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Top 200 I (2020) > Final Exam Week 4 > Flashcards

Final Exam Week 4 Flashcards

1
Q

Dihydropyridine (DHP) Calcium Channel Blockers (CCBs)

A

Amlodipine (Norvasc)

Amlodipine/Benazepril (Lotrel)

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2
Q

Amlodipine

A

Norvasc

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3
Q

Amlodipine/Benazapril

A

Lotrel

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4
Q

Dihydropyridine (DHP) Calcium Channel Blockers (CCBs) Indications

A
  • chest pain (angina)

- high blood pressure

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5
Q

Dihydropyridine (DHP) Calcium Channel Blockers (CCBs) Adverse Effects

A
  • peripheral edema (2-3 weeks it starts)
  • flushing
  • dizziness/lightheadedness (serious: orthostasis)
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6
Q

Dihydropyridine (DHP) Calcium Channel Blockers (CCBs) Drug Interactions

A
  • simvastatin (increase statin levels)

- diuretics (additive risk for low BP; req close monitoring)

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7
Q

Dihydropyridine (DHP) Calcium Channel Blockers (CCBs) Patient Counseling Points

A
  • do not stop abruptly
  • counsel on signs and symptoms of swelling
  • counsel on signs of low blood pressure (focus on orthostatic hypotension)
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8
Q

Diuretics

A
  • furosemide (lasix)
  • hydrochlorothiazide (microzide)
  • spironolactone (aldactone)
  • triamterene/hydrochlorothiazide (dyazide, maxzide)
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9
Q

furosemide

A

lasix

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10
Q

hydrochlorothiazide

A

microzide

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11
Q

spironolactone

A

aldactone

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12
Q

triamterene/hydrochlorothiazide

A

dyazide, maxzide

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13
Q

furosemide (lasix) indications

A
  • edema

- high blood pressure

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14
Q

furosemide (lasix) adverse effects

A
  • skin rash from sunlight
  • dizziness
  • dehydration
  • hypokalemia
  • elevated uric acid
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15
Q

furosemide (lasix) interactions

A
  • NSAIDS; decrease effects
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16
Q

furosemide (lasix) patient counseling

A
  • cause patients to pee
  • watch for dehydration
  • caution when moving from sitting to standing
17
Q

hydrocholorthiazide (microzide) indications

A
  • edema

- high blood pressure

18
Q

hydrocholorthiazide (microzide) adverse effects

A
  • skin rash from sunlight
  • dizziness
  • hypokalemia
  • elevated uric acid
  • elevated blood glucose
19
Q

hydrocholorthiazide (microzide) interactions

A
  • NSAIDS; decrease effects
20
Q

hydrocholorthiazide (microzide) patient counseling

A
  • diuretic effect wears off at 30 days of sue
  • take first thing in the morining
  • caution in spending time outdoors
21
Q

spironolactone (aldactone) indications

A
  • edema
  • high blood pressure
  • heart failure
  • low potassium
22
Q

spironolactone (aldactone) adverse effects

A
  • hyperkalemia
  • breast development (gynecomastia)
  • impotence
23
Q

spironolactone (aldactone) drug interactions

A
  • potassium supplements
  • ace-i
  • arb
24
Q

spironolactone (aldactone) patient conseling

A
  • signs and symptoms of dehydration
  • signs and symptoms of low blood pressure
  • minimize potassium intake (supplements and dietary products)
25
Q

general diuretic counseling points

A
  • signs of dehydration and low blood pressure with patients (adequate fluid intake is critical)
  • should take in morning
26
Q

potassium chloride supplementation

A
  • klor-con sprinkle, micro-k = extended release capsule
  • k-vescent, klor-con = packet
  • k-sol = solution
  • k-tab, klor-con = extended release tablet
27
Q

potassium chloride supplementation indications

A

prevent and treat hypokalemia

28
Q

potassium chloride supplementation adverse effects

A
  • GI = nausea, vomitting, diarrhea
  • hyperkalemia
  • cardia conduction issues
29
Q

potassium chloride supplementation drug interactions

A
  • ace-1
  • arb
  • potassium sparing diuretics
  • potassium containing foods
30
Q

potassium chloride supplementation patient counseling

A
  • take each dose with a meal and full glass of water to decrease GI irriation
  • SR dosage forms should not be crushed
  • many dosage forms contain was matrix that can be seen in stool
  • capsules can be opened and sprinkled on applesauce/pudding

Top 200 I (2020) (5 decks)

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