Pharm Flashcards
Do or do not chew nitro tabs?
Do not
Take Nitro on empty or full stomach?
Empty
Protect nitro from (3)
Light, moisture, heat
Sublingual nitro: burning, tingling sedation normal?
Yes
1st sign of toxicity with lidocain?
Drowsiness
Sign of severe toxicity with Lidocain?
Seizures
Therapeutic range of lidocain?
1.5mcg/mL
Therapeutic range of digitalis?
0.5-2ng/Ml
Indications for lidocain? (3)
PVC’s
V tach
V fib
What 2 main drugs need to be decreased while pt is taking amiordorone?
Digitalis, Coumadin
3 unusual side effects of amiodarone?
ARDS/ respiratory effects; GI/ liver effects; photosensitivity
CNS side effects of amiodarone?
Ataxia, dizziness, p neuropathy
Drugs to avoid while taking ACE inhibitors?
K+ sparing
Monitor for what with ACE inhibitor first dose?
First dose syncope
Common side effects with ACE’s (5)
Cough, angioedema, HA, dizziness, GI irritation
ARBS: Administer with or without regard to meals?
Without
Do not take (2) with ARBS..
K+Sparing
Cold preparations/nasal decongestants
ARBS all end in “_______”
Sartan
Review what while pt is taking ARBS?
Renal fx tests
If pulse is < ____ or SBP is < ____, hold beta blockers and call doc
60; 90
Do not give beta blockers to pts with… (Conditions-6)
COPD asthma CHF..? Sinus Brady Heart block greater than 1st Diabetes
Calcium channel blockers end in “-___” (3)
-dil, -pine, -mil
Ca channel blockers should be taken with _____ or ____.
Milk or meals
Most common SE of Ca channel blockers
HA
Other common SE of CC blockers: (5)
Hypotension Syncope Peripheral edema Bradycardia Constipation
Avoid giving CC blockers when what are present?
Heart blocks
If patient experiences _______ or _____ while on vasodilators, it should be reported.
Muscle/joint aches, fever
Lupus-like reaction
Vasodilators should or shouldn’t be taken with meals?
Should
2 big warnings (diseases) with vasodilators
CAD
Rheumatic heart disease
Report _____ ______ with vasodilators
Peripheral edema
Only 2 vasodilators:
Apresoline
Loniten
Vasodilators increase _____ and ____ blood flow
Renal, cerebral
When should diuretics be taken?
With or after meals in AM
Dig tox can be induced by hypo/hyperkalemiA?
Hypo (monitor while taking diuretics and dig together)
C/I with diuretics? (Due to too much diuretics)
Alcohol
Loop diuretics are Sulfonamides? T/F?
True
Lasix is ____toxic
Oto
Loop diuretics may cause hypo____
Calcemia
Hospitalization is required for IV ____
Heparin
Hep is often prescribed with _____
Heart valve replacements
Pts on anticoagulants should decrease intake of vitamin K. 4 examples of Vitamin K…
Fish
Liver
Spinach
Cabbage
Therapeutic range of PT on Coumadin
1.5-2.5 x control
INR should be
2-3
T/F pts on Coumadin may use acetaminophen
True. Should not use ASA
Action of Coumadin
Clot preventer
Action of warfarin
Clot buster
PTT therapeutic range
1.5-2.5 x control
Monitor what two things with heparin
Platelets
PTT
Antidote for lovenox?
Protamine sulfate
Allergy That is C/I with lovenox
Pork
How Is lovenox given? Route and rules
SC; do not give IM, do not aspirate, do not massage
Give lovenox ____hours prior to surgery
2
