Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pharm 2 > Review Deck > Flashcards

Review Deck Flashcards

1
Q

better for pregnancy drugs?

A

Labatalol, methyldopa, nifedipine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Cause Angioedema 10 times more frequently in African American’s

A

ACE-I’s.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

which thiazides like diuretics and CCB’s for hypertension (CHLORATHIAZONE?)

A

African american’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Diabetes with PROTEINuria - than you need to be on an

A

ACE-I

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

which drugs protect the kidney via the RAAS system for AA’s w/ microalbuminuria?

A

ACEI’s and ARBs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

when Renin goes up it increases BP. In our blood pressure management we have water retention and increased salt so we try to stop this process

A

RAAS System - juxtaglomeruluar cells cause renin release, maculodensal cells monitor sodium and cause salt and water retention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Water pills (like hydrochlorthiazide) cause hyponatremia and hypokalemia and ** hypercalcemia - makes you thrombogenic and more likely to form a clot - why does this matter with thiazides?

A

if I have high cholesterol the water pill is going to INCREASE my lipids and the potential that I form a dangerous clot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Cliff Claven:

MI - subendocardial ischemia (inside of heart damaged as opposed to transmural death) Non- STEMI=subendocardial ischemia which is only part of the heart and STEMI is transural

A

Not yet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Angina - constriction of the heart or CHEST DISCOMFORT - Stable vs unstable?

PM angina?

A

unstable is either first time with chest pain, chest pain different than baseline, or past chest pain that doesn’t go away at rest… unstable we treat like STEMI…

Stable angina is no change in baseline…

Printz Metal Angina is like a spasm that happens in the PM between 0000 and 0500 ish and they have normal vessels when they go to the catch lab… associated with Reynauds and treated with a CCB.. unlike STABLE OR UNSTABLE Angina where CCB is the last resort for treatment because they effect the pump (preload and afterload also) lots of side effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Heart failure - the pump is either not contracting appropriately (preserved ejection fraction AKA diastolic)… or reduced ejection fraction (Systolic) which implies the heart doesn’t have enough pump (MI or disease). ____ (this drug) KEY IN BOTH (BUT more in preserved to keep potassium in the heart)

A

SPIRONOLACTone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are our goals in diastolic vs systolic ADHF?

A

For systolic our goal is to improve contractility, for diastolic our goal is to spare amount of blood heading to the right of the heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

45 y/o male with rapid relief of chest pain - stable angina - __ ___ ___ - provides rapid relief in recurrent angina attacks - faster than IV or nitro patch -

A

nitro SUBLINGUAL tablet

STAY AWAY FROM CLASS B AND CLASS C IN LIFE AND ON THE TEST… EXTENSIVE SIDE EFFECT PROFILES!!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

47 y/o male intentional digoxin overdose - Pulse 50 bpm - 3rd degree heart block - serum potassium is normal - SE’s: yellowish vision, causes heart blocks, etc. (on most exams if a drug in a list caused a heart block it’s usually digoxin) In addition to antiarrythic agents which is the most appropriate treatment?

A

Digoxin Immune FAB (digibind) IV (MUST BE IV)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

5 y/o history of dry cough - which drug were they treated with to cause it?

Choices:

Losartan, remopril, Digoxin (non specific), Verapamil (CCB non DHP), Bisoprolol? (Beta blocker) -

A

Obviously we would chose Remopril because it’s the only ACEI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

PT is on the following: Hydrochlorizide (water pill) terazosin (alpha blocker) aspirin, Diltiazem (CCB non DHP), losartan (ARB), also suffering from bradycardia - THE DRUG MOST LIKELY TO CAUSE BRADYCARDIA?

A

CCB most likely to cause bradycardia so Diltiazem - REMEMBER THAT CCB’s work at the AV NODE - IF IT EFFECTS AV OR SA NODE WRITE IT OUT***WHICH ONES WHERE BECAUSE THAT IS A LOT OF THE EXAM!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

THERE WILL BE TEST QUESTIONS ON WHICH ONES EFFECT SA vs AV node

A

take a look and add a CARD HERE**

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Creatine elevated and proteinuria which drug MUST you be on?

