Exam 3 Review Flashcards
What symptoms should the nurse recognize as a side effect of SIMVASTATIN?
Hepatotoxicity
Muscle Aches
Rhabdomyolysis
What side effect/adverse effect does CHOLESTYRAMINE cause?
Constipation
Diarrhea
Nonpharmacological interventions for HYPERLIPIDEMIA?
Reduce fat intake
Exercise
Quit smoking
Reduce weight
Nonpharmacological interventions for HEART FAILURE?
Reduce sodium intake
Quit smoking
Monitor weight
Normal LDL levels
<100
<70 for DM/HF patients
Education for BILE ACID SEQUESTRANTS (CHOLESTYRAMINE)
Do not take with food or other meds.
Take an hour before or several hours after.
What medication will increased VITAMIN K intake interact with?
Warfarin
Which anticoagulants are taken PO?
Warfarin (Teratogenic)
Dabigatran (Direct Thrombin Inhibitors - GI Upset
Apixaban (Factor XA Inhibitors) - abrupt d/c causes increased risk of thomboembolic events
What medication is used for INCREASED TRIGLYCERIDES?
Gemfibrozil (Fibrates)
- increased risk of gallstones (RUQ pain)
NOT THE FIRST LINE AGENT
What medications are TERATOGENIC?
ACEIs
ARBS
Warfarin
Statins
Potassium Blockers (Amiodarone)
Calcium Channel Blockers (Verapamil/Diltiazem)
Normal Cholesterol Levels
Total: <200
Triglycerides: <150
LDL: <100
HDL: <50 FEMALES, <40 MALES
Primary drug classes for HF
ACEIS
ARBS
Diuretics
First Pharmacological Agent for ELEVATED LDLs
Statins
What is the MOA and benefit of BIDIL?
Dilates veins & arteries
What drugs used for HF cause inotropic effects?
PDIs: AMRINONE, MILRINONE
Beta Antagonists: DOBUTAMINE
Cardiac Glycosides: DIGOXIN (monitor HR)
Which medications are IV/PO only?
PDIs are IV only. (Hypotension/Dysrhythmias)
Digoxin is PO Only. (Visual Disturbances/Halos)
2 drugs for HF that are IV only.
Dobutamine
Milrinone
What are inotropic effects?
Makes the heart beat harder and stronger.
Major side effect of antiarrhythmiacs?
Dysrhythmias
Bradycardia
What will you monitor in a patient being treated for arrhythmias?
Cardiac Monitoring
HR
Major SE of all antirhythmics?
Dysrhythmias
Bradycardia
What will you monitor in a patient being treated for arrhythmias?
Cardiac monitor and HR
Patient with A-fib taking amiodarone will need
Cardiac Monitoring
Heart failure approach is dependent on reducing what?
Afterload, which reduces workload of the heart
Indications for ACEIs.
HTN
ACS
CKD
Stroke Prevention
HF
What VS will you assess prior to administering Digoxin?
HR
Assess apical pulses
What VS will you assess prior to administering metoprolol?
HR and BP
What anticoagulant class break up clots?
Thrombolytics
“-plases”
Assessment
