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173 Cards in this Set
- Front
- Back
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DIABINESE
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CHLORPROPAMIDE
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TOLAZAMIDE
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TOLINASE
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DYMELOR
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ACETOHEXMIDE
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ORINASE
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TOLBUTAMIDE
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GLYNASE
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GLYBURIDE
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MICRONASE
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GLYBURIDE
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DIABETA
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GLYBURIDE
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DUETACT
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GLIME + PIO
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GLYNASE PRESTAB
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GLYBURIDE
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3 MG MICRONIZED=
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5 MG GLYBURIDE
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glipizide ir dose
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2.5 - 10 mg bid
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glipizide xl dose
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2.5-10 mg daily
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glpizide xl max
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20 mg daily
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amyryl dose
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2-4 mg, max 8 mg daily
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glyburide
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1.25-5 mg daily
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glynase prestab
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1.5-12 mg daily
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drug cause hypoglycemia
avoid use with sulnylurea |
azole, diazoxide, pencilamide, pentamidine, quinidine, quinolones, dilantin, bactrim, alcohol
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sulfonylurea
before or after meals |
before
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drugs can cause hyperglycemia
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niacin, thiazide, proglycem, nebupent (pentamide), tacrolimus
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Fasting
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<126
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DKA
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DKA
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Not enough insulin
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body breaks down fat to make energy
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DKA symptoms
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hyperglycemia
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DKA labs
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glucoce >300
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DKA treatment
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IV fluids and insulin
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A1c 7
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154
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Goals
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90-130; <180
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Pregnancy
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glucose<95
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INSULIN
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GDM
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Start metformin +
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sulfonylurea
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Start metformin +
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basal insulin (1.5% A1C)
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Start metformin+
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pio(0.5-1.4%)
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Start metformin +
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exenatide (0.5-1%)
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If met+pio
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then+
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When fasting glucose
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250
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RIOMET
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METFORMIN LIQUID
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Scr>1.5 males
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1.4 females
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Met CI
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CHF
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Lactid acidosis fast or slow heartrate
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slow
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Metformide side effects
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diarrhea
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PRANDIN + GEMFIBROL
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increase PRANDIN
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Prandin take
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15-30 minutes before meals
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Actos dosge
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15-45 QD
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Avandia
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2-8 mg daily
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Side effects of TZD
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peripheral edema
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TZD MOA
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increase insulin sensitivity
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GLYSET
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MIGLITOL
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C/I OF MIGLITOL
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ACORBOSE
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MONITOR FOR PRECOSE
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LFTs Q 3 months
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Does ACARBOSE CAUSE HYPOGLYCEMIA?
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NO
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CAN U TREAT HYPOGLYCEMIA WITH SUGAR DUE TO ACARBOSE
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NO
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Does ACARBOSE IMPROVE UR CHOLESTEROL?
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YES
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JANUVIA MOA
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DPP4-INHIBITOR
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EXENATIDE MOA?
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INCREATIN MIMETIC
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JANUVIA crCl<30
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25 mg QD
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JANUVIA SIDE EFFECTS? NASOPHARYNGITIES
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URI
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JANUVIA NEW WARNING
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ACUTE PANCREATITIS
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ONGLYZA
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SAXAGLIPTIN
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Which 3 good for postprandial BG
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acrabose
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OBLYZA DOSAGE
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5 MG QD
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ONLYZA WITH 3A4 INHIBTORS
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2.5 MG qd
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Use byetta w/I
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60 MINUTES BEFORE MEALS
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TAKE METFORMIN ?
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WITH MEALS
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TAKE JANUVIA
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WITH OR WITHOUT FOOD
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TAKE TZD
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WITH OR WITHOUT FOOD
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INJECT BYETTA AT LEAST___ HOURS APRAT
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6
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MAIN SIDE EFFECTS OF BYETTA
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NAUSEA
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CAUTION OF BYETTA? PANCREATITIS
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REQUIRE MEDGUIDE
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EXENATIDE
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COUNT TO 5 BEFORE WITHDRAWING
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CAN U INJECT BYETTA AFTER A MEAL? NOOOOO
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RISK OF HYPOGLYMIA
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STORE PEN AT RT? NOOO
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FRIDGE
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PRAMLINTIDE MOA? Amylin
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gastric emptying
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Synringe use for Symlin? U-100
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0.3 ml
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Symlin dosage? 60 mcg prior to meals
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can increase to 120 if no nausea
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Don’t use if meal <___calories or ___grams of carbohydrate? 250
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30
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Stable at RT
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28 days
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At least ____inches from ur insulin injection
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2
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Short-acting
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R
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Shorting acting ____min before breakfast?
