Quiz 8 Flashcards
atenolol
Tenormin
B blocker, cardioselective
pregnancy category D
Many DI
Contraindications: HSR, severe sinus bradycardia, 2/3 degree heart block, heart failure, cardiogenic shock
ADR: bradyarrhythmias, cold extremities, dizziness, fatigue, hypotension
Take on empty stomach
avoid abrupt D/C
report s/s of hypotension, heart failure, or angina
may cause dizziness
can mask symptoms of hypoglycemia
carvedilol
Coreg
Beta blocker/Alpha blocker pregnancy category C Contraindications: HSR, severe bradycardia, 2/3 degree heart block, heart failure, cardiogenic shock, sick sinus syndrome, severe hepatic impairment, bronchial asthma Take with food or milk Avoid alcohol report s/s of hypotension, heart failure, or bronchospasm, hepatotoxicity, syncope, angina may cause dizziness can mask symptoms of hypoglycemia Avoid sudden D/C
enalapril
Vasotec
ACE inhibitor Pregnancy Category C (1st), D (2/3rd) Contraindications: HSR, angioedema, pregnancy use K+ supplements may cause drowsiness
furosemide
Lasix
Loop diuretic
Pregnancy category C
ADR: Hyperuricemia
Avoid Alcohol and NSAIDs
Increase risk of sun sensitivity, use sun block
Avoid activities requiring coordination until effect of medication are known
report s/s of hypotension, decreased urine output, ototoxicity, severe skin reactions
may cause dizziness
eat high K+ foods
irbesartan
Avapro
ARB Pregnancy category C Contraindications: HSR, pregnancy ADR: HA Seek medical attention if angioedema, excessive fluid loss, hyperkalemia (confusion, weakness, uneven heart beat, numbness), reduction in urination, jaundice, or skin rash Avoid pregnancy avoid abrupt D/C Use K+ supplements under Dr. Supervision May cause dizziness
losartan
Cozaar
ARB Pregnancy category C (1st), D (2/3rd) Contraindications: HSR, pregnancy Many DI ADR: HA Seek medical attention if angioedema, excessive fluid loss, hyperkalemia (confusion, weakness, uneven heart beat, numbness), reduction in urination, or jaundice Avoid pregnancy avoid abrupt D/C Use K+ supplements under Dr. Supervision May cause dizziness
lisinopril
Prinivil
ACE inhibitor Pregnancy Category C Contraindications: HSR, angioedema Avoid pregnancy use K+ supplements may cause dizziness
metoprolol
Toprol XL
B blocker, cardioselective pregnancy category C Contraindications: HSR, severe bradycardia, 2/3 degree heart block, heart failure, cardiogenic shock, sick sinus syndrome ADR: dizziness, fatigue, hypotension Take on empty stomach avoid abrupt D/C report s/s of hypotension, heart failure, or angina may cause dizziness can mask symptoms of hypoglycemia
nebivolol
Bystolic
B blocker, cardioselective B1 pregnancy category C Contraindications: HSR, severe bradycardia, 2/3 degree heart block, heart failure, cardiogenic shock, sick sinus syndrome, severe hepatic impairment Avoid alcohol report s/s of hypotension, heart failure, or bronchospastic disease may cause dizziness can mask symptoms of hypoglycemia Avoid sudden D/C
ramipril
Altace
ACE inhibitor Pregnancy Category C (1st), D (2/3rd) Contraindications: HSR, angioedema DI: K+ supplements, NSAIDs, Azathioprine, Diuretics Avoid Pregnancy May cause dizziness use K+ supplements under Dr supervision
spironolactone
Aldactone
Potassium sparing diuretic Pregnancy category C May cause dizziness report s/s of hyperkalemia (muscle weakness, fatigue, bradycardia), hyponatremia (confusion, dry mouth, thirst, weakness, hypotension, decreased urination) Avoid K+ supplements/ food with high K+ Avoid Alcohol and NSAIDs
Coreg
carvedilol
Beta blocker/Alpha blocker pregnancy category C Contraindications: HSR, severe bradycardia, 2/3 degree heart block, heart failure, cardiogenic shock, sick sinus syndrome, severe hepatic impairment, bronchial asthma Take with food or milk Avoid alcohol report s/s of hypotension, heart failure, or bronchospasm, hepatotoxicity, syncope, angina may cause dizziness can mask symptoms of hypoglycemia Avoid sudden D/C
Tenormin
atenolol
B blocker, cardioselective
pregnancy category D
Many DI
Contraindications: HSR, severe sinus bradycardia, 2/3 degree heart block, heart failure, cardiogenic shock
ADR: bradyarrhythmias, cold extremities, dizziness, fatigue, hypotension
Take on empty stomach
avoid abrupt D/C
report s/s of hypotension, heart failure, or angina
may cause dizziness
can mask symptoms of hypoglycemia
Lasix
furosemide
Loop diuretic
Pregnancy category C
ADR: Hyperuricemia
Avoid Alcohol and NSAIDs
Increase risk of sun sensitivity, use sun block
Avoid activities requiring coordination until effect of medication are known
report s/s of hypotension, decreased urine output, ototoxicity, severe skin reactions
may cause dizziness
eat high K+ foods
Vasotec
Enalapril
ACE inhibitor Pregnancy Category C (1st), D (2/3rd) Contraindications: HSR, angioedema, pregnancy use K+ supplements may cause drowsiness