Cardiovascular

Question 1

clopidogrel
counseling points

Answer 1

• Avoid NSAIDs unless instructed due to increased bleeding risk
• Seek medical attention for unusual or prolonged bleeding or bruising
• Avoid abrupt discontinuation

Question 2

clopidogrel
drug class

Answer 2

Antiplatelet

Question 3

clopidogrel
brand

Answer 3

Plavix

Question 4

clopidogrel
common strengths

Answer 4

75mg

Question 5

clopidogrel
common frequency

Answer 5

300mg loading dose,
75mg daily

Question 6

clopidogrel
indication

Answer 6

To reduce rate of heart attack and stroke

Question 7

warfarin
drug class

Answer 7

Anticoagulants

Question 8

warfarin
brand

Answer 8

Coumadin

Question 9

warfarin
common strengths

Answer 9

1mg, 2mg, 2.5mg, 3mg, 4mg, 5mg, 6mg, 7.5mg,10mg

Question 10

warfarin
common frequency

Answer 10

daily

Question 11

warfarin
indication

Answer 11

• To prevent blood clots
• Atrial Fibrillation

Question 12

warfarin
counseling points

Answer 12

• Avoid NSAIDs unless instructed due to increased bleeding risk
• Seek medical attention for unusual or prolonged bleeding or bruising
• Avoid abrupt discontinuation
• Keep dietary vitamin K (green leafy vegetables) and alcohol consumption consistent
• Many drug interactions; discuss new meds with RPh
• Take missed dose ASAP, but don’t double dose same day

Question 13

rivaroxaban
drug class

Answer 13

Anticoagulants

Question 14

rivaroxaban
brand

Answer 14

Xarelto

Question 15

rivaroxaban
common strengths

Answer 15

2.5mg, 10mg,15mg, 20mg

Question 16

rivaroxaban
common frequency

Answer 16

daily, BID

Question 17

rivaroxaban
indication

Answer 17

• To prevent blood clots
• Atrial Fibrillation

Question 18

rivaroxaban
counseling points

Answer 18

• Seek medical attention for unusual or prolonged bleeding or bruising
• Gastroenteritis
• Vomiting
• Cough (pediatric patients)

Question 19

spironolactone
drug class

Answer 19

Diuretics

Question 20

spironolactone
brand

Answer 20

Aldactone

Question 21

spironolactone
common strengths

Answer 21

25mg, 50mg, 100mg

Question 22

spironolactone
common frequency

Answer 22

daily, BID

Question 23

spironolactone
indications

Answer 23

• Heart Failure
• Hypertension
  Non-FDA:
• Acne
• Hormone Therapy

Question 24

spironolactone
counseling points

Answer 24

• Gynecomastia
• Increased serum potassium
• Diarrhea
• Irregular menses

Question 25

furosemide drug class

Answer 25

Diuretics

Question 26

furosemide brand

Answer 26

Lasix

Question 27

furosemide common strengths

Answer 27

20mg, 40mg, 80mg

Question 28

furosemide common frequency

Answer 28

daily, BID

Question 29

furosemide indications

Answer 29

* Edema (swelling) * Heart Failure * Hypertension

Question 30

furosemide counseling points

Answer 30

* Sun sensitivity * Decreased electrolytes (Ca++, K++, Mg++) * Dizziness upon standing * Avoid taking at bedtime - increases urination

Question 31

hydrochlorothiazide (HCTZ) drug class

Answer 31

Diuretics

Question 32

hydrochlorothiazide (HCTZ) brand

Answer 32

Microzide

Question 33

hydrochlorothiazide (HCTZ) common strengths

Answer 33

12.5mg, 25mg, 50mg

Question 34

hydrochlorothiazide (HCTZ) common frequency

Answer 34

daily

Question 35

hydrochlorothiazide (HCTZ) indications

Answer 35

* Edema * Hypertension

Question 36

hydrochlorothiazide (HCTZ) counseling points

Answer 36

* Sun sensitivity * Dizziness upon standing * Avoid taking at bedtime - increases urination

Question 37

lisinopril drug class

Answer 37

Antihypertensives

Question 38

lisinopril brand

Answer 38

Zestril, Prinivil

Question 39

lisinopril common strengths

Answer 39

5mg, 10mg, 20mg, 30mg, 40mg

Question 40

lisinopril common frequency

Answer 40

daily

Question 41

lisinopril indications

Answer 41

* Hypertension * Heart failure * Heart attack * Migraine prevention

Question 42

lisinopril counseling points

Answer 42

* Avoid during pregnancy * Dizziness * Dry cough * Headache * Increases serum potassium

Question 43

losartan drug class

Answer 43

Antihypertensives

Question 44

losartan brand

Answer 44

Cozaar

Question 45

losartan common strengths

Answer 45

25mg, 50mg, 100mg

Question 46

losartan common frequency

Answer 46

daily

Question 47

losartan indications

Answer 47

* Hypertension * Heart failure * Diabetic nephropathy

Question 48

losartan counseling points

Answer 48

* Avoid during pregnancy * Dizziness * Headache * Increases serum potassium

Question 49

amlodipine drug class

Answer 49

Antihypertensives

Question 50

amlodipine brand

Answer 50

Norvasc

Question 51

amlodipine common strengths

Answer 51

2.5mg, 5mg, 10mg

Question 52

amlodipine common frequency

Answer 52

daily

Question 53

amlodipine indications

Answer 53

* Hypertension * Management of angina (chest pain) * Raynaud’s Phenomenon

Question 54

amlodipine counseling points

Answer 54

* Leg swelling (edema) * Headache

Question 55

metoprolol tartrate --------- metoprolol succinate drug class

Answer 55

Antihypertensives

Question 56

metoprolol tartrate --------- metoprolol succinate brand

Answer 56

Lopressor (immediate release) --------- Toprol XL (extended release)

Question 57

metoprolol tartrate --------- metoprolol succinate common strengths

Answer 57

IR: 25mg, 50mg, 100mg --------- XL: 25mg, 50mg, 100mg, 200mg

Question 58

metoprolol tartrate --------- metoprolol succinate common frequency

Answer 58

IR: BID XL: daily

Question 59

metoprolol tartrate --------- metoprolol succinate indication

Answer 59

* Hypertension * Post heart attack * Management of angina (IR only) * Heart failure (XL only)

Question 60

metoprolol tartrate --------- metoprolol succinate counseling points

Answer 60

* Dizziness * Fatigue (goes away within 7 days) * Take with food - better absorption * Lowers heart rate * Do not discontinue medication abruptly – increased cardiovascular risk

Question 61

Counseling Tip

Answer 61

All diuretics and anti-hypertensive agents can cause hypotension (low blood pressure)