Pharm 33 Flashcards
Lipoprotein profile
SATA 4
Total cholesterol
LDL (harmful)
HDL ( protective)
Triglycerides
Cholesterol range & triglycerides range are knows as hyperlipidema & associated with atherosclerosis
Above 240
Above 150
Desirable total cholesterol level
Less than 200
Optimal LDL cholesterol level
Less than 100
High HDL cholesterol
60 and above
Normal triglycerides level
Less than 150
___ is Considered to the a major contributor in the development of heart disease particularly __ & ___
Atherosclerosis
Heart attacks & strokes
Two lipids in our blood
Cholesterol
Triglycerides
Saturated fat and cholesterol in foods ___ &__\ levels
Raise total & LDL
Increased weight can make __ levels go ___ & ___ level go ___
LDL - up
HDL - down
Increased physical activity helps to ___ & ___
Lower LDL
Raise HDL
Two activities of statins
Inhibit manufacturing of cholesterol
Promoting breakdown of cholesterol
2 uses for statin drugs
Treatment of hyperlipidemia
Primary prevention of coronary events (including strokes)
Adverse reactions of statins (4)
Headache
Insomnia
Constipation
Nausea
Drugs that cause increased risk of myopathy
SATA (4)
Clarithromycin
Amiodarone
Niacin
Verapamil
Interaction with statins & warfarin
Increased anticoagulant effect
Bile acid resins are used to treat
Hyperlipidemia in clients who do not have an adequate response to diet and exercise
Adverse reaction to bile acid resins
Increased bleeding tendencies related to vitamin K malabsorption
Vitamin A & D deficiency
Bile acid resins are used cautiously in
Diabetes
Liver/peptic ulcer
Kidney disease
Pregnancy/lactation
Statins are contraindicated in
SATA (3)
Hypersensitivity to drugs
Serious liver disorders
Pregnancy/lactation
When administration with bile acid resins, a decreased serum level or decrease GI absorption of the following drugs may occur
NSAIDs
Glipizide
Propranolol
Forbid acid derivatives are contraindicated in
Hypersensitivity to drug
Significant hepatic or renal dysfunction
Primary biliary cirrhosis
(May increase the already elevated cholesterol)
Increases the excretion of cholesterol in the feces and reduces the production of triglycerides by the liver, thus lowering serum lipid levels
Gemfibrozil
Used as adjunctive therapy for lowering very high serum triglyceride levels in clients who are at risk for pancreatitis
Niacin