angina
CALCIUM CHANNEL BLOCKERS
Capoten
Use: Angina
ANGEOTENSIVE (ACE)
SE: Dry cough
Zocor (Provastin)
Use: Cholesterol Lowering Drug
STATIN
SE: can cause liver problems
Niacin
Use: Cholesterol Lowering Drug
WATER SOLUBLE B VITAMIN
SE: Flushing, puritis, GI problems
Questran
Use: Cholesterol Lowering Drug
SE: GI problems. **Will interact with lots of drugs, espicially Coumadin and thiazide**
Aspirin (81 mgs or more) Ticlid Plavix
Use: PAD
ANTI- PLATELET AGENTS Aspirin - cuts down clotting
Ticlid- SE: thrombocytopnea and neutropnea (can bleed to death)
Plavix - risk for GI bleed, teach to look at stool, DO NOT give with aspirin
ACE INHIBITORS
Used for: PAD, BP, and Angina
Trental Pletal
Use: PAD
INTERMITTENT CLAUDICATION
Coumadin (warfarin)
Use: DVT Anticoagulants
VIT K ANTAGONIST
48-72 hours to change PT (prothrombin time) *will overlap with heparin INR (international normalized ratio) test normal range 2-3 Antidote: Vit K - usually given IM. *Teach pt. to keep K foods consistent -mot K foods - leafy greens veg.
Un (unfractionated) heparin
Use: DVT
Anticoagulants INDIRECT THROMBIN INHIBITOR
given subQ aPtt - activated partial thromboplastin time normal range: 46-70 seconds ***Heparin most dangerous****
Lovenox (TEST)
Use: DVT Anticoagulants
ITI -LMWH (low molecular weight) given subQ
Safer than heparin and Coumadin, no labs *watch for signs they are bleeding more than they should
Refundan
Use: DVT Anticoagulants
DIRECT THROMBIN INHIBITOR IV Check Ptt or Act (activated clotting time)
Arixtra
Use: DVT
Anticoagulants FACTOR Xa INHIBITOR
subQ no labs
Lasix (ferosomide)(loop) Aldactone (K sparing) Hydroclorothiazide HCTZ
Use: BP
DIURETICS
Action: decrease plasma volume
SE: fluid and electrolyte balancce
Catapres (clonidine) Aldomet
Use: BP
ANDREGENIC INHIBITORS
Action: sympathetic nervous system vasodilatation
SE: dry mouth, sedation,dizziness, ED
Apresoline (hydrolazine)
Use: BP Vasodilators
Action: relax vascular smooth muscles of arteries
SE: increased HR and decreased BP, headaches
Lotensin Capoten (captopril) Lisinopril Vasotec (enalapril)
Use: BP
ANGIOTENSIVE INHIBITORS (ACE)
Action: decrease vasoconstriction
SE: dizziness, dry cough, dry mouth, renal problems, especially K retention.
Norvasc (amlodipine) Calan (verapanil)
Use: BP
CALCIUM CHANNEL BLOCKERS
Action: increase sodium excretion
Lopressor Tenormin (atenol) Inderal (propramolol) Normadine (labetalol)
Use: BP
B ADENERGIC BLOCKERS
Action: decrease CO
SE: weakness r/t decreased BP, bronchospasms, decreased HR
4 Drugs used to treat TB
INH - isonizid (also used to treat latent)
Rifampin - turns urine, sweat and tears orange.
Pyrazinamide
Ethambutol
* typically all 4 are given for 6 months for active TB. All can lead to liver problems 9early sign: RUQ swollen and petechia (pink spots) **This drug therapy will interact badly with antiretrovirals (HIV) drugs
Amacort Flovent budsonide beclonethasone solumedrol
Use: Asthma
CORTICOSTEROIDS AI and LA
SE: thrush and hoarseness, spacer helps get in lungs, not back of throat. All inhalers except solumedrol (IV)