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70 Cards in this Set
- Front
- Back
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Q1. How do you administer Bile Acid Sequestrants?
Q2. What is Bile Acid Sequestrants for? |
Q1. How do you administer Bile Acid Sequestrants?
- mix with water or juice, given 4-6X per day Q2. What is Bile Acid Sequestrants for? - Bile Acid Sequestrants are medications that lower ldl cholesterol levels |
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Q1. What are the normal Cholesterol lab levels?
Q2. What are the normal LDL lab levels? Q3. What are the normal HDL lab levels? |
Q1. What are the normal Cholesterol lab levels?
-less than 200 Q2. What are the normal LDL lab levels? - Less than 100 mg/dL (or less than 70 if they have heart disease) Q3. What are the normal HDL lab levels? - Greater than 40-60 mg/dL |
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What is Lipitor and what drug class?
What side effects does Lipitor cause that would make you call the Dr.? |
What is Lipitor?
-antihyperlipidemia what class is Lipitor? - HMG What side effects does Lippitor (HMG) cause that would make you call the Dr.? - myopathy & rhabdomyolysis (Muscle Pain) |
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What is another name for B9?
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What is another name for B9?
-Folate Acid |
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What's another names for B3 (or B6)?
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What's another names for B3 (or B6)?
-Niacin |
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What is Niacin for?
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What is Niacin for?
- its a antihyperlipidemia, is it not known how it works |
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What do you give with Niacin?
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What do you give with Niacin?
-ASA 325mg., it reduces flushing and itching in face, chest, neck and ears -give 30 min prior to taking Niacin |
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3. What are the normal LDL lab levels?
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What are the normal LDL lab levels?
- Less than 100 mg/dL |
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Why do pts take Lopid (aka Gemfibrozil)?
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Why do pts take Lopid (aka Gemfibrozil)?
- decrease production of triglycerides |
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What is Diaril (aka Thyozide Diuretic)?
What lab do we monitor? |
What is Diaril (aka Thyozide Diuretic)?
- Potassium Depleting What lab do we monitor? - monitor potassium (normal levels 3.5-5) |
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When a pt is taking a potassium depleting drug (like Thyozide Diuretic), what do you teach your patient to eat?
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When a pt is taking a Potassium depleting drug (like Thyozide Diuretic), what do you teach your patient to eat?
-potatoes, cantaloupe, figs, bananas, avocado, apricots, oranges |
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What is the classification for Lisinopril? (think "PRIL")
What is Lisinopril given for? |
What is the classification for Lisinopril? (think "PRIL")
-ACE inhibitors What is Lisinopril for? - HTN patients "PRIL" are ace inhibitors. |
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Pt is on Lucinipril and Lasix, pt has cramps in legs, you need to give next dose, what do you do?
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Giving Lisinopril and Lasix, pt has cramps in legs, you need to give next dose, what do you do?
-hold drug, check labs for potassium levels (because the leg cramps may be a sign of low potassium) |
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What is Lasix?
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What is Lasix?
-loop diuretic - Potassium depleting |
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What kind of a drug is Metopolol (Lopressor)?
What is it given for? |
What kind of a drug is Metopolol (Lopressor)?
-Beta blocker What is it given for? -for HTN or to lower heart rate "lol" are the beta |
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What do you do before you give a Beta Blocker?
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What do you do before you give a Beta Blocker?
-Apical pulse for a full min (rate 60-100, if over hold drug) -if b/p is low, hold medication |
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what s/s of low potassium levels for lasix pt?
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what s/s of low potassium levels for lasix pt?
-leg cramps, palpitations, twitching, altered LOC |
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What do you do before administering a Calcium channel blocker, beta blocker, or a diuretic?
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What do you do before administering a Calcium channel blocker, beta blocker, or a diuretic?
-Check apical pulse -Check B/P |
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When starting pt on new b/p med, what do you teach them for at home use?
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When starting pt on new b/p med, what do you teach them for at home use?
- take it sitting down - change positions carefully - check b/p, pulse first |
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What are the Calcium Channel Blocker meds?
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What are the Calcium Channel Blocker meds?
- anything ending in PINE (pine-sol for calcium build-up in the tub) |
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What is Catapress (clonodine)?
How do you place a patch? |
what is catapress (clonodine)?
- Anti Dysarrhythmic TTS (trans-dermal patch) How do you place a patch? -use gloves to apply to dry hairless skin |
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What kind of drug is Diovan?
What do you check before giving Diovan? |
What kind of drug is Diovan?
-ACE 2 inhibitor (Sartans) What do you check before giving Diovan? -Check B/P |
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What does sublingual mean?
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What does sublingual mean?
-under the tongue |
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What is Angiotensin 2 Antagonist?
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What is Angiotensin 2 Antagonist?
-it causes Sodium Absorption in the the Kidney's tubules |
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What stimulates angoitension?
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What stimulates angoitension?
-renin in the kidneys |
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What is nitroglycerine?
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What is nitroglycerine?
-vasodialater -nitrostat, nitromist, anything with "nitro" |
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What is side effect of NItroglycerin?
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What is side effect of NItroglycerin?
-Headache (becuase its a vasodialator) |
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Why do you give Nitro to pt with angina?
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Why do you give Nitro to pt with angina?
-to stop chest pain, give 3 times, 5 minutes apart. If pain persists after that, call Dr. (that would mean its an MI) |
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What are the rules about B/P and Pulse before applying Nitro?
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What are the rules about B/P and Pulse before applying Nitro?
- HOLD if its below 60 or above 100 (HR) - BP 110-100 systole or <60disastole- OR: -pulse below 60, above 100, dont give -b/p between 100-110 systolic, or less than 60 for diastolic |
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What is Isordil (Isosorbide)?
