Term
Any drug starting with nitro is probably what kind of drug? |
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Definition
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Term
What are some side effects of nitrates? |
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Definition
- dizziness - headache - hypotension - tachycardia |
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Term
What do Nitrates do to the body? |
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Definition
They cause a systemic vasodilation to the body. |
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Term
What do beta blockers do to the body? |
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Definition
They slow the HR and decreases contractility. |
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Term
What do beta block drugs end in? |
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Definition
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Term
What kind of drug is contraindicated in pt's with CHF? |
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Definition
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Term
What do calcium channel blockers do in the body? |
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Definition
They reduce the HR and decreases oxygen demand in the body. |
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Term
What must you check before giving a CCB? |
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Definition
- lung sounds - apical pulse |
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Term
What do cardiac glycosides do in the body? |
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Definition
They increase the force of myocardial contraction. |
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Term
What kind of med is used to treat CHF and to prevent rapid HR? |
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Definition
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Term
Digoxin is what kind of drug? |
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Definition
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Term
What is a good digoxin level? |
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Definition
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Term
What serum level sensitizes the heart to the toxic effects of glycosides? |
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Definition
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Term
When given digoxin if an adult pulse is , 60 and a childs < 100 what should you do? |
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Definition
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Term
What levels must you know before giving digoxin? |
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Definition
- Sodium - Potassium - weight |
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Term
What foods are high in Potassium? |
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Definition
- spinach - orange juice - bananas - tomato juice - grape fruit - raisins - fig - prunes |
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Term
What is an example of an osmotic diuretic and how is it given? |
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Definition
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Term
What are osmotic diuretic's used to treat? |
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Definition
- anuria - cerebral edema - glaucoma |
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Term
What are carbonic anhydrase inhibitors used to treat? |
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Definition
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Term
What are some examples of carbonic anhydrase inhibitors? |
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Definition
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Term
What are thiazide diuretics used to treat? |
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Definition
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Term
What are some examples of thiazide diuretics? |
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Definition
- drugs ending in thiazide - Hygroton - Zaroxolyn |
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Term
What are loop diuretics used to treat? |
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Definition
Edema when pts become resistant to thiazide diuretic's. |
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Term
Commonly used loop diuretics? |
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Definition
- Bumex - Lasix - ethacrynic acid - Demedex |
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Term
What lab value must you watch when giving a loop diuretics? |
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Definition
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Term
What are potassium sparing diuretics used to treat? |
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Definition
Edema when combined with thiazides and loop diuretics. |
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Term
what are some commonly used potassium sparing diuretics? |
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Definition
- Aldactone - amiloride - triamterence |
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Term
What most be monitored when given a diuretic? |
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Definition
- weight and I&O - edema - BP - Pulse - Lab Values: electrolytes, blood glucose, BUN, serum uric acid |
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Term
When should oral diuretics be given? |
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Definition
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Term
What is a normal K level? |
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Definition
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Term
What is a normal sodium level? |
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Definition
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Term
What are S/S of hypokalemia? |
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Definition
- N/V - muscle pain - weakness or cramps - diarrhea - palpitations |
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Term
What should pt's avoid while on a diuretic? |
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Definition
- hot weather (hot baths) - long periods of standing - alcohol |
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Term
What are sympathetic (adrenergic) blockers used to treat? |
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Definition
Used to reduce the hyperactivity of sympathetic nervous system. |
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Term
what are some common sympathetic blockers? |
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Definition
- clonidine - guanabenz - guanfacine - methyldopa |
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Term
What is a side effect of conidine but will go away with in 3-4 weeks? |
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Definition
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Term
Beta- blockers are not good for what kind of pt's? |
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Definition
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Term
How are vasodilator drugs used? |
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Definition
relaxes vascular smooth muscles resulting in a lower BP. |
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Term
What are some common vasodilators? |
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Definition
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Term
What are some common calcium antagonists that vasodilate but also slow HR? |
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Definition
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Term
What are some common calcium antagonist that are just vasodilators? |
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Definition
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Term
What common calcium antagonist can cause tachycardia? |
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Definition
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Term
What are calcium antagonist (pine) sensitive to? |
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Definition
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Term
What are some common ACE inhibitors? |
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Definition
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Term
What should you monitor with pt's on anti-hypertensive meds? |
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Definition
- BP and pulse - weight and I&O - if systolic <100 question giving the drug - assess for orthostatic hypertension when first starting med |
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Term
What anticoagulant dosage is determined on body size? |
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Definition
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Term
What lab must you monitor with Heparin? |
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Definition
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Term
What is the antidote for Heparin? |
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Definition
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Term
What is LMW Heparin used for? |
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Definition
prevent clots after surgery |
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Term
What is a common LMW Heparin? |
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Definition
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Term
What lab must you monitor with Coumadin? |
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Definition
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Term
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Definition
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Term
What is the antidote for Coumadin? |
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Definition
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Term
What are some common antiplatelts? |
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Definition
- Aspirin - Persantine - Plavix - Ticlid - Trental |
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Term
What kind of food should pt's on anticoagulants avoid? |
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Definition
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Term
What are some hypolipidemic drugs? |
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Definition
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Term
What are some cholesterol absorption inhibitors? |
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Definition
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Term
What should you monitor for hypolipidemic drugs? |
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Definition
- serum cholesterol <200 - serum triglyceride <150 - liver function 5-50 - muscle tenderness - CK 60-400 |
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Term
What is a normal LDL level? |
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Definition
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Term
What is a normal HDL level? |
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Definition
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Term
What should lovastatin be taken with? |
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Definition
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Term
When should simvastatin be taken? |
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Definition
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Term
Tell pt to wear sunscreen to prevent photosensitivity when on? |
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Definition
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