Pharm 18 Flashcards
Beta 1 agonists used in acute CHF
Dobutamine and dopamine
Diuretics work in CHF by
Reducing preload
Beta blockers work in CHF by
Reducing progression of heart failure (never use in acute heart failure)
Agent used in CHF that is a selective alpha and nonselective beta blocker
Carvedilol
Agent used in acutely decompensated CHF resembling natriuretic peptide
Nesiritide (Natrecor)
Warfarin is contraindicated in
Pregnancy
Anticoagulant of choice in pregnancy
Heparin
Route of administration of warfarin
Oral
Routes of administration of heparin
IV and subQ
SE of both warfarin and heparin
Bleeding
SE of heparin
Heparin induced thrombocytopenia (HIT)
Alternative anticoagulant used if HIT develops
Lepirudin
Antidote to reverse actions of warfarin
Vitamin K or fresh frozen plasma
MOA of aspirin
Irreversibly blocking cyclooxygenase
Agent used to treat MI and to reduce incidence of subsequent MI
Aspirin
Antiplatelet drug reserved for patients allergic to aspirin
Ticlopidine
SE for ticlopidine
Neutropenia and agranulocytosis
Effective in preventing TIA’s
Clopidogrel and ticlopidine
Prevents thrombosis in patients with artificial heart valve
Dipyridamole
Block glycoprotein IIb/IIIa involved in platelet cross-linking
Abciximab, tirofiban and eptifibatide
Thrombolytic that can cause allergic reaction
Streptokinase
Thrombolytic used for acute MI and ischemic (non hemorrhagic) CVA
Tissue plasmin activator
SE of tPA
Cerebral hemorrhage
Antidote for thrombolytics
Aminocaproic acid
Agent to treat hypochromic microcytic anemias
Ferrous sulfate
Chelating agent used in acute iron toxicity
Deferoxamine
Agent used for neurological deficits in megaloblastic anemia
Vitamin B12
Agent used neutropenia especially after chemotherapy
G-CSF (filgrastim) and GM-CSF (sargramostim)
Treatment of patients with prior episodes of thrombocytopenia after a cycle of cancer chemotherapy
Interleukin 11 (oprelvekin)
Decrease intestinal absorption of cholesterol
Bile acid-binding resins
Cholestyramine and colestipol are
Bile acid-binding resins
Major nutritional side effect of bile acid-binding resins
Impair absorption of fat soluble vitamin absorption (A,D,E,K)
MOA of lovastatin (STATIN)
inhibits HMG COA reductase