prescription 1/25

Question 1

-pril
indication: Hypertension, CHF
MOA: decrease afterload by inhibit ACE
side effect: Dry cough, swelling, confusion, tachycardia
PT: avoid sudden change position, avoid rapid increase physical activity

Answer 1

ace inhibitor
Enalapril
Vasotec

Question 2

• pine
  antiarrhythmic drug
  indication: Hypertension, chest pain, arrhythmia
  side effect: Dizziness, drowsiness, mood changes, SOB, swelling

Answer 2

calcium channel blocker
Diltiazem
Cardizem

Question 3

-olol
indication: Chest pain, Hypertension, CHF, Arrhythmia
MOA: block beta adrenergic receptors, sympathetic response
- PT: use RPE
side effects: Dizziness, depression, dry mouth

Answer 3

beta blocker
Metoprolol
Lopressor

Question 4

MOA: prolong repolarization by blocking sodium and potassium channels
- PT: follow dosing requirements, report if not following

Answer 4

potassium channel blocker

Question 5

anticoagulant

• given as prophylaxis after surgery to prevent clots
• PT: avoid cuts, bruise

Answer 5

• coumadin

- warfarin

Question 6

-statin
antihyperlipidemia
-MOA: inhibit lipids, increase HDL
- PT: exercise is good, increase HDL, maximize effect of statins

Answer 6

antihyperlipidemia

Question 7

antithrombotic, anti-platelet 
indication: MI, afib, prevention of arterial thrombosis
- preventative
MOA: prevent platelet aggregation
- PT: avoid cuts, bruise

Answer 7

aspirin, plavix clopidgrel, disantin dipyrimidole

Question 8

-ides
Diuretics
indication: Swelling (edema), CHF, liver or kidney diseas, Hypertension
- excrete salt, water follows, plasma volume decreases
- risk of dizziness and falls, hypotension
- look for electrolyte imbalance, prone to weakness/falls
side effects: Tinnitus, jaundice, severe pain in upper stomach

Answer 8

lasix

Furosemide

Question 9

nitrate agent

indication: angina
- peripheral vasodilator, decrease ischemia
- risk: orthostatic hypotension

Answer 9

nitroglycerin, amyl-nitrate

Question 10

positive inotropic agent
Cardiac Glycosides
indication: CHF
- gives strong contraction
- talk to doctor <60bpm, >100bpm
side effects: Bradycardia, bloody/tarry stools, Halos

Answer 10

digitalis, digoxin

Lanoxen/ Digox

Question 11

-ase
thrombolytic agents, anti-clot
MOA: clot busters, convert plasminogen to plasma
indication: DVT, PE, clots

Answer 11

kinlytic Urokinase

activase alteplase

Question 12

CNS Acting Muscle Relaxants

• indication: Muscle spasms
• PT side effects: Drowsiness, dizziness, weakness

Answer 12

Baclofen

Kemstro

Question 13

Opioid Analgesics
Moderate to severe pain
side effects:
Bradycardia, Respiratory depression, Low BP

Answer 13

Fentanyl

Sublimaze

Question 14

depression
- look for ideas of suicide, self harm
side effects: sedation, fatigue, orthostatic hypotension

Answer 14

depressive drug

Question 15

parkinsons disease

- side effects: dystonia, orthostatic hypotension closely monitor BP increase risk of fall

Answer 15

levopoda

Question 16

NSAIDS
indication: Pain, Fever, Headache, inflammation
side effects: Bloody/Tarry stools, nausea/ vomiting, peptic ulcers

Answer 16

Aspirin

Ecotrin, Fasprin

Question 17

Corticosteroids
indication: inflammation, severe allergies, flare ups of chronic illnesses
side effects: Mood changes, Visual changes, rapid weight gain

Answer 17

Methyl- prednisolone

Medrol

Question 18

DMARDS
indication: Cancer, auto- immune conditions
side effects: Mouth sores, anemia, Bloody or tarry stools

Answer 18

Methotrexate

Folex, Trexall