Exam 3 Review

Question 1

What symptoms should the nurse recognize as a side effect of SIMVASTATIN?

Answer 1

Hepatotoxicity
Muscle Aches
Rhabdomyolysis

Question 2

What side effect/adverse effect does CHOLESTYRAMINE cause?

Answer 2

Constipation
Diarrhea

Question 3

Nonpharmacological interventions for HYPERLIPIDEMIA?

Answer 3

Reduce fat intake
Exercise
Quit smoking
Reduce weight

Question 4

Nonpharmacological interventions for HEART FAILURE?

Answer 4

Reduce sodium intake
Quit smoking
Monitor weight

Question 5

Normal LDL levels

Answer 5

<100
<70 for DM/HF patients

Question 6

Education for BILE ACID SEQUESTRANTS (CHOLESTYRAMINE)

Answer 6

Do not take with food or other meds.

Take an hour before or several hours after.

Question 7

What medication will increased VITAMIN K intake interact with?

Answer 7

Warfarin

Question 8

Which anticoagulants are taken PO?

Answer 8

Warfarin (Teratogenic)

Dabigatran (Direct Thrombin Inhibitors - GI Upset

Apixaban (Factor XA Inhibitors) - abrupt d/c causes increased risk of thomboembolic events

Question 9

What medication is used for INCREASED TRIGLYCERIDES?

Answer 9

Gemfibrozil (Fibrates)

• increased risk of gallstones (RUQ pain)

NOT THE FIRST LINE AGENT

Question 10

What medications are TERATOGENIC?

Answer 10

ACEIs
ARBS
Warfarin
Statins
Potassium Blockers (Amiodarone)
Calcium Channel Blockers (Verapamil/Diltiazem)

Question 11

Normal Cholesterol Levels

Answer 11

Total: <200
Triglycerides: <150
LDL: <100
HDL: <50 FEMALES, <40 MALES

Question 12

Primary drug classes for HF

Answer 12

ACEIS
ARBS
Diuretics

Question 13

First Pharmacological Agent for ELEVATED LDLs

Answer 13

Statins

Question 14

What is the MOA and benefit of BIDIL?

Answer 14

Dilates veins & arteries

Question 15

What drugs used for HF cause inotropic effects?

Answer 15

PDIs: AMRINONE, MILRINONE

Beta Antagonists: DOBUTAMINE

Cardiac Glycosides: DIGOXIN (monitor HR)

Question 16

Which medications are IV/PO only?

Answer 16

PDIs are IV only. (Hypotension/Dysrhythmias)

Digoxin is PO Only. (Visual Disturbances/Halos)

Question 17

2 drugs for HF that are IV only.

Answer 17

Dobutamine
Milrinone

Question 18

What are inotropic effects?

Answer 18

Makes the heart beat harder and stronger.

Question 19

Major side effect of antiarrhythmiacs?

Answer 19

Dysrhythmias
Bradycardia

Question 20

What will you monitor in a patient being treated for arrhythmias?

Answer 20

Cardiac Monitoring
HR

Question 21

Major SE of all antirhythmics?

Answer 21

Dysrhythmias
Bradycardia

Question 22

What will you monitor in a patient being treated for arrhythmias?

Answer 22

Cardiac monitor and HR

Question 23

Patient with A-fib taking amiodarone will need

Answer 23

Cardiac Monitoring

Question 24

Heart failure approach is dependent on reducing what?

Answer 24

Afterload, which reduces workload of the heart

Question 25

Indications for ACEIs.

Answer 25

HTN
ACS
CKD
Stroke Prevention
HF

Question 26

What VS will you assess prior to administering Digoxin?

Answer 26

HR
Assess apical pulses

Question 27

What VS will you assess prior to administering metoprolol?

Answer 27

HR and BP

Question 28

What anticoagulant class break up clots?

Answer 28

Thrombolytics
“-plases”

Question 29

Assessment