extra CV Flashcards
What to do if pt has BP >180/110
hypertensive crisis
can be split into hypertensive emergency (life threatening, IV antihyypertensives) or hypertensive urgency (oral meds)
Labetolol - important info
Severe hepatocellular damage reported after both short-term and long-term treatment. Appropriate laboratory testing needed at first symptom of liver dysfunction and if laboratory evidence of damage (or if jaundice) labetalol should be stopped and not restarted.
Beta blockers can affect response to this important drug
Furthermore beta-adrenoceptor blockers may reduce response to adrenaline (epinephrine).
Interaction CCB - food and drink
grapefrruit juice increases levels
All ACE need to be taken OD except for this one
captopril - BD
when does heparin induced thrombocytopenia occur and what are the signs
5-10d after treatment
signs: 30% reduciton in platelets, thrombosis
need to monitor platelets before treatment and regularly if using for >4d
what does ischaemic mean
blood clot obstructs blood supply
what does haemorrhagic mean
blood vessel rupture
how to take dipyridamole
30-60 mins before food
how long are dipyridamole caps stable for
Modified-release capsules should be dispensed in original container (pack contains a desiccant) and any capsules remaining should be discarded 6 weeks after opening.
examples of vasoconstrictor sympathomimetics (used in shock/hypotension)
noradreanline
phenylephrine - longer duration of action so risk of porlonged increase in BP
examples of drugs that can cause hyperlipidaemia
thiazides
antipsychotics
immunosuppressants
CCs
antiretrovirals
this abx not typically seen in primary care interacts with statins
all statins interact with fusidate (ORAL) - increased risk rhabdomyolosis. avoid and for 7 days after last dose of abx
max dose rosuvastatin with clopidogrel
20mg
how long are GTN SL tabs stable for
8 weeks