A

ace-I followed by an ARB are DOCs

Cliff craven: this means we are in kidney damage or failure - proteinuria is earliest sign of kidney failure - how do we preserve kidney function?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what ‘s the only reason a BUN is low?

BUN is elevated?

Creatinine is HIGH?

A

what ‘s the only reason a BUN is low? LIVER FAILURE**

BUN is elevated? Liver damage

Creatinine is HIGH*** Kidney failure

—-if you do a Chem 7 it shows up with CREATINE and BUN - males should have higher creatinine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

69 y/o AA in stage 3 with NYHC level 3 (issues at rest) reduced ejection fraction failure - 39%, currently taking ACE-I with BB, with daily dose of loop diuretic - ejection fraction continues to drop - which of the following would you add to decrease morbidity?

A

ANSWER = combination of two drugs to treat BIDIL = hydralizine +isosorbide dinitrate… any patient with ACE-I and BB with reduced ejection fraction need to add something else to get this goal.. if you’re adding something else it is most likely BIDIL and in this case hydralizine + isosorbide dintrate (BIDIL)
—— other options were adding stuff that he’s already on

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Lupus SE’s?

A

Procainimide (has a lupus like SE’s… so does Hydralazine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

32 y/o F with diabetes, comes in for blood pressure and pregnancy check - what do you treat her routine hypertension… which drug will you use to treat her routine HTN?

A

methyldopa for ROUTINE…. if it was URGENT what would we use? Labetolol… later flash card explains why

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

NEVER use Lisinopril, Losartan, Beta blockers (other than Labatalol) OR Hydrochlorthiazide in these patients:

A

in a pregnant patient - will kill the baby!!!

No Lisinopril, Losartan, BB’s other than Labateolol, or Hydrochlorothiazide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Don’t use BB’s in pregnancy (other than )

A

labateolol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

62 y/o patient in heart failure - Px meds with benefit for cardiac remodeling and mortality - class of drug recommended first line?

A

ACE-I is always first

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

retinopathy… patient has papilledema and blurry vision?

A

HTN EMERGENCY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Secondary HTN: one cause that you can’t use ACE-I….

A

renal artery stenosis!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Concomitant Diseases:

Each with at least one question this exam

A 
– Diabetes Mellitus with Albumineria
– Secondary Stroke Prevention
– Chronic Kidney Disease (CKD)
– Stable Ischemic Heart Disease (SIHD) 
– Heart Failure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

• In adults with Diabetes Mellitus (DM) and hypertension
– Antihypertensive drug treatment should be initiated at a BP of 130/80 mm Hg or higher with a treatment goal of ?

– All first-line classes of antihypertensive agents (i.e., diuretics, ACE inhibitors, ARBs, and CCBs) are useful and effective

– ACE inhibitors or ARBs may be considered in the presence of?

A

< 130/80 mm Hg

albuminuria
• Remember that Beta Blockers can mask DM, worsen Asthma, and disturb lipid metabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

____ is also indicated for secondary stroke prevention, alone or in combination with aspirin,

though combination therapy may not be more effective and increases the risk of bleeding. _____ is also used to prevent thrombosis in patients with intermittent claudication, chronic arterial occlusion, atrioventricular shunts or fistulas, open heart surgery, and sickle cell anemia.

A

Clopidogrel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Straining to urinate - enlarged prostate with High blood pressure - any of the zosins will work, but (____ is MOST EFFECTIVE to treat both) -

____ has othrostatic hypotension on FIRST DOSE - all people who have alpha blocker you must give the 1st dose in the clinic

A

Doxazosin most effective for both

terazosin has orthostatic hypotension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Hypertensive emergency with hx of ischemic heart disease, kidney, and liver disease - treat with what and why?

