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29 Cards in this Set
- Front
- Back
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triglycerides
what med & category helps to decrease them? how? |
clofibrate (Atromid-S)
category: Fibric acids they increase the action of lipase ['ride' in the 'A(s)tro Van'] |
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cholestyramine resin (Questran)
What is it? How's it work? What else to know? |
~Bile acid resin *monitor for ADEK deficiencies
~works as exchange resin to reduce cholesterol levels ~can increase triglycerides [only one with the word 'cholest...' and it only lowers cholesterol, and your 'Quest' was a failure b/c your triglyc went up anyway] |
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lovastatin (Mevacor)
what is it? how's it work? what's it target? |
HMG-CoA reductase inhihbitor
inhibit cholesterol syntheses in the liver lowers cholesterol and LDL levels |
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Nicotinic acid (Niacin)
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B vitamin
inhibits hepatic synthesis of VLDL, cholesterol, and triglycerides resulting in decreased LDL [if you got nicotine breath, they'll block you from getting into all the clubs] |
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sterols and stanols
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plant lipids that compete with animal fat for the same receptors reducing cholesterol absorption
(wheat, rye, oats, rice) |
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dietary considerations with lipid-lowering meds
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~take in the evening
~increase fiber and fluids |
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Diabetes
ok with what antihyperlipidemia med |
Lovastatin (Mevacor)
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cholestyramine (Questran)
side effects? |
discomfort, GI s/e
['tyranny' of discomfort] |
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pregnant
what anti-coagulant is good? what med is not good? |
Heparin (liquaemin) = good
Streptokinase = higher potential for hemorrhage, not good |
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clopidogrel bisulate (Plavix)
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flu-like symptoms (altered lung sounds, inflamed throat, dehydration)
['Vix Vapor Rub' might help you with the flu] |
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ticlopidine (Ticlid)
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potential for blood dyscrasias,
particularly PLATELET COUNT [I go 'crazy' when you 'tickle' me] |
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abciximab (Reopro)
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antiplatelet commonly used following PTCA
[keep open, or 'reopen' the artery] |
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Use with (emerging) acute MI
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thrombolytic therapy
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Peripheral vascular disease (PVD) treated with...
plus a diet rich in... |
... aspirin, dipyridamole (Persantine) ( v blood viscosity), or pentoxifylline (Trental) ( ^ RBC flexibility)
... folic acid |
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DVT treated with...
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coumadin or heparin
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folic acid
associate with |
vessel elasticity,
^ production of RBCs, WBCs, platelets |
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sickle cell
associate with |
RBC changes (dyspnea, weakness on exertion, thready pulse)
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Pernicious anemia
give what? where? |
B12 injection, rotate sites
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highest source of folic acid
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eggs
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cheese
good source of... |
B12
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heme and non-heme sources of iron
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beef and brown rice
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azathioprine (Imuran)
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reduce production of platelet antibodies,
prevent platelet destruction |
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priority with liquid ferrous sulfate
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use a straw
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factor VIII (refacto)
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calculated by client weight
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....contains aspirin
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Darvon Compound 65
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Heparin
range |
1.5-2.5 x normal APTT
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warfarin (Coumadin)
if INR too high |
administer ordered Vit K,
withhold a dose |
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Continuous infusion of heparin...
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avoid IM injections
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iron
which antibiotics v absorption? |
fluoroquinolones and tetracyclines
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