Exam 6 module 10 pharma Flashcards
Dyslipidemia medications
Atorvastatin
cholestyramine
ezetimibe
gemfibrozil
niacin (VB3/nicotinic acid)
Atrovastatin MOA, AE
lowers cholesterol and LDL (HMG-CoA reductase)
AE: Hepatotoxicity, rhabdomyolysis
Cholestyramine MOA
Increased bile production to promote cholesterol excretion
Ezetimibe MOA, CI
Decrease cholesterol absorption
Pregnancy
Gemfibrozil MOA AE
Break down of fat, decrease production of triglycerides
Gi upset, myopathy, hepatotoxicity
Niacin MOA AE
Blocks fat breakdown, decrease triglycerides and LDL
AE: Myopathy, diarrhea, Reduced vitamins ADEK
Heart failure treatment meds
Digoxin
Milrinone
Digoxin Class, MOA
Cardiac glycoside (only one in US)
positive inotrope
Inhibits Na/K pump
Digoxin Indication, AE
Decreased cardiac output, heart failure, atrial fibrillation
V fib, bradycardia, dizziness
Digoxin toxicity Cause, S/S
Cause: hypokalemia
S/S: confusion, loss of appetite, n/v visual disturbances,
Milrinone MOA, I, AE
Increase contractility
Acute heart failure
V fib, headache
Adenosine MOA, I, AE
Heart reset
Supraventricular tachycardia
impending doom
Amiodarone I, AE
Cardiac dysrhythmias, recurrent v fib
Hypotension, visual changes, blue skin
Atenolol/metoprolol MOA, I
B1 blocker
HTN, angina, heart failure, post MI
Black box warning
Captopril MOA, AE
ACE inhibitor (angiotensin II reduction)
Dry Cough
Losartan MOA,
Blocks Angiotensin II receptors
Reduced chance of cough
ACE inhibitors and Common AE, CI,
Captopril, LIsinopril
hyperkalemia, angioedema, cough
Renal injury, pregnancy
Nifedipine/amlodipine MOA, I, AE
Calcium channel blocker in smooth muscle and arteries
HTN
Vasodilation, constipation
Verapamil/diltiazem MOA, I, AE
Calcium channel blocker, decrease heart contractility and rate
Afib, angina, HTN
Constipation, Hypotension
Nitroglycerin I and special
Angina, HTN
Can develop tolerance, 12 hr cycle
Ranolazine MOA, i, AE
Lowers cardiac oxygen demand
stable angina
QT prolongation
Procainamide MOA, I , AE
Blocks sodium channel
VTachy, supraventricular tachy, a fib
hypotension wide QRS