Monday_1 Flashcards
What drug interaction should you watch out for with dulaglutide?
Watch out for patients who already have gastroparesis, because dulaglutide can slow things down further; if patient is already taking metoclopramide or erythromycin watch out. Also meds that affect gastromotility TCAs,bendryl, anticholinergics, opioids
Name 3 counseling pearls for calcitonin
Nasal spray - one spray into one nostril once daily. Expires out of the fridge after 35 days; store upright so it stays primed
Can you use paroxetine in pregnancy?
No, risk to fetus
Why is it important to diagnose and treat albuminuria?
“For albuminuria, we have tools to delay or avoid ESRD
And to improve cardiovascular outcomes (particularly heart failure)”
What are the GFR stages for CKD?
G1 (above 90) and G2 (60 to 89) GFR 3a (45-60) and GFR 3b (30 -44) GFR4 (15 to 29) GFR5 (less than 15)
What is the danger of hyperkalemia?
Worried about arrhythmias. Cardiac anomalies, EKG changes
What is the mechanism of action for HCTZ?
“Blocks sodium reabsorption in distal tubule of kidney
Send out water, potassium, and hydrogen ions as well”
Aciphex
Rabeprazole
What is the MOA of Tirzepatide
Dual GLP-1 and GIP agonist
Imuran
Azathioprine
Define Dynamic Lead Time
DLT = (# of things in process) x (average time it takes to complete); eg. DTL = 600 blood samples x 5m/10 samples = 5h
Carvedilol Brand
Coreg
What is the onset of action of salmeterol
Onset is 30m to 2 hours. Not a quick reliever
Lurasidone (brand)
Latuda
What are the uses of chlorthalidone
HTN, Edema (but usually use loops), prevention of ca renal stones
