Rubi Time

Question 1

Clozapine (Type of med, 4 ADFX)

Answer 1

Atypical antipsychotic

Diabetes, Weight/Cholesterol gain, Fever

Question 2

Risperadone (Type of med, 4 ADFX)

Answer 2

Atypical antipsychotic

Diabetes, Weight/Cholesterol gain, Fever

Question 3

ACE Inhibitors

-pril, watch for…

Answer 3

Angioedema/Non-productive cough

HYPERkalemia

Question 4

Angiotensin Receptor Blockers

-sartans, watch for…

Answer 4

Monitor CK, r/in myopathy (muscle injury/weakness)

Question 5

Calcium Channel Blockers
-dipine, watch for…
+Verapamil and Diltiazem

Answer 5

Peripheral edema
Orthostatic Hypotension
Change positions slowly

Question 6

Beta-Adrenergic Blockers
-lols, watch for…
2 KILLERS

Answer 6

Pulmonary edema (lung S/S)

Propanolol (Inderal) and Labetalol
NEVER give to a person who has Hx MI or asthma b/c it r/in bronchial constriction

Question 7

Central Alpha-Adrenergic Agonist
Clonidine, watch for…
when to take…?
CNS effects?

Answer 7

Leukopenia
Take @ same time intervals QD (qHS)
Drowsiness and sedation that resolve over time

Question 8

Heparin/Warfarin vs. aPTT/PT/INR

Answer 8

Heparin = aPTT
Warfarin = PT/INR

Question 9

Warfarin and Oral Contraceptives

Answer 9

↓ action of Warfarin

Question 10

Xarelto and Clopidogrel and NSAIDS

Answer 10

CAN NOT HAVE THEM TOGETHER
Xarelto = anticoagulant
Clopidogrel = antiplatelet

Question 11

Clopidogrel

what to watch for…?

Answer 11

Neutropenia

Thrombocytic purpura

Question 12

Streptokinase function?

What should you have patient do when on?

Answer 12

Clot buster
Strict bedrest (prevent disgorgement of clot r/in aneurysm)

Question 13

Streptokinase antidote

Answer 13

Amino Caproic Acid (Amicar), hemostatic agent used in life threatening hemorrhage

Question 14

Inotropic Agents
Milrinone/Digoxin toxicity (vision and 3 S/S)
Antidote

Answer 14

Yellow-green halo vision
N/V, weakness, ↓pulse than 60
Digibind

Question 15

Why Milrinone over Digoxin? S/S

Answer 15

When Digoxin isn’t working, short term use only.

↓ BP

Question 16

Inotropic Agent
Dopamine (3 ADFX)
What to do if low or high?

Answer 16

Chest pain
Dyspnea
Paresthesia
Report to provider then...
INCREASE or DECREASE rate

Question 17

Anti-Arrhythmics
Adenosine
Atropine
Amioderal

Answer 17

Dead on the Scene (SVT)
Need a trip or something (Bradycardic, monitor for anti-cholingeric S/S dry mouth, abdominal distention etc.) also can be used for marethesia gravis
V-Tac, V-Fib

Question 18

Nitros.

Where to store? Replace when?
When do patients check?

Answer 18

Dizziness, hypotension, headache
Take onset, wait 5 min, take another, call 911

Store in dark place. 6 months.
Patients check 1 hr after patch application.

Question 19

Lipid Lower Agents
-statins and Ezetimide
ADFX

Answer 19

statins ↓ LDL ↑ HDL
Rhabdomyolosis (breakdown of muscle tissue r/in damaging protein in blood)
Do liver/renal function tests
NO GRAPEFRUIT
NO PREGOS
Ezetimide prevents absorption of cholesterol, watch for angioedema

DO NOT TAKE AT THE SAME TIME
1 hr before -statin or 4 hrs after

Question 20

Rhabdomyolosis Assess for (4)

Answer 20

weakness, tenderness, fever/malaise (general discomfort feeling ill)

Question 21

Captopril and meals

Answer 21

1 hr before

Question 22

Trimethoprim/Sulfamethoxazole function

Answer 22

anti-protozoal