Pharm exam 5

Question 1

Na+ lab val

Answer 1

135-148

Question 2

K+ lab val

Answer 2

3.5-5.5

Question 3

Dyslipidemias

Answer 3

abn amount of lipids- fat/cholesterol in blood. Tx Drug classes include– Bile acid-biding resin, Niacin, HMG-CoA Reductase inhib (AKA STATINS<—remember) Fibric Acids, Misc antilipemic agents (Zetia).

Question 4

Dyslipidemias: Nursing assessmt

Answer 4

a

Question 5

Dyslipidemias: Common/serious adverse reactions

Answer 5

-NIACIN (nicotinic acid) aka vit b3:

Question 6

Dyslipidemias contraindications

Answer 6

a

Question 7

Bile acid-binding resin-nursing considerations

Answer 7

• some may see increase in triglycerides (usually not sign amt) but not used in clients with already elevated levels of triglycerides
• always obtain baseline data r/t GI before tx initiation
• may be used with statins to further lower LDL-c
• normal side effects constipation bloating fullness nausea flatulence
• Be aware may bind with many other meds digoxin thyroid hormones NSAIDS beta blocking agents
  
  • schedule above meds one hr before or 4 hrs after. NEVER give together!!!
• Bile acid usually does not cause defeciency in vitamins but may reduce absorption of fat soluble vit’s ADEK and folic acid.
• The med Amiodarone should not be given concurrently.

Question 8

Bile acid-binding resin– client teaching

Answer 8

• do not be alarmed at s/s consitipation bloating fullness nausea flatulence
• Be aware may bind with many other meds digoxin thyroid hormones NSAIDS beta blocking agents
  
  • schedule above meds one hr before or 4 hrs after. NEVER give together!!!
• Bile acid usually does not cause defeciency in vitamins but may reduce