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14 Cards in this Set

  • Front
  • Back

Total Cholesterol Level

Less than 200

LDL level (bad cholesterol)

Less than 130

HDL (good cholesterol)

Higher than 45

Triglycerides

Less than 150

HMG- COA Reductase inhibitors (Statins) drugs:

Atorvastatin (Lipitor)


Simvastatin (Zocor)


Pravastatin sodium (Pravachol)


fluvastatin (Lescor)


lovastatin (Mevacor)


Quinapril (Accupril)

HMG - COA reductase inhibitors (Statins) Adverse Reactions

HA, dypepsia, abd cramping, myalgia, rash, severe myositis, peripheral neuropathy, liver damage, rhabdomyolysis

Statins nursing implications

Take with food, preferably at evening


Pregnancy Category X & no breastfeeding


Monitor liver enzymes, CK, CPK


Avoid alcohol


No grapefruit juice


Bile Acid- Binding Agent Drugs:

-Lowers LDL


-Take before meals with lots of fluids


Cholestyramine (Questran)


Colesevelam (Welchol)


Colestipol (Colestid)

Bile Acid - Binding Agent Adverse Reactions

- Preg. B


Constipation, N/V, abdominal pain, bloating, dyspepsia, GI obstruction

Fibric acid agents

-decrease triglyceride levels, increase HDL



gemfibrozil (Lopid)


fenofibric acid (Triplix)


fenofibrate (Tricor)


clofibrate (Atromid-S)

Exetimibe (Zetia)

-Lowers cholesterol


Abd pain, diarrhea, fatigue, hepatitis, myopathy.



- Avoid alcohol


- Check CK


- Preg. X


Take with cold water & food, ASA 30 min before


Monitor BS, LFT, BUN, creat

Niacin (Nicobid)

-Lowers lipid levels


Flushing, nausea, HA, bloating, diarrhea, dysrhythmias, dizziness, hyperglycemia, hyperuricemia.



- Avoid alcohol


- Check CK


- Preg. X


Take with cold water & food, ASA 30 min before


Monitor BS, LFT, BUN, creat


"Stop Cholesterol N' FatZ"

Statins


Cholestyramine


Niacin


Fibric acid agents


Zetia

NIACIN (Nicobid)

Note liver function tests


Itchy, flushing


ASA 30 mins before


Contraindicated in Liver disease and pregnancy


Instruct to take with food and at bedtime


No high cholesterol foods