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10 Cards in this Set

  • Front
  • Back
Atorvastatin
+Lipitor, Caudet*
+HMG-COA reductase
inhibitor
+Primary prevention of CHD, dyslipidemias (FH, HeFH)
+PC: X
MOA:Inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase, the rate-limiting enzyme in cholesterol synthesis (reduces the production of mevalonic acid from HMG-CoA); this then results in a compensatory increase in the expression of LDL receptors on hepatocyte membranes and a stimulation of LDL catabolism
Rosuvastatin
+Crestor
+HMG-COA reductase
inhibitor
+Hyperlipidemia, mixed dyslipidemia, hypertriglyceridemia, primary dysbetalipoproteinemia, slowing progression of atherosclerosis
+PC: X
MOA: Inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase, the rate-limiting enzyme in cholesterol synthesis (reduces the production of mevalonic acid from HMG-CoA); this then results in a compensatory increase in the expression of LDL receptors on hepatocyte membranes and a stimulation of LDL catabolism
Niacin
+Niaspan, Slo-Niacin
+Antilipemic agent, vitamin
+Hyperlipidemia, pellagra
+PC: A/C Enter Breast Milk
+MOA: Component of two coenzymes which is necessary for tissue respiration, lipid metabolism, and glycogenolysis; inhibits the synthesis of very low density lipoproteins (VLDL) and low density lipoproteins (LDL); may also increase the rate of chylomicron triglyceride removal from plasma.
Ezetimibe
+Zetia, Vytorin*
+Antilipemic Agent, 2-Azetidinone
+Hyperlipidemias, sitosterolemia
+PC: C
+MOA: Inhibits absorption of cholesterol at the brush border of the small intestine via the sterol transporter, Niemann-Pick C1-Like1 (NPC1L1). This leads to a decreased delivery of cholesterol to the liver, reduction of hepatic cholesterol stores and an increased clearance of cholesterol from the blood; decreases total C, LDL-cholesterol (LDL-C), ApoB, and triglycerides (TG) while increasing HDL-cholesterol (HDL-C).
Fenofibrate
+Tricor
+Antilipemic agent, fibric acid
+Hypertriglyceridemia, hypercholesterolemia or mixed hyperlipidemia
+PC: C
+MOA:Fenofibric acid, an agonist for the nuclear transcription factor peroxisome proliferator-activated receptor-alpha (PPAR-alpha), downregulates apoprotein C-III (an inhibitor of lipoprotein lipase) and upregulates the synthesis of apolipoprotein A-I, fatty acid transport protein, and lipoprotein lipase resulting in an increase in VLDL catabolism, fatty acid oxidation, and elimination of triglyceride-rich particles; as a result of a decrease in VLDL levels, total plasma triglycerides are reduced by 30% to 60%; modest increase in HDL occurs in some hypertriglyceridemic patients.
Omega-3 polyunsaturated
Fatty acids
+Lovaza
+Antilipemic agent
+Hypertriglyceridemia, tx of IgA nephropathy (unlabeled use)
+PC: C
+MOA: Possible mechanisms include inhibition of acyl CoA:1,2 diacylglycerol acyltransferase, increased hepatic beta-oxidation, a reduction in the hepatic synthesis of triglycerides, or an increase in plasma lipoprotein lipase activity.
Furosemide
+Lasix
+Loop Diuretic
+Edema, heart failure, acute pulmonary edema, hypertension, refractory heart failure
+PC: C
+MOA: Inhibits reabsorption of sodium and chloride in the ascending loop of Henle and distal renal tubule, interfering with the chloride-binding cotransport system, thus causing increased excretion of water, sodium, chloride, magnesium, and calcium
+BB Warning: a potent diuretic which, if given in excessive amounts, can lead to a profound diuresis with water and electrolyte depletion
Hydrochlorothiazide
+HydroDIURIL*
+Diuretic, thiazide
+Hypertension, edema
+Inhibits sodium reabsorption in the distal tubules causing increased excretion of sodium and water as well as potassium and hydrogen ions
+PC: C
Spironolactone
+Aldactone
+Potassium sparing diuretic, selective aldosterone blocker
+Edema, hypokalemia, hypertension, heart failure
+PC: C/D
+Spironolactone has been shown to be a tumorigen in chronic toxicity studies in rats. Use spironolactone only in those conditions for which it is indicated. Avoid unnecessary use of this drug.
Clonidine
+Catapres, Catapres-TTS
+Alpha-2 adrenergic agonist
+Mild-to-moderate hypertension
+Stimulates alpha2-adrenoceptors in the brain stem, thus activating an inhibitory neuron, resulting in reduced sympathetic outflow from the CNS, producing a decrease in peripheral resistance, renal vascular resistance, heart rate, and blood pressure; epidural clonidine may produce pain relief at spinal presynaptic and postjunctional alpha2-adrenoceptors by preventing pain signal transmission; pain relief occurs only for the body regions innervated by the spinal segments where analgesic concentrations of clonidine exist
+PC: C