Who is it given to? What are the side effects? |
What is Isordil (Isosorbide)?
-oral long acting nitrate, taken every day Who is it given to? -given to pts with stable angina What are the side effects? -side effect: hypotention, dizziness and headache |
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Pt on Isordil is dizzy and weak, can you adjust dose?
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Pt on Isordil is dizzy and weak, can you adjust dose?
-yes, but do not stop abruptly |
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What is antidote for Heprin?
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What is antidote for Heprin?
-Protomine sulfate |
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What does "PTT" stand for?
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What does "PTT" stand for?
- Partial Prothrombin Time |
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What is INR short for?
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What is INR short for?
-International Normalized Rate |
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What do you give Lovinox (low molucular heperin) for?
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What do you give Lovinox(low molucular heperin) for?
-to prevent DVT |
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Who is at most risk for DVT?
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Who is at most risk for DVT?
-obese, or pt after abdomanal surgery, or bone surgery or cardiac surgery |
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What is the antidote for Coumodin?
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What is the antidote for Coumodin?
- antidote is Vit K |
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What are s/s of internal bleeding with Heperin?
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What are s/s of internal bleeding with Heperin?
-bleeding, dark stool and tea colored urine |
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What is the Antidote for Heperin?
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What is the antidote for Heperin?
antidote is Protomine Sulfate |
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Pt on Heprin, what is the Normal range for PTT?
What is the Theraputic Range? |
Pt on Heprin, what is the Normal range for PTT?
-0.7-1.8 What is the Theraputic Range? -1.5-2.5 times the control |
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What is Heperin used for? How is it administered?
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What is Heperin used for?
-to prevent clots How is it administered? - given SC |
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What is legal rule for giving Heperin?
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What is legal rule for giving Heperin?
-Must be checked by 2 licenses |
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What is indicated by black tarry stool?
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What is indicated by black tarry stool?
-upper GI bleed |
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What is the normal range for PT?
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What is the normal range for PT?
-11.9-12.5-13 |
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What is Heperin / Warfin measured in?
How is it administered? |
What is Heperin / Warfin measured in?
-Units How is it administered? SubQ |
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What is another name for Vitamin K?
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What is another name for Vitamin K?
-Aquamephyton |
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What is Fragaman?
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What is Fragaman?
-Low molicular weight Heperin -Labs done once in the beginning, does not need to be monitored |
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What is Streptokinase?
How does it work? What is the side effect? |
What is Streptokinase?
-Thrombolytic / Clot buster How does it work? -breaks down the Fibrin clots What is the side effect? -bleeding side effects |
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What is another name for Abbokinase?
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What is another name for Abbokinase?
- Urokinase |
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What is another name for Bloody nose?
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What is another name for Bloody nose?
-Epitaxsis (this would be a sign of bleeding if the pt were on heprin or lovanox) |
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What is plavix?
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What is plavix?
-platelet agrigator -given to pts with history of clots -side effect is tinnitus, bleeding |
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What is atropine?
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What is atropine?
-Anticholonergic -given to speed up heart (overdose of digitalis) -side effect - dry mouth, urinary retention |
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What is the antidote to Digitalis (Digoxin, Lenoxin)?
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What is the antidote to Digitalis (Digoxin, Lenoxin)
-Digitiban |
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What kind of a drug is lidocaine/zylocaine?
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What kind of a drug is lidocaine/zylocaine?
-Class 1B, Membrane Stabilizer |
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what are the normal Dig levels?
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what are the normal Dig levels?
-0.5-2 nanograms |
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What are earliest signs of dig toxicity?
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What are earliest signs of dig toxicity
-anorexia, n/v, abdominal pain |
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What is another name for cardiotonic?
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What is another name for cardiotonic?
-cardioglycocide |
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What is antidote for cardioglycocide?
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What is antidote for cardioglycocide?
-Digibind or digifab |
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is amoratadone and antidysrrhymic drug?
What floor would a pt on amoratode be on? |
is amoratadone and antidysrrhymic drug?
-Yes What floor would a pt on amoratode be on? they will be on telemetry connected to an EKG |
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What category does fliograstin and neupogen fall under?
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What category does fliograstin and neupogen fall under?
-colony stimulating factors, hemopoetin growth factors -stimutate proliferation of WBC's |
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Name a drug for erythropoetin
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Name a drug for erythropoetin
-epogin, to stimulate RBC's -side effect, bone pain |
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Pt with HTN on epogin, what is the concern?
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Pt with HTN on epogin, what is the concern?
-creating more RBC's, increasing B/P (polycythemia) |
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CKD
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CKD
-chronis kidney disease -treated with procrit, kickstarts renin production for erythrpoetin -treach to monitor b/p, no alcohol, CBC labs, tylenol for pain, reduce stress |
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hemopoetin drugs stimulate what?
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hemopoetin drugs stimulate what?
-production of RBC's, increasing B/p |
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How do you take oral iron supplenents?
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How do you take oral iron supplenents?
-Orange juice, brush teeth |
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How do you administer Iron IM?
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How do you administer Iron IM?
-Z-track -leaves you with sterile abcess |
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How do you give oral medication?
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How do you give oral medication?
-on empty stomach, if you can tolerate it |
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Folic Acid, what is it?
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Folic Acid, what is it?
-lack of it causes neural tube defects -eat spinach to increase |
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What is the route for folic acid deficientice?
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What is the route for folic acid deficientice?
-IM injection |
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What are s/s of B12 deficiency(pernicious anemia)?
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What are s/s of B12 deficiency(pernicious anemia)?
-beefy red tongue, parasthesis in fingers and toes |