A

NITROGLYCERIN due to short half life and you can titration to effect (not metabolized in the liver)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Only time you use esmolol -

A

aortic dissection - high doses arterial dialation low dose is veinous dialation - ripping and tearing in chest think ESMOLOL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What BB’s are recommended for HF with a reduced ejection fraction - #1 BB’s, ACEI’s, Aldosterone antagonist (spiro), and loop diuretic for symptoms

Hint this BB has alpha and beta blocker -

A

carvedilol - #1 drug used to treat heart failure ADHF

when you’re old you don’t want alpha response, but you do when you’re young (you want metoprolol because it’s beta selective)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

what is NITROPRUSSIDE CI’d in?

A

It’s metabolized in the liver (cyanide) and if there is a liver disease you cannot take NITROPRUSSIDE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

when you’re old you don’t want ___ response, but you do when you’re young

A

you want metoprolol because it’s beta selective in olds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Patients over 60 with ischemic heart disease or heart failure should still be prescribed beta-blockers for heart failure and angina. … ____ is a good choice, as it is inexpensive and proven to reduce mortality in patients with a history of MI or heart failure.

A

Metoprolol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

61 y/o M with reduced ejection fraction - stage 3 - chronic stable angina - currently on lisinopril (ACE-I), also on BIDIL (hydralizine, nitro) and he’s also on NITRO by itself, which drug is he missing?

A

He needs to be on a BETA BLOCKER = carvedilol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

47 yo/ M with Stage I hypterenstion, which med do we start -

A

ALWAYS start with hydrochlorthiazide or chlorithalidone and build from there (HMMMM WHAT ABOUT AN ACE-I?)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Which vasodialator is a Human BNP type - caused diuresis - heart failure - better for warm and wet decompensated heart failure (reduced ejection fraction) -

A

nesiritide (only with BNP)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Increase urine output by inhibiting NA and CL in the Distal tubule -

A

metalozone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Major side effect of sprinalactone -

A

gynecomastia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

You have an 57 yo AA with a history of uncontrolled diabetes, elevated BP and tried lifestyle modification he has BP of 150/88 with ALBUMINERIA, which drugs start with?

Hydrochlorothiazide, BB, Losartan (ARB), CCB, or Vasodilator?

A
  • you can use hydrochlorothiazide but not here (not in protein in urine), but instead CHOOSE losartan (we choose ARB over ACE-I because ACE-I not offered, usually ACE first) * DON’T PICK YOUR ANSWER BEFORE READING ALL THE OPTIONS*
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

COPD requires meds for his angina attacks.. .which drug do we want? -

A

NOT beta blocker - instead we want verapimil because COPD is R side dheart problem (non DHP and someone with pulmonary condition)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Will cause Torsades De Pointes - lengthened qT over 500 we are worried- which drugs cause this?!?

A 
- look at this slide Zpack will cause lengthening - 
TDP also caused by: Sotalol, Amiodarone, Quinidine, (all class IA's), Macrolide ABX (Zpak), ONdansetron, granisetron, Antidepressents, antipsychotics, sumatriptan

metoprolol DOC for long Qt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

DOC for prolonged QT?

A

Metoprolol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

This drug causes ototoxicity?

A
  • furosemide betusomide etc the loops
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

emergency situation - everyone starts with water pill, than CCB, and ACE and ARB if they have porteinuriea especially for African Americans

A

Not exactly sure the context here…

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Glaucoma probably BB’s before…

A

Loop diuretics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

DCT and thiazides - SE’s

A

hyperglycemia, hypokalemia, hypercalcemia, and hyperlipidemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Stage 2 - need two drugs -

A

water pill (hydrochlorithiazide or chlorothalidone) and ACEI or ARB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Clonidine initially for

A

urgent HTN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

HTN Emergency classifications?

A 
Stroke
LOC
Memory loss
Crushing chest pain
Damage to eyes or kidneys
aortic dissection
Angina (unstable chest pain)
Pulmonary edema
preeclampsia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

HTN urgency classifications?

