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71 Cards in this Set

  • Front
  • Back
How must you counsil a patient with hypertension on a diuretic?
avoid dehydration (could result in falls)
which diuretic would be ideal for a female patient with HTN who needs to conserve calcium and why?`
thiazide: Ca sparing

Loop: electrolyte wasting
T/F Thiazides and loops are sulfa drugs
True
if a pt developes a sulfa allergy with Loop diuretic, what is the DOC?
Ethacrynic acid
T/F Thiazides are vasodilators making them different than loops when treating HTN
True
Which type of diuretic has a cieling?
thiazides
___ diuretcs waste all electrolytes!
Loop
___mg Lasix is the same as ___ mg Demedex (torsemide)
40 Lasix

20 Torsemide
More often w Edecrin, Loops have risk of __________
ototoxicity
Lasix 40mg = Bumex __mg
1mg
Which diurectic is available as an injection?
Loop (Lasix)
This class of Diuretic increases Ca
Thiazide
which diuretic class is K wasteing?
loop, thiazides
hyperuricemia and hyperglycemia may occur with ______ diuretics
Thiazide
what are lozol (Indapamide) and Hygroton (Chlorthalidone)?
Thiazide-like products

(Hygroton is th elongest acting)
Name the drug w a potassium sparing plus potassium wasting diuretic
Dyazide (Triamterene plus hydrochlorothiazide)
This K sparing diuretic can be used w dig or diuretics to balance K
Aldactone (Spironolactone)
What must u advise a patient on spironolactone to watch in reguards to their diet?
salt substitutes
Aldactone

Class
Generic
Dose: HTN, cirrhosis
MOA
SE
K sparing Diuretic
Spironolactone
HTN: 25mg BID
cirrhosis: 50mg QID
Aldosterone receptor ANTAGONIST
Gynocemastia
Inspra

Class
Generic
dose
Aldosterone receptor antagonist

Eplerenone

25 and 50mg
this K sparing Diuretic has less of a risk of developing gynecomastia
Ispra (Eplerenone)
Beta Blocker BBW!!
avoid abrupt D/C of therapy

taper over 2-3 weeks

Risk of angina and MI
This is the most highly lipid soluble BB. monitor for signs of depression
Inderal (Propanolol)
T/F Propanolol is nonselective and therefore must not be given to a COPD or asthma pt
T
This is a long acting non selective BB that is renally excreted
Corgard (Nadolol)
This is a nonselective BB w ISA
Visken (Pindolol)
a patient complains of bothersome slow heart and tired feeling with other BB... which could you switch him to?
Visken (Pindolol)

or acebutelol
MOA: partial BB, inhibits EPI and NE endogenous effects, yet has some stimulating B effect
Visken (Pindolol)
This Drug is B1 selective and has increased NO production

(MOST cardioselective BB)
Bystolic (Nevibolol)
IR metoprolol

ER metoprolol
IR: tartrate

ER: Succinate
most hydrophilic BB
Tenormin (Atenolol)
Coreg

Generic
MOA
common SE
pt counselling
Carvedilol
Non-selective
orthostasis
TAKE W FOOD (reduce orthostasis)
Consult physician id inc SOB or wt gain
half life of digoxin
40 hrs
digoxin dose

yellow:
white:
yellow .125mg
white: .25mg
Aldomet (Methyldopa) dose
250, 500mg
IV formulation of aldomet
Methyldopate HCL
MOA of Aldomet

alternate drug
Centrally acting alpha 2 agonist : Decreases NE, Decreasing BP


Clonidine
This drug is on the Beers list for Syncope
Aldomet Methyldopa
These two drugs may be used on a pregnant patient w HTN
Aldomet (Methyldopa)
Hydralazine
this K tablet can be mixed in to water to drink
K-Dur

also take K w food to avoid GI upset
Lasix (Furosemide) dosages
20,40, 80mg
Edecrin

generic name
class
dose
ethacrynic acid
Loop
25 and 50mg tabs & IV
this thiazide is available as a 12.5mg capsule
Microzide
Hydrodiuril

Generic
class
dose
HCTZ
Thiazide
12.5, 25, 50, 100mg Tabs
Lozol

generic
class
dose
Indapamide
Thiazide-like product
1.25 and 2.5mg
Hygroton

generic
class
dose
Chlorthalidone
thiazide-like product
25, 50, 100mg
This is indicated in the treatment of primary hyperaldosteronism
Spironolactone
Inderal

Generic
Class
Dose
Propanolol

BB
tabs: 10 20 40 60 80mg
SR 60 80 120 160
1mg IV Propanolol = ___mg PO
40mg
Concentrated solution of Propanolol
Intensol (80mg/ml)
BB used to treat akathisia in pts w EPS
Propanolol
Corgard

Generic
Class
Dose
Nadolol
LA Non selective BB
20 40 80 120 160
Visken

Generic
Class
Dose
Pindolol
Non-selective and ISA BB
5, 10mg
Bystolic

Generic
Class
Dose
Nevibolol
B1 Selective (less COPD warning) AND inc NO production
Digoxin Oral solution
.05mg/ml

50mcg/mL
Coreg BID--> QD
3.125mg BID-->10mg QD
6.25mg-->20mg
12.5mg-->40mg
25mg-->80mg
yuup
Is Digoxin Renally excreted?
Yes... renally adjust (Cockcroft and Gault)
Aldomet

Generic
MOA
dose
Methyldopa
alpha 2 agonist
125, 250, 500mg
Coumadin Colors:

1mg

2.5mg

3mg

4mg

7.5mg

10mg
1- pink
2.5-green
3- brown
4- blue
7.5- yellow
10- white
MOA of Coumadin
Interferes with the hepatic synthesis of VITAMIN K dependent clotting factors
What are the target ranges for I.N.R
2-3
Counseling Points for Coumadin
No salicylates

minimize spinach

Consistent intake

Preggo Cat X
INR >4 increases bleeding risk
INR>4

(International Normalized Ratio)
These Potassium supplements are effervescent tablets
K-Lyte
Target K Conc.
3.5-5mEq/L
This is the long acting metabolite of Isosorbide Dinitrate...
Isosorbide Mononitrate (ISMO)

20mg BID
THis is the most common isosorbide dinitrate product
Imdur
Common SE from Nitrates
Headache
BiDil

Generic
Indication
Isosorbide dinitrate AND Hydralazine

Heart Failure as an adjunct to standard therapy
Persantine

Generic
MOA
Dose
contraindications
Dipyridamole
Inhibits platelet adhesion
25, 50, 75mg
inappropriate for elderly- Orthostasis, GI Upset
Aggrenox

Generic
Indication
200mg ER Dipyridamole w 25mg aspirin (not enteric coated)

Stroke