Pharmacology - Broadhead

Question 1

Should you ever abruptly stop an anti-hypertensive med?

Answer 1

No

Question 2

What do you need to watch for if on antihypertensive medication?

Answer 2

Orthostatic changes
BP (if lower than 90 then call physician)
Elderly patients

Question 3

Sodium nitropresside

Answer 3

IV only drug

Person would be in ICU with constant monitoring

Question 4

What are the two types of hypertension?

Answer 4

Idiopathic (90%)

Secondary (10%)

Question 5

Hydrocholothiazide

Answer 5

First choice - mild diuretic
Need to watch electrolytes and potassium
Does not decrease uric acid

Question 6

Spirolactone and Aldactone

Answer 6

Potassium sparing diuretic

Can become hyperkalemic

Question 7

What is the best time to take a diuretic?

Answer 7

morning

Question 8

Furosemide lasix

Answer 8

Most powerful diuretic

Works right away and very potent

Question 9

Digoxin

Answer 9

For heart failure and dysrythmias 
Lots of side effects 
Caridac glycosides 
Improves inotrope
Decreases chronotrope and dronotrope

Question 10

Lidocaine

Answer 10

Treats ventricular dysrhythmis

Question 11

What are the causes of arrhythmias?

Answer 11

ischemia
cardiac defect
electrolyte imbalance

Question 12

Nifedipinie

Answer 12

Calcium Channel Blockers
Most potent
Used for angina, hypertension, HF, and MI
Watch renal function with Blood urea nitrogen and creatinine

Question 13

Calcium channel blockers or beta blockers

Answer 13

Used for long term management of angina

NOT for acute chest pain

Question 14

Nitroglycerine

Answer 14

Vasodialator
Hypertension and angina
Sublingual 3 times/5 mins

Question 15

Coumadin

Answer 15

Anticoagulant
Stroke, embolsim, hypertension, prevention of another heart attack
Prevents further clot formation; DOES NOT DISSOLVE CLOTS
Antidote for toxicity: vitamin K

Question 16

Heparin

Answer 16

Anticoagulant
Stroke, embolsim, hypertension, prevention of another heart attack
Prevents further clot formation; DOES NOT DISSOLVE CLOTS
Lab tests: aPTT
Antidote for toxicity: protamine

Question 17

Aspirin

Answer 17

Antiplatelet 
1st drug of choice
Least powerful 
Lab test: PT / INR
Cheap

Question 18

Clopidogrel (Plavix)

Answer 18

Antiplatelet
Most powerful
Do not have to use an anticoagulant with it

Question 19

Antiplatelets should be what number in an INR/PT

Answer 19

Less than 3

If more, then hurry and call a doctor