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20 Cards in this Set
- Front
- Back
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LIfe style changes that be made to decrease Atherosclerosis include Exercise ? min/day, ?-?days/wk.
Lose ? and quit ? |
30min, 5-6days/wk,
weight, smoking |
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The ? meds are Medication therapy meds that inhibit ? synthesis in the liver and increase clearance of ? from the blood. Therefore they are contraindicated in pts with ? disease or for pts that are ?
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"STATIN" HMG coA reductase inhibitors,
cholesterol, LDL, liver, pregnant |
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Statin drugs are DC'd if the pt has muscle ? or elevated ? enzyme levels. Some pts report abdominal ?, ?, ? and/or ? as side effects of these drugs.
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cramping,
liver, bloating, flatulence, diarrhea, constipation |
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The HMG coa reductase inhibitors the "STATIN" meds have pleiotropic(extra effects) effects of decreasing ? growth, decreasing Type ? diabetes, decreasing ? and increasing ?
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Cancer growth,
type 2 DM, osteoparosis, well being |
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A different type of lipid lowering agent that inhibits the absorption of cholesterol in the small intestine is ?/? This med can be used alone or in combination with ? type drugs if they are not working good on their own.
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ezetimibe/Zetia,
"STATIN" |
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STATIN teaching- a side effect of statins is Nauseau so the pt should take these type of meds at ? These pts should avoid eating ? b/c it increases the S/E of the med.
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night,
grapefruit |
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A lab that should be monitored when taking STATIN meds is ? levels. While the statins are effective in providing protection from coronary and cardiovascular events, they are known to cause myopathy (weakness) and, rarely, rhabdomyolysis.
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CK
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? is the breakdown of muscle fibers that leads to the release of muscle fiber contents (myoglobin) into the bloodstream. Myoglobin is harmful to the kidney and often causes kidney damage.
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Rhabdomyalysis
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These drugs lower triglycerides and raise HDL ("good") cholesterol. They reduce ? and ? cholesterol and ?s levels they are ? acid derivitaves.
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LDL, VLDL,
triglycerides, Fibric |
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Fibric Acid derivatives appear to have a beneficial effect on ? resistance. These meds can be used ? or in combination with ? meds.
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insulin,
alone, STATIN |
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S/E of fibric acid derivatives inlcude ?, ?, ? cramping. There is increased incidence of ? problems and ?s
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naseau, diarrhea, muscle,
liver, gallstones |
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When a pt is taking Fibric Acid Derivatives they should avoid ? b/c it can cause elevated triglycerides.
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ETOH
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Examples of Fibric Acid Derivatives are ? and ?
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fenofilbrate,
Gemfibrozil |
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A B vitamin that may lower LDL, VLDL, and increase HDL is ?
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Niacin(Nicotinic Acid)
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If a pt is taking OTC Niacin/nicotinic acid they need to be aware that they should take ? doses to decrease S/E like ? and ? if they experience these S/E they can tx with ? This med may increase uric acid levels which increases incidence of ? This med can increase ?
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low(start low and go slow),
Flushing and itching, ASA, Gout, BP |
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The med that decreases reabsorption of bile acids in the small intestine is ? This med works at lowering LDL b/c in order for the liver to create more bile acids it must pull LDL from plasma thereby reducing ? levels.
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Bile Acid Resins,
LDL |
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One unlabeled use of Bile Acid Resins is to reduce ? , but the S/E is ? and ? it also decreases absorption of other ?s.
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diarrhea,
Constipation, flatulence, medicines |
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Examples of Bile acids are ?, ?, ? These meds should be taken on a ? stomach b/c it impairs ? of other meds.
"Cole" meds |
Cholestyramine(mix in water),
Colestipol, Colesevelam, absorption |
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When evaluating the effect of lipid-lowering therapy, the nurse would monitor for:
1. increased LDL and HDL levels 2.Increased LDL and decreased HDL 3. Decreased LDL and increased HDL 4. Maintenance of HDL and LDL levels |
3. Decreased LDL and increased HDL
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A pt, on statin therapy asks the nurse about healthy eating choices to reduce lipid levels. Which of the following food choices should be avoided?
1. brocoli, cabbage, and carrots 2. almonds and brazil nuts 3. grapefruit and grapefruit juice 4. salmon and sardines |
3. grapefruit and grapefruit juice
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