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30
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BS<60
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hold insulin
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BS 150-200
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give 2 units of insulin
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BS201-250
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give 4
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Inject at wat degrees
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45 or straight
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Mixtures ___min prior meals
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30
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Hypo
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1/3 apple
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Should retest BS in _____min
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20
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Glucogan dosage? 1 mg SC
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IM
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HTN
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HTN
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Pre-HTN
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120-139
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Stage 1
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140-159
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Stage 2
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>160
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Goal for CKD
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DM
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Treat HTN with MI? BETA-BLOCKERS
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ACEI
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A-N-E-D-W
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2-4
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Max of MICROZIDE
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ORETIC? 50 mg QD
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With inspra? Hypertriglycerida
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gynecomastia
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Inspra C/I? pregnancy
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K>5.5
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Inspra/Aldactone? 3A4
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substrates
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40
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1
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VASOTEC DOSE?
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5-20
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ZESTRIL DOSE
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10-20
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RAMPIRIL
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5-20
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WHICH ACEI IN IV
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VASOTEC
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CARVEDILOL? 3.125
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bid
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Carvedidol
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10 mg CR
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NEVIVOLOL SUBSTRATES of?
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2d6
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CARTIA?
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DILTIAZEM
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CALAN
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ISOPTIN?
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COVERA
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VERA
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TIAZAC
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DILTIZEM
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SIDE EFFECTS OF CCB?
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HEAdache
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Non-dhp CCB and erythromycin?
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Increase CCB
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CCB increase/or decrease CCB?
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Increase
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Clonidine SE?
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sedation
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Clonidine MOA? alpha-2
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agonist
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Hydralazine SE? reflex tachy
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lupus-like syndrome
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Tekturna se? Diarrhea
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increase Scr
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Tekturna renal/hepactic adjustment
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NO
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Tx goal of Emergency? Reduce___MAP within ___min
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25%
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Symptoms of organ damage
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HEMORRHAGE
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3 drugs for urgencies? Clonidine
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trandate
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Age Men >___
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women >___?
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2nd risk factor
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cigarette smoking
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3rd
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htn >140/90
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4th
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HDL<40
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5th
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<55 for male
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If greater than 2 risk factors
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<130
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If 0-1 risk factor
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<160
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CHD equivalent?
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peripheral arterty dz
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LDL
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TC-HDL-TG/5
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VYTORIN?
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SIM + ZETIA
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CRESTOR
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ROSU
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S-A-P
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10-80 MG
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LESCOL?
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FLU
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ALTOPREV?
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LOV
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C/I OF STATINS
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liver dz
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SIM AND AMIO? Risk of rhabdomyolysis? No more than 20 mg/day of Simvastatin
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and 40 mg/day of Lova
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WELCOL DOSAGE?
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625 mg
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Welcol
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can decrease a1c by 0.5%
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BILE ACID BINDING
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can increase trig
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NEED TO SEPARATE BILE ACID FROM?
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LEVOTHYROXINE
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LOFIBRA?
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FENEFIBRATE
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ANTARA?
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FENOFIBRATE
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TRILIPTIX
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FENOFIBRATE
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TRIGLIDE
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FENOFRIBTATE
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LOFIBRA W OR W/O FOOD?
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WITH FOOD
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LOPID?
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30 MINUTES BEFORE BREAKFAST
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Which Niacin has more hepatotoxicity?
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Slo-niacin
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ADVICOR?
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LOVASTATIN + NIASPAN
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MAX OF NIASPN
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2 G
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NIACOR Is
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ir
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Why don’t u use flush free Niacin?
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Not effect
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Which one is OTC?
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slo-niacin
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Are niacin interchangeable?
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NOOO
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What u need to monitor for Niacin?
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LFT Q 6-12 WEEKS
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SE OF NIACIN?
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HYPERGLYCEMIA. HYPERURECEMIA
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LOVAZA MOA?
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decrease TG
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LOVAZA SE?
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can increase bleeding risk
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Lovaza use when?
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TRIG > 500
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ACUTE CORONARY SYNDROME
|
ACS
|
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Post – PCI
|
ADA 162-325 QD
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SIROLIMUS ASPIRIN
|
3 MONTHS
|
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6 MONTHS ASPIRIN
|
PACLTAXEL
|
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Plavix or prasugrel for
|
at least 1 year
|
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Afib undergo cardioversion
|
at least 3 weeks prior and 4 weeks after cardioversion
|
|
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Staying in af
|
indefinity
|
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CHADs
|
CHF
|
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No risk factor
|
asa 75-325
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One risk factor
|
asa 75-325
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High
|
warfarin
|
|
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Tamoxifen and Warfarin?
|
C/I
|
|
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2C9 inhibiors that will increase INR
|
FAMES
|
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NOVASTAN
|
ARGATROBAN
|
