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38 Cards in this Set
- Front
- Back
Centrally acting antihypertensives
|
Clonidine
Methydopa |
|
CAH Indications
|
Hypertension
+ Gestational hypertension (methyldopa) + Treatment of menopausal flushing, ADHD, adjunct to anaesthesia, symptoms of opioid withdrawal (clonidine) |
|
CAH SE
|
orthostatic hypotension
dizziness drowsiness fatigue headache dry mouth bradycardia + fever (methyldopa) |
|
CAH Labels
|
16
+ 1,9 (C) + 12 (M) |
|
CAH Counselling
|
+ Clonidine withdrawal may cause a hypertensive crisis (9)
|
|
Clonidine Monitoring
|
BP
hepatic function weight- fluid retention plasma catecholamines |
|
Methydopa Monitoring
|
BP
LFT Oedema WBC RBC |
|
Moxonidine Indications -
|
3rd line antihypertensive
|
|
Moxonidine SE
|
weak
dry mouth rash |
|
Moxonidine Counselling
|
1, 9, 12, 16
|
|
Moxonidine Monitoring
|
BP
RF |
|
Sotalol Indications
|
Treatment and prevention of arrhythmias, including atrial,
supraventricular and serious ventricular arrhythmias |
|
Sotalol SE
|
+ worsening Raynaud's
+ disturbances of vision, taste, hearing |
|
Sotalol Labels
|
9, 12
+ 4, C |
|
Sotalol Counselling
|
Sotalol may cause dizziness, drowsiness or visual disturbances; if you are affected, do not drive or operate machinery
|
|
Sotalol Monitoring
|
BGL & lipid
BP LFT + ECG |
|
Digoxin Indications
|
AF or atrial flutter
Heart failure SVT with AV nodal re-entry |
|
Digoxin SE
|
anorexia
n/v diarrhoea blurred vision yellow vision confusion drowsiness nightmares agitation depression |
|
Digoxin Counseling + Labels
|
5
- be aware of signs of toxicity; i.e. anorexia, nausea, vomiting or visual disturbances (blurred vision, yellow vision) |
|
Digoxin Monitoring
|
- digoxin levels before dose, then 6 hrs after (0.5-2ug/L)
- RF - electrolytes |
|
Amiodarone Indications
|
Serious tachycardia
|
|
Amiodarone SE
|
anorexia
n/v constipation taste disturbance (metallic taste, loss of taste) photosensitivity blue skin pigmentation neurotoxicity HYPO/HYPER THYROID (contains iodine) PULMONARY TOXICITY vivid dreams and nightmares |
|
Amiodarone Counseling + Labels
|
5, 8, 18
! you will need regular blood tests, ECGs and chest x-rays while taking amiodarone ! tell your doctor if you develop shortness of breath or a dry cough, problems with your vision, weight loss, muscle weakness or worsening of your heart symptoms |
|
Amiodarone Monitoring
|
- thyroid
- iodine - amiodarone concetration - electrolyte imbalances - FBC - ECGs - Chest X-rays - Eye condition |
|
Nitrates
|
GTN
Isosorbide dinitrate Isosorbide mononitrate |
|
Nitrates Indications
|
Prevention and treatment of angina
+ Chronic heart failure (isosorbide dinatrate with hydralazine) |
|
Nitrates SE
|
Most due to vasodilation:
headache flushing palpitations orthostatic hypotension* peripheral oedema |
|
Nitrates Labels
|
16
+ 7a, 13 (GTN) + A (CR Iso Mono) |
|
Nitrates Counseling
|
Sublingual tabs and spray:
! use during episodes of angina or before an activity expected to precipitate angina ! sit or lie down before use* ! place one tab/spray under tongue; do not swallow; spit out after angina relieved to avoid SE such as headaches ! call ambulance if two tabs/sprays over 15 minutes don’t relieve pain ! Store tablets in original glass container and protect from moisture, light and heat; do not carry close to the body; write date of opening on container and discard unused contents after 3 months. Prime spray several times if not used for a while or new. Expire in 2 years of opening. Ensure nitrate-free period (10-12 hours) to avoid tolerance. |
|
Nitrates Monitoring
|
oedema
hypotension decreased ability in treating and/or preventing angina attacks |
|
Nicorandil Indications
|
Prevention and treatment of stable angina
|
|
Nicrorandil SE
|
dizziness, headache,
flushing, palpitations, lethargy |
|
Nicrorandil Counselling and Labels
|
9, 12
|
|
Nicrorandil Monitoring
|
signs of GI inflammation, ulceration or peroforation
- BP |
|
Perhexiline Indications
|
Angina refractory to other medical or surgical treatment.
|
|
Perhexiline SE
|
dizziness,
headache, weight loss, nausea, hepatotoxicity, peripheral neuropathy, hypoglycaemia |
|
Perhexiline Counselling + Labels
|
12
You will need to go for regular blood test whilst taking this medication |
|
Perhexiline Monitoring
|
LFT monthly
weight BGL signs of hepatotoxicity peripherial neuropathy therapeutic range 3-5 days then monthly TG, cholestrol ECG |