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50 Cards in this Set

  • Front
  • Back

The end result of the coagulation cascadeis

Fibrin

The end result of the fibrinolytic systemis:

Plasmin that breaks the fibrin thrombusdown into fibrin degradation products (FDP)

Five groups of coagulation modifier drugsare:

Anticoagulants


Antiplatelets


Hemorheologic


Thrombolytic


Antifibrinolytic or hemostatic

Theanticoagulants action:

Prevent clot formation

Theantiplatelet action:

Prevent platelet plugs

The hemorheologic action:

Alter platelet function

Thethrombolytic drugs:

Lyse clots

Theantifibrinolytic drugs:

Promote coagulation

Two main anticoagulants are:

Heparins (heparin and LMWH) and


Coumarins (warfarin)

Heparin lab _______ warfarin lab ______

Heparin: aPTT


Warfarin: PT/INR

Three lipoproteins are:

VLDL, LDL, HDL

DOCfor HLD is based on:

Patient phenotyping

First line treatment for HLD:


First line drug class:

Lifestyle changes (diet, exercise, stressmgmt.)“Statins”

Two patient populations with specialconsiderations in treating HLD:

Diabetics, CVD

Namethree statins:

atorvastatin


pravastatin


lovastatin


fluvastatin


simvastatin


pitavastatin


rosuvastatin

The bile acid sequestrants causeconstipation and bloating. What arerecommendations to your patient?

Fiber


Increase fluids


Psyllium (Metamucil)

Niacin (Vitamin B3) has an annoyingSE. What is it?

Flushing


Pruritus


GI distress

Treatment for SE in #17:

Start with low dose


Premedicate with aspirin or NSAID 30before Take with meals

Name two fibrates:

gemfibrozil (Lopid)


fenofibrate(Tricor)

Name three supplements people often taketo help reduce cholesterol.

Garlic


Flax


Omega-3’s

The ‘common cold’ is most often causedby:

rhinovirus

Symptomsof the common cold include: (Give four).

Excessive mucus


Sore throat


Coughing


Upset stomach


Sneezing


Nasal congestion/stuffiness

Drugs to treat these symptoms (four):

antihistamines


nasal decongestants


antitussives


expectorants

Threemain classes of drugs for decongestants.

adrenergics


anticholinergics


corticosteroids

Which class is associated with ‘reboundcongestion”?

adrenergics

Name three health conditions that arecontraindications for using nasal decongestants:

HTN


Narrow-angle glaucoma


CVD (uncontrolled)


DM


hyperthyroidism

Foods best avoided when usingdecongestants are:

Caffeine


Caffeine-containing products

Name a non-opioid antitussive.

dextromethorphan (Robitussin-DM)benzonatate (Tessalon Perles)

Drugs that aid in the removal of mucousare called:

expectorants

Name one expectorant:

guaifenesin (Mucinex)

Threeprimary diseases that make up COPD are:

Asthma


Emphysema


Chronic bronchitis

Three classes of bronchodilators are:

Beta-adrenergic agonists


Anticholinergics


Xanthine derivatives

Name two short-acting beta-agonists(SABA):

Albuterol (Ventolin)


Terbutaline (Brethine)


Levalbuterol (Xopenex)


Metaproterenol (Alupent)

Name one long-acting beta-agonist (LABA)

salmeterol (Serevent)

Maximum dosing for the LABA:

Twice daily

The anticholinergics block whatneurotransmitter?

acetylcholine

Name an anticholinergic blocker:

Ipratropium (Atrovent)


Tiotropium (Spiriva)

Name the xanthine derivative used as abronchodilator:

theophylline (Aminophylline)

Therapeutic levels for theophylline:

10-20 mcg/mL

AE’s of theophylline: (Give 2 main)

Sinus tachycardia


Ventricular dysrhythmias


hyperglycemia

Name an erythropoietin-stimulating agent:

Epoetin alfa (Epogen)

Namethree foods that enhance iron absorption:

Veal


Orange juice


Fish


Ascorbic acid



Name three foods that impair ironabsorption:

Eggs


Corn


Beans


Cereal products containing phytates

Advise to patients who are taking liquidiron preparations:

Straw: stain teeth

Cyanocobalamin (B12) is used to treat:

Pernicious anemia

Primary use for folic acid (give 2):

Folic acid deficiency


Pregnancy: prevent neural tube defects(NTDs)

Priorto giving iron dextran IV the patient is premedicated with:

Diphenhydramine (Benadryl)


Acetaminophen (Tylenol)


Hydrocortisone (Solu-Cortef)

Instructionsto patient after getting iron dextran IV:

Recumbent for 30 min. Get up slowly and purposefully.

PE: do not take oral iron supplements with:

Milk or antacids

Treatment for severe iron toxicity

Chelation therapy with deferoxamine