Exam 4 Flashcards

1
Q

Preventing clots by inhibiting platelet clumping

A

Antiplatlet drugs
Aspirin and plavix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Blocks conversion of fibrinogen to fibrin prolonging clotting

A

Heparin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Ways to administer heprin

A

IV and SC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

1/2 life of heprin

A

8 hours (3 times a day)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Therapeutic PTT level

A

55-85

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Antidote for heprin

A

Protamine sulfate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Anticoagulant that last 24 hours

A

Lovenox

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How is lovenox given

A

Sub q

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Lovenox antidote

A

Protamine sulfate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Inhibits vit k synthesis

A

Warfrin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Taken orally and takes 3 to 7 days for action

A

Warfrin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Therapeutic PT/INR levels for warfin

A

2.0 to 3.0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Warfrin antidote

A

Vitamin k

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What foods to avoid when taking warfrin

A

Avoid green leafy foods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

“Xaban” oral tabs works immediately

A

Xa inhibitors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Has to be given within 4 hours of acute blood clot
Avoid anticoagulants

A

Thrombolytics (TPA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Good cholesterol

A

HdL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Bad cholesterol

A

LDL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Resin that binds with bile acids in intestines to lower cholesterol
Causes constipation
Always take with fluids

A

Bile acid sequestrants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Vitamin that needs to be taken in large doses to reduce LDL
Causes GI disturbances, elevated BS, flushing and abnormal liver functions

A

Niacin (b6)

21
Q

Inhibits cholesterol synthesis in liver
2 to 4 weeks for results
Side effects: fatigue muscle aches
Monitor liver enzymes
Eye exam, risk for clotting

A

“Statins”

22
Q

Increases blood flow to extremities
Side effects ortho hypotension dizzy
No alcohol

A

Vasodialators

23
Q

Fluid built up around heart

A

Heart failure

24
Q

Fluid built up around lungs

A

Pulmonary edema

25
Q

Fluid built up in extremeties

A

Peripheral edema

26
Q

Fluid built up around heart and lungs

A

Congestive heart failure

27
Q

What do you listen for in lungs of someone who has CHF

A

Crackles in the lungs

28
Q

Test for heart failure

A

BNP
Normal value less then 100

29
Q

1/2 life is 36 hours
Highly toxic when taken daily
Toxic side effects: low heart rate fatigue visual disturbances

A

Digoxin

30
Q

Antidote for dioxin toxicity

A

Digibind

31
Q

Therapeutic dioxin levels

A

0.5 to 2.0

32
Q

What lab levels should always be checked when taking digoxin

A

Digoxin and potassium levels

33
Q

When is the heart rate ok to take digoxin dose

A

When heart rate is over 60. Hold if under 60

34
Q

Angina

A

Chest pain

35
Q

Types if angina

A

Classic(stable)
Unstable
Variant

36
Q

Angina on exertion

A

Stable(classic)

37
Q

Angina that is frequent and progressive

A

Unstable angina

38
Q

Angina that occurs at rest

A

Variant angina

39
Q

Antianginal meds

A

NBC
Nitro
Beta blockers
Calcium channel blockers

40
Q

Antiarrythmia meds

A

ABC
Amioderone
Beta blockers
Calcium channel blockers

41
Q

Types of diuretics

A

Osmotic
Loop
Thiazide
K sparing

42
Q

What to monitor when taking a diuretic

A

Potassium levels
Weights
I/Os
BP

43
Q

Don’t take with sulfa allergy
Iv push or oral only
Iv push slowly
Monitor bp bun/creat, dehydration

A

Loop diuretics

44
Q

Uses of beta blockers ‘lol’

A

Lowers bp, antianginal, antiarrythmic

45
Q

Calcium channel blockers ‘dipine,’

A

Lowers bp
Anianginal
Antarrythmic

46
Q

ACE inhibitors ‘pril’

A

Lowers bp

47
Q

Alpha andrenergic blockers ‘zosin”

A

Lowers bp
Decreases LDL

48
Q

ARBS angiotension II receptor blockers ‘sartan’

A

Lowers bp