MEDICATIONS Flashcards
Warfarin therapy and the intake of vitamin K:
Sudden increases or decreases in the consumption of Vitamin-K rich foods could inversely alter effectiveness of warfarin.
-Rather than avoid vitamin-K rich foods, the client needs to keep intake consistent.
ADDITIONAL TIPS:
- Take warfarin same time everyday
- Double dosing is contraindicated
- Antibiotics can affect INR level
Therapeutic INR?
2-3
What is albuterol? What is beclomethasone?
Albuterol: (Proventil) short-acting beta agonist administered as quick relief, rescue drug to relieve symptoms associated with persistent or intermittent asthma.
-SABA is a rescue drug, and taken on an as-needed basis and not always taken with the ICS.
Beclomethasone: inhaled corticosteroid; normally used a long-term, first-line drug to control chronic airway inflammation.
-Taken on a regular schedule
What two medications can cause bronchospasms in some clients with asthma?
Ibuprofen and aspirin
Client receiving ACE inhibitors should be monitored for what?
Hyperkalemia: ACE inhibitors decrease the excretion of aldosterone, which promotes sodium retention and causes potassium excretion.
Basal insulin glargine (Latus):
used for glucose control in diabetic clients; has no peak and should be administered even if the current BG level is w/in normal limits.
Serious adverse effect of statins:
Myopathy; muscle aches–> would then want to obtain a creatine kinase level.
Sildenafil =
Viagra
Normal aPTT:
25-35
Therapeutic aPTT:
typically 1.5-2 times the normal value; 46-70
Ipratropium:
anticholinergic agent used to treat acute asthma attacks
Antiplatelet therapy:
Aspirin, clopidogrel, prasugrel, ticagrelor
-Watch for bruising, tarry stools, and other signs of bruising (epistaxis, hematuria)
Serum theophylline level:
Narrow TI: >20 levels are associated with toxicity:
Look for: headaches, insomnia, seizures, N/V, arrhythmias
Alteration in color perception and visual changes:
Dig toxicity
Gum hypertrophy:
Phenytoin toxicity
Hyperthermia and tinnitus
Aspirin overdose
Clients should avoid what when on warfarin therapy?
Aspirin, NSAIDS, alcohol
-Usually administered for 3-6 months following PE
Initial management of PEs:
low-molecular weight heparin (enoxaparin, dalteparin)
-Once PE is resolved, maintenance drug therapy is Xa inhibitors (apixaban, rivaroxban)
*These are anticoags
aka no NSAIDS while on this drug therapy
Loop diuretics:
furosemide, torsemide, bumentanide
ACE inhibitors:
Ex: lisinopril, ACE inhibitor –> does NOT lower HR and can be given to patients w/ bradycardia
Diltiazem:
Lowers HR
Headache is a common SE of HTN. T/F
TRUE
Monitor for presence of what when giving propranolol:
Wheezing
Digoxin TI =
0.5-2