Medications Flashcards
What antihypertensive medications should not be use for CHF patients
Nondihydropyridine calcium channel blocker - negative ionotropic effects
Doxazosin
What diuretic use for renal impaired patients
Furosemide
Butenamide
Ethacrynic acid
Methalazone
What are the primary intervention that can lower blood pressure
Weight reduction
Sodium reduction
Adequate potassium and calcium
Limit Etoh
Not limiting caffein or yoga or relaxation technique.
What is the diagnostic criteria for Metabolic syndrome
3 or more of the following Obesity- men waist >40 in women > 35 in Blood pressure > 130/85 FBS > 110 TG> 150 HDL < 40 in men , 50 in women's
How do you treat HTN emergency. What is the goal
Reduce the blood pressure by 25% , mins to 1 hour if stable bp of 160/100-110 in the next 2-6 hours.
What kind of mess for HTN emergency is used. How about for ischemic stroke
Rapid onset short duration mess but not foe ischemic stroke
What mess are good to use for HTN emergency associated with an MI ,which to avoid
Esmolol,
Labetalol
Clevidipine
Nicardipine
Avoid iv enalapril and short acting nifedipine
After an MI what antihypertensive improved cardiovascular outcome
Beta blocker ,ace inhibitors , aldosterone receptor agonist,
What meds are used for chronic HTN in pregnancy
Methydopa
Labetalol’ nifedipine and Procardia
What meds should not be used in pregnant women
ACE inhibitor- cause intrauterine growth restriction and renal failure
Tenormin/atenolol- IUGR
Thiazides - especially with eclampsia
What meds are used with uncontrolled HTN during active delivery
IV labetalol and hydra lazing
What antibiotics treat MRSA cellulitis
, Doxycycline, Bactrim, linezolid, vancomycin , oritavancin and dalbavancin. others like daptomycin, ceftaroline if needed.
Clindamycin too much resistance
Green medication does not cause rebound headaches
Try cyclic medications, hydroxyzine, prochlorperazine
What medication helps with prevention of migraine headache
Try cyclic, propranolol, Topiramate,divalproex sodium
List the most rapid effect of pain meds to least
Fentanyl- 3-5 min
Meperidine- 5-7 min( least preferred due to interactions w/.meds
( MAO inhibitors, SSRI, Toxic metabolites that can cause agitation and seizures
Morphine-20 min
Hydromorphone- dilaudid15-30 min