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71 Cards in this Set
- Front
- Back
How must you counsil a patient with hypertension on a diuretic?
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avoid dehydration (could result in falls)
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which diuretic would be ideal for a female patient with HTN who needs to conserve calcium and why?`
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thiazide: Ca sparing
Loop: electrolyte wasting |
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T/F Thiazides and loops are sulfa drugs
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True
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if a pt developes a sulfa allergy with Loop diuretic, what is the DOC?
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Ethacrynic acid
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T/F Thiazides are vasodilators making them different than loops when treating HTN
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True
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Which type of diuretic has a cieling?
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thiazides
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___ diuretcs waste all electrolytes!
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Loop
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___mg Lasix is the same as ___ mg Demedex (torsemide)
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40 Lasix
20 Torsemide |
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More often w Edecrin, Loops have risk of __________
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ototoxicity
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Lasix 40mg = Bumex __mg
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1mg
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Which diurectic is available as an injection?
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Loop (Lasix)
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This class of Diuretic increases Ca
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Thiazide
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which diuretic class is K wasteing?
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loop, thiazides
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hyperuricemia and hyperglycemia may occur with ______ diuretics
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Thiazide
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what are lozol (Indapamide) and Hygroton (Chlorthalidone)?
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Thiazide-like products
(Hygroton is th elongest acting) |
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Name the drug w a potassium sparing plus potassium wasting diuretic
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Dyazide (Triamterene plus hydrochlorothiazide)
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This K sparing diuretic can be used w dig or diuretics to balance K
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Aldactone (Spironolactone)
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What must u advise a patient on spironolactone to watch in reguards to their diet?
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salt substitutes
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Aldactone
Class Generic Dose: HTN, cirrhosis MOA SE |
K sparing Diuretic
Spironolactone HTN: 25mg BID cirrhosis: 50mg QID Aldosterone receptor ANTAGONIST Gynocemastia |
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Inspra
Class Generic dose |
Aldosterone receptor antagonist
Eplerenone 25 and 50mg |
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this K sparing Diuretic has less of a risk of developing gynecomastia
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Ispra (Eplerenone)
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Beta Blocker BBW!!
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avoid abrupt D/C of therapy
taper over 2-3 weeks Risk of angina and MI |
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This is the most highly lipid soluble BB. monitor for signs of depression
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Inderal (Propanolol)
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T/F Propanolol is nonselective and therefore must not be given to a COPD or asthma pt
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T
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This is a long acting non selective BB that is renally excreted
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Corgard (Nadolol)
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This is a nonselective BB w ISA
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Visken (Pindolol)
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a patient complains of bothersome slow heart and tired feeling with other BB... which could you switch him to?
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Visken (Pindolol)
or acebutelol |
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MOA: partial BB, inhibits EPI and NE endogenous effects, yet has some stimulating B effect
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Visken (Pindolol)
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This Drug is B1 selective and has increased NO production
(MOST cardioselective BB) |
Bystolic (Nevibolol)
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IR metoprolol
ER metoprolol |
IR: tartrate
ER: Succinate |
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most hydrophilic BB
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Tenormin (Atenolol)
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Coreg
Generic MOA common SE pt counselling |
Carvedilol
Non-selective orthostasis TAKE W FOOD (reduce orthostasis) Consult physician id inc SOB or wt gain |
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half life of digoxin
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40 hrs
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digoxin dose
yellow: white: |
yellow .125mg
white: .25mg |
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Aldomet (Methyldopa) dose
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250, 500mg
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IV formulation of aldomet
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Methyldopate HCL
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MOA of Aldomet
alternate drug |
Centrally acting alpha 2 agonist : Decreases NE, Decreasing BP
Clonidine |
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This drug is on the Beers list for Syncope
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Aldomet Methyldopa
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These two drugs may be used on a pregnant patient w HTN
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Aldomet (Methyldopa)
Hydralazine |
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this K tablet can be mixed in to water to drink
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K-Dur
also take K w food to avoid GI upset |
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Lasix (Furosemide) dosages
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20,40, 80mg
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Edecrin
generic name class dose |
ethacrynic acid
Loop 25 and 50mg tabs & IV |
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this thiazide is available as a 12.5mg capsule
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Microzide
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Hydrodiuril
Generic class dose |
HCTZ
Thiazide 12.5, 25, 50, 100mg Tabs |
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Lozol
generic class dose |
Indapamide
Thiazide-like product 1.25 and 2.5mg |
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Hygroton
generic class dose |
Chlorthalidone
thiazide-like product 25, 50, 100mg |
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This is indicated in the treatment of primary hyperaldosteronism
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Spironolactone
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Inderal
Generic Class Dose |
Propanolol
BB tabs: 10 20 40 60 80mg SR 60 80 120 160 |
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1mg IV Propanolol = ___mg PO
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40mg
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Concentrated solution of Propanolol
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Intensol (80mg/ml)
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BB used to treat akathisia in pts w EPS
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Propanolol
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Corgard
Generic Class Dose |
Nadolol
LA Non selective BB 20 40 80 120 160 |
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Visken
Generic Class Dose |
Pindolol
Non-selective and ISA BB 5, 10mg |
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Bystolic
Generic Class Dose |
Nevibolol
B1 Selective (less COPD warning) AND inc NO production |
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Digoxin Oral solution
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.05mg/ml
50mcg/mL |
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Coreg BID--> QD
3.125mg BID-->10mg QD 6.25mg-->20mg 12.5mg-->40mg 25mg-->80mg |
yuup
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Is Digoxin Renally excreted?
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Yes... renally adjust (Cockcroft and Gault)
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Aldomet
Generic MOA dose |
Methyldopa
alpha 2 agonist 125, 250, 500mg |
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Coumadin Colors:
1mg 2.5mg 3mg 4mg 7.5mg 10mg |
1- pink
2.5-green 3- brown 4- blue 7.5- yellow 10- white |
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MOA of Coumadin
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Interferes with the hepatic synthesis of VITAMIN K dependent clotting factors
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What are the target ranges for I.N.R
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2-3
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Counseling Points for Coumadin
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No salicylates
minimize spinach Consistent intake Preggo Cat X |
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INR >4 increases bleeding risk
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INR>4
(International Normalized Ratio) |
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These Potassium supplements are effervescent tablets
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K-Lyte
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Target K Conc.
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3.5-5mEq/L
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This is the long acting metabolite of Isosorbide Dinitrate...
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Isosorbide Mononitrate (ISMO)
20mg BID |
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THis is the most common isosorbide dinitrate product
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Imdur
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Common SE from Nitrates
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Headache
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BiDil
Generic Indication |
Isosorbide dinitrate AND Hydralazine
Heart Failure as an adjunct to standard therapy |
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Persantine
Generic MOA Dose contraindications |
Dipyridamole
Inhibits platelet adhesion 25, 50, 75mg inappropriate for elderly- Orthostasis, GI Upset |
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Aggrenox
Generic Indication |
200mg ER Dipyridamole w 25mg aspirin (not enteric coated)
Stroke |