Pharm test 5 Flashcards
Vital signs to check before giving beta blockers
-Assess HR+BP
Beta blockers reduce cardiac workload by slowing heart rate
What orders should you give a pt. on 2 inhalers or 2 nasal sprays
-Use the bronchodilator “reliever” first
-take beta agonist (albuterol) before corticosteroid (fluticasone)
-wait 5 minutes between meds
What labs should you check for pts. taking blood thinners
-prothrombin time (PT)
-activated partial thromboplastin time (aPTT)
What can help pts. taking Niacin w/ side effects such as flushing
-give aspirin 30 minutes before med to prevent flushing
-take with meals
Activities to avoid if taking a histamine (such as diphenhydramine)
-driving
-ETOH, opioids, CNS depressants cause increase sedation
Side effects of calcium channel blockers
-bradycardia, hypotension, headache, edema, dizziness, flushing, constipation
-*no grapefruit
What inhalers could have cross sensitivity to pts. with peanut and soy allergies
-bronchodilators (anticholinergi)
-ipratropium and tiotropium
side effects of albuterol
-palpitations, tremor, headache, throat irritation, nervousness, restlessness, tachy
What is rhabdomyolysis
-breakdown of muscle tissue that releases damaging protein into the blood
Symptoms to report if pt is taking a “statin” medication
-rhabdomyolysis
-headache, GI complaints, muscle pain, hepatoxicity
When should you apply and remove a nitro patch
-give on an empty stomach
-use gloves with the paste or a patch
-remove at HS to prevent tolerance
-rotate sites
Lifestyle changes to lower cholesterol
-maintain weight
-medically supervised exercise plan
-reduce/eliminate tobacco use
-reduce sat. fats
-increase soluble fiber
Side effects of cholestyramine
-GI tract issues, bloating, constipation
What is the purpose of giving clot busting meds for heart attack pts? (thrombolytics)
-dissolve clots, improve blood flow
-dissolves clots obstructing coronary arteries
-give within 24 hrs of MI
Herbal remedy reducing angina
-Ginseng