A

severe headache
SOB
Nosebleeds
severe anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

Urgent vs emergent on this exam - emergency think Blurred vision is…

A

emergency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

DOC for Eclampsia -

A

nifedipine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

Pheochromocytoma DOC -

A

BB’s phentoelamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

Nitro is always the best vasodilator…

Nitroprusside -SE =

A

cyanide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

lupus

A

Hydralizine and procainamide

59
Q

Head injury drug of choice -

A

mannitol

60
Q

MOST POTENT Loop - lasts longer and longer half life

Most used, because it’s the cheapest - mind SE’s of loops OTOTOXICITY

A

Butanimide - most potent

Furosemide - cheap so most used

61
Q

best with reduced ejection fraction

A

Spiro and Epler. -

62
Q

Ace/Arb - BB - Diuretic - for all patients in

A

ADHF

63
Q

can be used with decreased GFR

A

Metalozone

64
Q

can be used with decreased GFR

A

Metalozone

65
Q

A fib with a ventricular response like Ventricular Tachy can be treated by?

A

Digoxin -

66
Q

LIST ALL THE A-FIB TX DRUGS HERE**

A

NOT DONE YET OBVI

67
Q

Warm / dry - DOC?
Warm / wet - DOC?
Cold / wet DOC? (same as cold and dry)

A

Warm / dry - candesartan and captopril
Warm / wet - vasodilator and diuretics (nitro)
Cold / wet Milrineon - PED5 inhibitior for Cold/Wet

68
Q

Quinidine major SE?

A
  • Cinchonism
69
Q

QT lengthening - worried about greater than 500 can we give Procainamide

A

NO!!! all the class IA’s cause QT lengthening

70
Q

Decrease QT intervals

A

BB’s

71
Q

210/120 - slight headache and anxiety - HTN classification?

A

Urgent- have 24 hours to decrease BP

72
Q

25% decrease in MAP for urgent or emergent?

A

BOTH… urgent 25% MAP in 24 hrs, emergent for one that doesn’t have a BIG three issue over the first hour, then to 160 over next 2-6 hours followed by back to normal in 24-48 hrs

73
Q

Angina - rapid relief

A

sublingual nitro

74
Q

PFT Polumnary function test, Thyroid (Hypo/Hyper), bluish tilt to skin, baseline every 6 months for lung and liver, 90 days for thyroid

A

Amiodarone -

75
Q

Ramopril - 138/88 atherosclerotic 10 year is 13% w/o any other comorbidities - start him on?

A

water pill and if that’s not available go to CCB like amlyodpine and ACEI

76
Q

Why don’t we add CCB’s with BB’s?

A

DON’t ADD CCB’s with BB’s - this causes heart block and possibly failure

77
Q

Patient with bradycardia - hydrolchlorothiazide, verapmil and metoprolol… why do they have a heart block?

A

verapmil and metoprolol together cause the block (CCB with Beta Blocker)

78
Q

Ejection % less than 39 % - ACEI and BB’s, which ACEI will decrease morbidity more below: Losartan, amlodipine, nitro, intresto, carvedilol, -

A

the answer is the CARVEDILOL not INTRESTO because INTRESTO is the last ditch

79
Q

Joint pain and lupush like rash -

A

procainamide or hydralizine

80
Q

PT 20 weeks pregnant, atherosclerosis risk of 11% - treat her with

A

METHYLODOPA

81
Q

Spironolactone - remember we want K level of about 4-5.. if it’s over 5 we have a HIGH pottassium so….

A

DON’T USE IT!!!

82
Q

Pt with ejection fracture HF 30%, patient on ARB and BB and diuretic, CR is fine (58 mL) , Potassium is 4, - here can you start spironoalactone?

A

YES

83
Q

Enlarged prostate and HTN - doxazosin - main SE is

A

ORTHOSTATIC HTN on FIRST DOSE

84
Q

Drop in BP, Blurry vision, heachache and angina - first drug you give them?

