Dennis Terms

Front 1

What is the function of the liver, and what laboratory values are effected by the liver?

Back 1

It works to eliminate metabolic waste, produces bile, albumin, and clotting factors (vit. K). Liver effects albumin, SGOT/SGPT, and bilirubin values.

Front 2

Beta blockers end with what? action? Side effects? Assessment prior to giving med?

Back 2

- meds end in alol or lol
- Block sympathetic nervous system to heart and lungs (beta 1 to heart, beta 2 to lungs)
- side effects: bradycardia, hypotension, congestive HF (if HR too low), and brochospasm.
- assess prior: BP must be >100 or per md; HR must be >60 or per Md; Assess breath sounds for wheezing.

Front 3

What are ACE inhibitors mechanism? Side effects? Assessment prior to giving med?

Back 3

- angiotension converting enxyme inhibitors. (they block the normal effect of your liver producing angiotensin 1(mild vasoconstrictor) with the present of renin agiotensin is converted into angiotensin II (potent vasoconstrictor) to increase BP. So ACE inhibators cause vasodialation.
- S/E: chronic cough, angioedema,and hypotension (not known why, doesn't seem to work on blacks.
- Assess: Monitor BP and assess for s/s of chronic cough or angioedema.

Front 4

What do agiotensin II blockers end with? action? Side effects?

Back 4

- Any medication ending with sartan
- blocks agnitensin II wihic is a vaso-constrictor. Causes vasodialation. very effective in blacks.
- s/e: hypotension, dizziness, and sycope.

Front 5

What medications are calcium blockers? What action do they do? what is there side effects? What to avid when taking the med?

Back 5

- all meds that end in pine or are cardizem, diltiazem, verapamil.
- blocks calcium from going into the cardiac muscle and causeing vaso-dialation. less calcium= less contraction or a heat beat.
- s/e: bradycardia, hypotension, and HF
- avoid grapefruit(enhances drug absorption. To reverse effects of calcium blockers OD give calcium chloride/ calcium gluconate.

Front 6

What do cholesterol lowering drugs end with? What are there actions? side effects?

Back 6

- any medication ending with statin except nystatin.
- Acts by inhibiting fat absorption and inhibit cholesterol production in the liver. see fatty stool or floaters.
- s/e: flatulence, abdominal discomfort, stetorrhea, muscle weakness(rhabdomylosis)

Front 7

What kind of complications would you get from rhabdomyolosis?

Back 7

ARF due to excess waste and caused nephrons irritation and nephrons death. Fluids and lasix will help with this.

Front 8

What do aminoglycoside meds end with? what are there actions? side effects?

Back 8

- any medication ending with myocin.
- inhibit aminoglycoside and DNA of the organism.
- s/e: secondary infections, nephrotoxic, and ototoxic.

Front 9

What do anti-viral medications end with? What are there actions? side effects?

Back 9

- any medication ending in vir.
- action: inhibits cell wall synthesis and causes cell death
-s/e: secondary infection, nausea, vomiting, and diarrhea.

Front 10

What is the treatment in order for angina-MONA-B?

Back 10

1) oxygen
2) Asprin- anticoagulant to prevent platelet aggregation.
3) notroglycerin- nitrate to cause vasodialation and improve coronary perfusion. decreases work load.
4)Morphine- acts by blocking opiate receptors in the brain to alter pain perception and it also has a vasodialtion property.
5) Beta-blocker to decrease workload by decreaseing the BP and heart rate
6)Ace-inhibators will be added later to prevent cardiac tissue re-engineering (scar formation and prevent CHF)

Front 11

What do nitrate medications end with? What do they do? what are the side effects?

Back 11

-meds ending in nitrate.
-they work as a systemic vasodilator and dialate coronary artery and blood vessels. (decrease preload and afterload)
-S/e: HA, hypotension, dizziness, syncope.

Front 12

What are three types of anticoagulants?

Back 12

Lovenox, heparin, and coumadin/warfarin.

Front 13

What action and side effects does lovenox have?

Back 13

- inhibits the conversion of prothrombin to thrombin and fibrinogen to fibrin.
- s/e: bleeding and bruising.

Front 14

What action does heparin have, what is heparin's antidote?

Back 14

-inhibits the coversion of prothrombin to thrombin, and fibrinogen to fibrin.
-antidote is protamine sulfate or hold heparin for 6 hours.

Front 15

What is warfarin's action, side effects, diagnostic test, and antidote?

Back 15

-action: inhibits vitamin K in the clotting cascade.
-S/e: bleeding
- Diagnostic test: protime (PT) and INR.
-Antidote: vitamin K and/or FFP.

Front 16

What do cortico-steroid medications end with? What are their actions? side effect?

Back 16

- Any medication ending with one.
- action: inhibits immune response and also anti-inflammatory.
-s/e: crushing's syndrome (fluid retention, wt gain, moon face, and striae)

Front 17

Where is insulin produced in your body?

Back 17

pancreas

Front 18

What does insulin do?

Back 18

Aide in the transport of glucose into the cell. It's goals are to maintain stable blood glucose and avoid peaks and valleys.

Front 19

What is the action of insulin? Side effects? What do you assess prior to giving insulin?

Back 19

- action: insulin binds to glucose and potassium (K) to form a perfect key in order to transport glucose into the cell.
- S/e: hypoglycemic (stimulate SNS-tachycardia, irritability, confusion, agitation, and diaphoresis) Hypokalemia (arrhythmias)
- assess: blood glucose and metal status, if on large amount of insulin then check K level.