REVIEW DRUGS 1 Flashcards
What HTN drugs can be given in pregnancy (mentioned in class)?
methyldopa
hydralazine
If a pt comes in complaining of a severe dry cough, what drug are they probably on?
an ACE inhibitor (bc of increase in bradykinin levels)
If a pt has diabetic nephropathy, which drug would be a good choice to treat their hypertension?
A Omesartan
B Bisoprolol
C Amlodipine
D Moexipril
D. Moexipril
ACE inhibitors great for diabetic nephropathy as well
Which drug does NOT have a side effect listed as hyperkalemia?
A Captopril
B Telmisartan
C Bumetanide
D Aliskiren
C Bumetanide
Loop Diuretic– side effect would be a depletion of K
ACE inhibitors, ARB’s, Renin Inhibitors all indicate hyperkalemia as a side effect
If a pt has asthma, which drug should they for sure NOT take?
A Carvedilol
B Metoprolol
C Amlodipine
D Torsemide
A Carvedilol
A & B are both Beta Blockers… but A is a NON-selective beta blocker indicating probable bronoconstriction… so not good for pt’s with asthma
If a patient has acute angle closure glaucoma, what drug would be used to treat them? What dose?
Acetazolamid (CAI)- 2x250mg tablets
If a pt has heart failure, what class of drugs should NOT be used?
Ca2+ channel blockers!!
If a pt has cirrhosis of the liver, which drug would be contraindicated?
A Eplerenone B Acetazolamid C Methazolamid D Perindopril E all the above F B and C
F- the CAI’s
Which drugs cause vasodilation due to the release of NO?
Nebivolol (Beta 1 selective inhibitor)
Hydralazine (Direct Vasodilator)
Nitroprusside (Parenteral agent)
Which drug can cause cyanide poisoning if given orally?
Nitroprusside
What two drugs can be given in a hypertensive emergency? BUT what if the pt has glaucoma?
Nitroprusside
Fenoldopam- DO NOT GIVE IF PT HAS GLAUCOMA
(parenteral agents)
Which class of drugs causes reflex tachycardia but no long term effects?
(-azosin) Alpha blocker…possibly need to gradually give drug
If a pt has tried several HTN drugs and none seem to be working, which drug should be proscribed?
A Hydralazine
B Verapamil
C Clonidine
D Terazosin
C. Clonidine
TRY Central Acting Alpha 2 Agonist
which drug can also help with a man wanting to grow some hair where he is balding…? LOL
Minoxidil
Called: Hypertrichosis
NSAIDS reduce the effectiveness of which drugs (due to P450 drug interactions):
Aliskiren (Reinin inhibitor)
Spironolactone (“K” sparring & aldosterone antag.)
Eplerenone (“K” sparring & aldosterone antag.)
If a patient has renal disease, which drug should be avoided? A Amiloride B Amlodipine C Bumetanide D Propanolol
A Amiloride (“K” sparring drugs! Think SEAT)
What class of drugs should ppl be tapered off of?
Beta Blockers
If pt is being treated for hypertension and has had a previous heart attack or has agina pectoris or cluster headaches or another concomitant disease which class of drugs should be used?
Beta Blockers (-lol)
What 5 things should be AVOIDED in HEART FAILURE?
NSAIDS ALCOHOL Ca2+ channel blockers high dose beta blockers some antiarrhythmic drugs
If a pt is experiencing unexplained transient blurred vision and halos/altered color perception- what drug toxicity could be causing this?
Digoxin!!
Which drugs should digoxin NOT be taken with?
amiodarone erythromycin quinidine tetracycline verapimil
ALSO drugs that decrease K in the blood…so think diuretics:
Loop
Thiazide
corticosteroids
Which of the following drugs can be used for HF at home?
A Digoxin
B Dobutamine
C Dopamine
D Milrinone
A- Digoxin
ALL other three are for HF with IV inpatient setting
Name two first-line, single agent drugs that can be used to treat Heart Failure?
ANY ACE inhibitor: Fosinopril, Enalapril, etc…
Which vasodilator do you NOT use with heart failure?
Ca2+ channel blocker!!!