A

Nitro IV (isosorbide dinitrate, but not given by itself) (preload and afterload reductions) Listen to what he said about not taking HERE… DOUBLE CHECK NITRO VS ISOSORBITE DINITIRATE

85
Q

Clonidine is for

A

HTN URGENCY - take a look at board photo

86
Q

Never use NITRO like isosorbide dinitrate with

A

Cialis and Viagra

87
Q

Amlodipine is fine with viagra, atenolol with viagra, Lasix with viagra, ACEI with viagra… just not things that effect preload like

A

NITRATES

88
Q

AA’s for HTN management -

A

CCBs and Thiazides

89
Q

AA’s with HF who are already on ACEI, BIDIL and hydralizine and spironalactone… what are they missing? w

A

ill put them on a BB - carvedilol is the alpha and beta blocker - always the answer

90
Q

AA’s with HF you treat just like everyone else - on stage A you would stay with

A

CCB and thiazide, after structural deficiency then we switch to ACEI or ARB etc

91
Q

Ethanacrinic acid (edericin) - best for

A

non sulfa

LONGEST ANSWER - if you don’t know on a test go with the longest answer

92
Q

QT lengthening - dronedarone (Maltagg) if the pt has a QT interval greater than 500 we don’t want to use it, BECAUSE…..

A

the QT interval or going from Q to the T will lengthen further

93
Q

PT with ramopril - check their potassium and about 2 -4 weeks post (serum creatinine and potassium so you can check GFR) ** any time starting patient on ACEI or ARB and CrCl is low ***

A

cool

94
Q

write out Cockcroft Gault and male vs female

A

Female: 0.85 (140 - age) * body weight / ( serum creatinine x 72) - if a male DO NOT multiple by 0.85

95
Q

30 y/o with significant injury and ICP (no SAH) -

A

mannitol

96
Q

Patient with Ejection fraction under 40%, breast tenderness caused by?

A

spirolacterone would give epleronone

97
Q

Patient that has atherosclerotic vascular disease of 16% with significant Albumineria, HTN 150/88, and patient has uncontrolled DM - must put on?

A

ACEI first if not effective then an ARB

98
Q

Patient with Angina - pt has headaches - what is most likely causing it?

A

Nitro causes the headaches

99
Q

Pt with heart failure - checkup treated with captopril, spiro, and digoxin, pottassium is 5.2 - caused by which medication ?

A

Spironolactone and the ACE-I both cause HYPERKALEMIA

BB’s cause hypokalemia

100
Q

Pt with angina, stable, COPD - can use

A

CCB for stable angina

101
Q

Pt with angina, stable, COPD - can use

A

CCB for stable angina

102
Q

HTN Emergency - getting nitroglycerin** - how do we lower?

A

MAP 25% if no main 3 issues - if the do have aortic dissection lower to 120 systolic in 1st hour, but if preeclampsia or phechromocytoma down to 140 systolic int eh 1st hour - go for the one that’s in the middle of the range - rarely extreme high or low

103
Q

Pt is taking macrolide and you add another med for heart failure - what are you concerned about for causing Torsades?

A

Prolonged QT - decrease pottassium, decrease calcium, and decrease magnesium which together prolong QT - causes of prolonged QT = PMC, Potassium Magnesium Calcium

104
Q

ADHF - warm to touch - already on carvidol, enalopril - could add

A

NITRO and Torsemide together

105
Q

EVery heart failure in ADHF patient needs what?

A

BB’s and ACEI (ARBs), water pill, and could ADD? Nitro for acute decompensated

106
Q

What works in the collecting duct?

A

Spironolactone

107
Q

Patient needs to be anticoagulated - how long before Synchronized cardio version?

A

3 weeks before and 4 weeks after monitoring

108
Q

Falsinopril - what do they block? -

A

ACE blocked, so block angiotensin I to Angiotensin II in the lungs Ototoxicity, hypokalemia, hypomagnesemia - loop diuretic

109
Q

Torsemide works where?

A

It is a loop that works in the LOH

110
Q

Always tell pt’s when you take NITRO do what for it to work?

A

take time off 12 hrs

111
Q

This pt comes in and are having blurry vision nausea numbness and tinnitus - what are they being prescribed for their back pain and they are wearing a patch?

