Pharmaceutical care planning and monitoring Flashcards
1
Q
ACEi therapeutic monitoring parameters
A
- BP <140/90mmHg
- Renal function - renoprotective
2
Q
ACEi toxic monitoring parameters
A
- U&Es - can cause hyperkalaemia
- BP >90/60mmHg - hypotension
- Renal function - can cause renal impairment
- Subjective: Dry cough, Loss of taste
Ramipril, lisinopril, Enalapril
3
Q
Thiazide diuretic therapeutic monitoring parameters
A
- BP <140/90
- Control of symptoms
4
Q
Thiazide diuretic toxic monitoring parameters
A
- U&Es - hypokalaemia, hyponatraemia | hypercalcaemia
- BP >90/60 (hypotension)
- Blood glucose - can cause hyperglycaemia
5
Q
Digoxin therapeutic monitoring parameters
A
- Apex pulse - controlled rate
- Subjective: symptom control (palpitations)
6
Q
Digoxin toxic monitoring parameters
A
- Apex pulse >60bpm
- U&E - can cause hypokalaemia & hypercalcaemia
7
Q
ARB therapeutic parameters
A
- BP <140/90
8
Q
ARB toxic parameters
A
- BP - can cause hypotension (<90/60)
- U&Es - can cause hyperkalaemia
- Renal function - can cause renal impairment
9
Q
CCB therapeutic parameters
A
- BP < 140/90
- Subjective: Chest pain subsiding (for angina)
10
Q
Dihydropyridines CCB toxic parameters
A
Dihydropyridines {Nifedipine & amlodipine}
* Pulse - bradycardia
* BP - hypotension (<90/60)
* S/Es - swelling of ankles
11
Q
Non-dihydropyridine CCB toxic parameters
A
Non-dihydropyridines {Diltiazem & Verapamil}
* Pulse - for bradycardia
* BP - for hypotension
* C/Is - for heart failure
* S/Es - for constipation (Only verapamil)
12
Q
A
