Exam Two Flashcards
Drug therapy for PAD
Ace inhibitors
Antiplatelet agents - aspirin or plavix
Meds for VTE
Vit K antagonists
Thrombin inhibitors
Factor Xa inhibitors
Vitamin K antagonist
Warfarin
INR goal 2-3
PT check
Antidote: vit k
Thrombin inhibitor
Heparin
(Lovanox)
Check aPTT
Antidote: protamine
Beta blockers
-olol
Lowers BP
SE: bradycardia, hypotension, wheezing, depression, sex dys
Avoid with asthma and diabetes
Ace inhibitors
-pril Causes vasodilation SE: dry cough, hyperkalemia Angioedema Use with caution w potassium sparing diuretics Asa and nsaids dec effectiveness Check potassium before, contact if high
Arbs
-sartan Causes vasodilation SE: hyperkalemia Alt for those who can’t use ace inhibitors Check potassium before, contact if high
CCBs: dyhydropyridine
-pine
Promotes peripheral vasodilation
Rapid acting and potent
CCBs: non dihydropyridine
Diltiazem and verapamil SE: bradycardia Use a caution if pt has HF AVOID grapefruit juice Blood levels rise faster and higher than normal
Loop diuretics
Lasix
Decreases preload
SE: vol depletion, electrolyte imbalance, orthostasis in elderly
RISK: ototoxicity
Allergic reaction if sensitive to sulfa drugs
Check potassium before, contact if high
Monitor IOs and daily weights
Thiazides diuretics
Reduces preload SE: orthostasis, hypokalemia, alkalosis Encourage intake of potassium Fall precautions Digoxin and NSAIDs interactions - inc risk of digoxin toxicity Check potassium before, contact if low
Digoxin
SE: hypokalemia, hypercalcemia, hypomagnesemia
RISK: digoxin toxicity
Antidote: iv digibind
Hyperkalemia inhibits action
Check hr for 1 min, hold if less than 60
Hold if potassium too low
Nitrates: 1st line for angina
SE: headache
Do not take w drugs for ED
Risk for hypotension
