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Top 200 I (2020) > Final Exam Week 6 > Flashcards

Final Exam Week 6 Flashcards

1
Q

Anti-Arrhythmics

A

Digoxin = Lanoxin

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2
Q

Digoxin

A

Lanoxin

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3
Q

Anti-Arrhythmics Indications

A
  • Arrhythmia
  • Supraventricular Tachyarrhythmia
  • Heart Failure
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4
Q

Anti-Arrhythmics Adverse Effects

A
  • Anorexia
  • Diarrhea
  • Nausea
  • Vomitting
  • Headache
  • Rash
  • Toxicity: Visual disturbances, reduced color discrimination
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5
Q

Anti-Arrhythmics Drug Interaction

A
  • Beta blocker -decreased heart rate
  • Diuretics - risk of toxicity
  • Antacids, bile acid sequestrants, sucralfate - decreased absorption of drug
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6
Q

Anti-Arrhythmics Patient Counseling

A
  • take at same time everyday (after morning meals)

- do not stop abruptly

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7
Q

Anticoagulants - Factor Xa Inhibitors

A

Rivaroxaban - Zarelto

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8
Q

Rivaroxaban

A

Xarelto

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9
Q

Anticoagulants - Factor Xa Inhibitors indications

A
  • prevention and treatment of blood clots (DVT and PE)

- nonvalvular atrial fibrillation (prevents stroke)

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10
Q

Anticoagulants - Factor Xa Inhibitors Patient Counseling

A
  • once daily dosing should be with evening meal
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11
Q

Anticoagulants - Direct Thrombin Inhibitors

A

dabigatran = pradaxa

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12
Q

dabigatran

A

pradaxa

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13
Q

Anticoagulants - Direct Thrombin Inhibitors indications

A
  • prevent and treat blood clots

- prevent stroke in nonvalvular atrial fibrillation

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14
Q

Anticoagulants - Direct Thrombin Inhibitors adverse effects

A
  • stomach irritation/heartburn
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15
Q

Anticoagulants - Direct Thrombin Inhibitors Drug Interactions

A
  • antacids can decrease absorption
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16
Q

Anticoagulants - Direct Thrombin Inhibitors patient counseling

A
  • do not open capsules
  • do not store in another container
  • take with food
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17
Q

Anticoagulants - Vitamin K Antagonists

A

Warfarin = Coumadin, Jantoven

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18
Q

Warfarin

A

Coumadin, Jantoven

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19
Q

Anticoagulants - Vitamin K Antagonists indications

A
  • prevention and treatment of clots

- atrial fibrillaltion

20
Q

Anticoagulants - Vitamin K Antagonists adverse effects

A
  • vitamin K containing foods
  • antibiotics (quinolones, bactrim, macrolides)
  • NSAIDs
21
Q

Anticoagulants - Vitamin K Antagonists Patient Counseling

A
  • Watch for signs and symptoms of bleeding
  • take at the same time every evening
  • avoid situations where bleeding is likely
  • maintain a diet in consistent in vitamin K (green leafy veggies)
22
Q

Anticoagulants - Low Molecular Weight Heparin

A

enoxaparin = lovenox

23
Q

enoxaparin

A

lovenox

24
Q

Anticoagulants - Low Molecular Weight Heparin indications

A
  • DVT
25
Q

Anticoagulants - Low Molecular Weight Heparin Adverse Effects

A
  • bruising at injection site
26
Q

Anticoagulants - Low Molecular Weight Heparin patient counseling points

A
  • do not inject into muscle (inject into fatty tissue)

- watch for signs of bleeding

27
Q

Anticoagulants Drug Interactions

A
  • Medications that increase risk of bleeding (co-administration of anticoagulants, NSAIDs, Antiplatelet)
28
Q

Antiplatelets

A
  • aspirin = bayer, ecotrin

- clopidogrel = plavix

29
Q

Antiplatelets indications

A
  • heart attack

- clot prevention

30
Q

Antiplatelets adverse effects

A
  • bleeding

- aspirin only: do not give to a child less than 16

31
Q

Antiplatelets interactions

A
  • anticoagulants
  • NSAIDs
  • Aspirin: ginkgo biloba
  • Clopidogrel: omeprazole, esomeprazole
32
Q

Antiplatelets Patient Counseling

A
  • discuss signs and symptoms of bleeding
  • children less that 16 should avoid all salicylate-containing products
  • Enteric coated baby aspirin should be used for heart health
  • DO NOT USE EC IN AN EMERGENCY
33
Q

Nitrates

A
  • isosorbide mononitrate = imdur
  • nitroglycerin ointment = nitro-bid
  • nitroglycerin tablets = nitrostat
  • nitroglycerin patch = nitro-dur
34
Q

isosorbide mononitrate

A

imdur

35
Q

nitroglycerin ointment

A

nitro-bid

36
Q

nitroglycerin tablets

A

nitrostat

37
Q

nitroglycerin patch

A

nitro-dur

38
Q

Nitrates (Isosorbide Mononitrate) Indication

A
  • prophylaxis of angina
39
Q

Nitrates (Isosorbide Mononitrate) adverse effects

A
  • headache

- dizziness and hypotension

40
Q

Nitrates (Isosorbide Mononitrate) drug interactions

A
  • phosphodiesterase inhibitor
41
Q

Nitrates (Isosorbide Mononitrate) patient counseling

A
  • take on an empty stomach with atleast 4 oz of water
  • do not break, crush, or chew
  • can use APAP to treat headache
42
Q

Nitrates (Nitroglycerin Tablets) Indication

A
  • acute angina

- prophylaxis for angina

43
Q

Nitrates (Nitroglycerin Tablets) adverse effects

A
  • headache
  • flushing/lightheadedness
  • drug tolerance
44
Q

Nitrates (Nitroglycerin Tablets) interactions

A
  • phosphodiesterase inhibitors

- sildenafil (viagra)

45
Q

Nitrates (Nitroglycerin Tablets) patient counseling

A
  • Patch: Contains metal, must be removed before MRI
  • Ointment: Use applicator to apply to chest
  • Tablets:
     Dissolve under tongue
     Take at first sign of chest pain
     Dissolve one tablet under tongue every 5 minutes until chest pain resolves
     May give up to 3 doses. Call 911 if 3 doses does not resolve chest pain

Top 200 I (2020) (5 decks)

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