A

(lidocaine patch) - which cause prolonged QT intervals

112
Q

Cinchonism - - equilibrium issues is Cinchonism (not synced up equilibrium)

A

Quinidine

113
Q

pulseless vtac - tx? -

A

shock them and epi - then give them amiodarone at 300 mg - epi first then amiodarone

114
Q

HF drugs never get this class of drug -

A

NSAIDs (motrin etc) - affects bradykinin and ACEI’s with NSAIDs no bueno

115
Q

Which drug stimulates the vagus nerve?

A

Digoxin

116
Q

Only one time you will use this drug (to prevent remodeling) to block the angiotensin receptors to decrease the RAAS system -

A

intresto (saccubitral and Valsartan)

117
Q

You have a patient that you think was in Torsades - treat with?

A

2g of Magnesium

118
Q

You decide to use drug that blocks alpha and beta and is nonspecific?

A

carvedilol

119
Q

Pt that has bluish skin, blurry vision, hypotension, etc what caused it?

A

amiodarone caused

120
Q

Class 3 - K channel blockers - remember that SOTALOL has class II and Class 3 - Contraindicated in a patient with

A

asthma due to beta blocking properties like B2

121
Q

STEMI - start them on MONA… Aspirin - oxygen, nitro, morphine - if you can’t get to the Cath lab within 90 minutes?

A

Use fibrionolytic therapy within 30 minutes

122
Q

If a patient is a diabetic, atherosclerotic disease is 16% they must be on 2 drugs?

A

ACEI and water pill

123
Q

If you are having a DIGOXIN toxicity (affects vagus nerve) what will you see on an EKG?

A

Vagus nerve effects you will see bradycardia and heart blocks

124
Q

PSVT DOC?

A

Adenosine -

125
Q

Verapamil main SE?

A

constipation

126
Q

Peripheral edema is ___ main side effect

A

CCB’s

127
Q

K sparing blockers - amiodarone - SE’s

A

Pulmonary fibrosis, thyroid issues, blue skin, etc

128
Q

Dronedarone our major SE?

A

GI issues as SE for DRONES - droning over toilet vomiting and diarrhea

129
Q

Sotalol major Side effect?

A

signficant bradycardia

130
Q

BB’s - esmolol only one given?

A

IV ONLY DRUG Propanol for migraines

131
Q

is DOC for migraines

A

Candesartan

132
Q

IB - lidocaine and mexisartan - decrease the

A

QT interval**

133
Q

1A drugs all cause?

A

QT lengthening so we don’t use in HF - procainamide, Quinadine, Disopyramide

134
Q

Warm and dry ADHF DOC?
Warm and wet ADHF DOC? V
Cold and dry ADHF (also COld and wet)?
Cold and wet ADHF DOC (same as Cold and dry)?

A

Warm and dry ADHF DOC? captopril and candesartan
Warm and wet ADHF DOC? Vasodilator nitroglycerin
Cold and dry ADHF (also COld and wet)? Milrinone
Cold and wet ADHF DOC (same as Cold and dry)? Milrinone

135
Q

Lasix is usually DOC for

A

ADHF patients, Torsemide can be combined in nitro with patients in heart failure (you can use any but this one is helpful)

136
Q

Where do potassium sparing drugs what are they?

A

Potassium SEAT works at the collecting ducts

137
Q

Chlorathalidone and Thiazides work where and which has highest half life?

A

DCT and Chlorathalidone has longest half life

138
Q

Pregnant with HTN URGENCY drug in house treatment we use? outpatient? -

A

LABEOLOL because it’s IV for in house to, But if outpatient we do methylodopa

139
Q

45 yo Caucasian male which drug do we start them on?

A

Clonidine because it’s PO

140
Q

ACIE we should always know?

A

Lisinopril is your most likely used ACEI

141
Q

Do CCB’s prevent strokes?

A

NO

142
Q

Nifedipine used for?

A

HTN preeclampsia

143
Q

DOES your answer provide the entire STEM? READ EVERYTHING BEFORE YOU ANSWER especially answer choices, but at least ENTIRE STEM

A

We know dad.

Pharm 2 (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions