Dyslipidemia Drugs Flashcards

1
Q

What is the full name for HMG-COA Reductase Inhibitors?

A

Hydroxymethylglutatylcoenzyme A Reductase Inhibitors

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2
Q

What are a few examples of HMG-COA Reductase Inhibitors?

A

Atorvastatin (Lipitor)
Pravastatin (Pravachol)
Simvastatin (Zocor)
Rosuvastatin (Crestor)

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3
Q

What are HMG-COA Reductase Inhibitors used for?

A

Reduce LDL levels (work the best)
Reduce triglycerides
Reduce the total serum cholesterol
Not very good at increasing HDL
OTHER: prominent role in post-stroke care

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4
Q

What are the HMG-COA Reductase Inhibitors action?

A

Inhibits the enzymes that control cholesterol synthesis

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5
Q

What are the SE of HMG-COA Reductase Inhibitors?

A

GI upset
Rash
Headache
Increases risk of rhabdomyolysis (breakdown of skeletal muscle) (older adults)
Myopathy
Hepatotoxicity

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6
Q

What is an example of a fibrate?

A

Fenofibrate (Tricor)

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7
Q

What is the action of a fibrate?

A

Increase oxidation of fatty acids within the liver

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8
Q

What are the uses of fibrates?

A

Reduces triglycerides
Reduces LDL levels
Increases HDL

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9
Q

What are some SE of fibrates?

A

GI upset
Diarrhea
Gallstones

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10
Q

What are some nursing considerations for fibrates?

A

Take with food
When taken with anticoagulants, Warfarin, it increases the amount of it in the system, making it toxic

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11
Q

What are some examples of Bile Acid Sequestrants?

A

Cholestyramine (Questran)

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12
Q

What is the action of Bile Acid Sequestrants?

A

Lowers serum cholesterol by binding with bile acids

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13
Q

What are the uses of Bile Acid Sequestrants?

A

Reduces LDL
(it has no effect on the HDL)

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14
Q

How are Bile Acid Sequestrants administered?

A

It is a powder, so it is sprinkled on top of t=the pt’s food
It needs to be absorbed in the intestine

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15
Q

What are a few drug interactions to watch out for with Bile Acid Sequestrants?

A

Anticoagulants
Thyroid Meds
Digoxin
Thiazide Diuretics

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16
Q

What are the SE of Bile Acid Sequestrants?

A

GI upset
Decreased absorption of fat soluble vitamins

17
Q

What is an example of a Nicotinic Acid?

A

Niacin (vitamin B3)

18
Q

What are the uses of Nicotinic Acids?

A

Increases HDL
Decreases LDL
Decreases triglycerides

19
Q

What are some SE of Nicotinic Acids?

A

GI upset
Vasodilation

20
Q

What are some contraindications of Nicotinic Acids?

A

PUD
Hepatic Disease
Cerebrovascular Disease
Hypotension

21
Q

What is an example of a cholesterol absorption inhibitor?

A

Ezetimibe (Zetia)

22
Q

What is the action of a cholesterol absorption inhibitor?

A

Blocks the absorption of cholesterol

23
Q

What are some side effects of a cholesterol absorption inhibitor?

A

Cholelithiasis

24
Q

What are some combination therapies to avoid?

A

Niacin and Statin
Fibrate and Statin

25
Q

Why might combination therapy be needed?

A

It is used when monotherapy is ineffective
It may be needed to combine actions so that HDL can be increased and LDL can be decreased

26
Q

What are important patient education points when learning about dyslipidemia drugs?

A

Screening for dyslipidemia
Lifestyle and diet changes first
Medications for uncontrolled levels
Explain genetic risk factors
Information for new medications
Resources for lowering levels