Cardiovascular Module 2 Part 2 Flashcards

(119 cards)

1
Q

Antihyperlipedemic drugs are also called what

A

Hmg-coA reductase inhibitor Or Statins

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2
Q

What is the action of statins

A

Inhibiting the manufacture of cholesterol or promoting the breakdown of cholesterol

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3
Q

Uses of statins

A

Treatment of hyperlipedemia Primary prevention of coronary events Secondary prevention of cardiovascular events

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4
Q

Adverse reactions of statins

A

Headache dizziness insomnia Flatulence abdominal pain cramping constipation nausea

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5
Q

Contraindications and precautions for statins

A

Contraindicated in ppl with hypersensitivity to drug Serious liver disorders During pregnancy and lactation

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6
Q

Statins are what pregnancy category

A

X

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7
Q

Bile acid resin mechanism of action is what

A

The bile acid binds resin blinds to bile acids to form an insoluble substance that can not be absorbed by the intestine and secreated in the feces Due to loss of bile acids the liver uses cholesterol to manufacture bile lowering cholesterol levels

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8
Q

Uses for bile acid resins

A

Hyperlipedemia Pruitis associated with partial billary obstruction

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9
Q

Adverse reactions for bile acid resins

A

Constipation which may lead to fecal impaction Aggravation of hemorrhoids Abdominal cramps Flatulence Nausea Increased bleeding due to malabsorption of vitamins ADEK

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10
Q

______ may reduce the absorption of vitamins Specifically ADEK

A

Bile acid resins

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11
Q

Because bile acid resins decrease the absorption of many drugs how should it be administered

A

Alone And other drugs should be given 1 hour before or 2 hours after

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12
Q

____ can be served in juice or fruit pulp but not carbonated beverages

A

Bile acid resins

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13
Q

Nanda diagnosis associated with bile acid resins

A

Altered nutrition less than body requirements

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14
Q

What is the action of fibric acid derivatives

A

Text synthesis and mobilization of cholesterol

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15
Q

Fibric acid derivatives ____ triglycerides ____ hdl ___ LDL

A

Decrease Increase Decrease

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16
Q

The adverse reactions of fibrates are associated with what body system

A

Integumentary Skin rash allopecia etc

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17
Q

Cholesterol Absorption inhibitor inhibit cholesterol absorption from what

A

Food

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18
Q

What is a common side effect of cholesterol absorption inhibitors

A

Fatty deposits in school

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19
Q

Nicotonic acid (vitamin b 3) Is similar to what class of drugs

A

Fibrates

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20
Q

What is a severe side effect of Nicotinic acid

A

Skin rash

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21
Q

If ____ is taken with food the affects are minimized

A

Niacin

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22
Q

Another name for an anticoagulant is what

A

Blood thinner

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23
Q

What is the action of an anticoagulant

A

Inhibit clot formationPrevent extension of clot Prevent additional clots from forming

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24
Q

______ Will not make existing clots smaller or break them apart

A

Anticoagulants

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25
What is the drug of choice for acute Thrombolytic conditions
Heparin IV
26
What is the action of heparin
Interferes with conversion of fibrinogen to fibrin
27
How is a heparin dose given
First a bolus doses given IV push then infusion and titratedThe dose will be titrated based on the patient's PTT
28
What does PTT measure
PTT measures how fast the blood will clot
29
What should the patient's PTT Be if they are on heparin
1.5 -2.5 times the control
30
Heparin subcutaneous must be given where
In the lower abdomen quadrants only
31
What are two major side effects of heparin
Bleeding and allergies
32
Why do some people experience allergies. When receiving heparin
Heparin is derived from animal pork and beef
33
If. Bleeding occurs while on heparin what may you do at the site
Use ice chips and light pressure
34
What is the antidote for heparin
Protamine or protamine sulfate
35
What is the drug for low molecular weight heparin
Lovenox
36
What is the onset and dose for Lovenox
Onset 2-3 hrs Dose 1mg/kg of patients weight usually 70mg
37
How is low molecular weight heparin different from Heparin subcutaneous
*** Prefilled syringe***Don't expel inject airCheaperNot animalLess bleeding
38
What is the action of anti-thrombolytic drugs
Inhibit factor X aInhibit conversion of prothrombin into thrombin
39
The long-term drug of choice for thrombolytic affects is
Warfarin Coumadin
40
What is the action of Coumadin
Prevent synthesis of vitamin K
41
What must you teach a patient on Coumadin about their diet
They must have a consistent intake of vitamin K
42
Although Coumadin dosage is based on the INR what is the average adult dose
2-15mg
43
What is the antidote for Coumadin
Vitamin k
44
For patient on Coumadin INR must be between what
3-Feb
45
If you are planning to administer Coumadin and you check the INR and it is greater than three what would you do
Hold the dose
46
INr and PT measure what
Ability of blood to clot
47
The greater the number in the INR the greater the risk of
Bleeding
48
In order to administer heparin you must check what lab
PTT
49
In order to administer Coumadin you must check what lab
INR
50
Glycoproteins receptor antagonist Action
Inhibit platelet aggregationPrevents
51
Antihyperlipedemic drugs are also called what
Hmg-coA reductase inhibitor Or Statins
52
What is the action of statins
Inhibiting the manufacture of cholesterol or promoting the breakdown of cholesterol
53
Uses of statins
Treatment of hyperlipedemia Primary prevention of coronary events Secondary prevention of cardiovascular events
54
Adverse reactions of statins
Headache dizziness insomnia Flatulence abdominal pain cramping constipation nausea
55
Contraindications and precautions for statins
Contraindicated in ppl with hypersensitivity to drug Serious liver disorders During pregnancy and lactation
56
Statins are what pregnancy category
X
57
Bile acid resin mechanism of action is what
The bile acid binds resin blinds to bile acids to form an insoluble substance that can not be absorbed by the intestine and secreated in the feces Due to loss of bile acids the liver uses cholesterol to manufacture bile lowering cholesterol levels
58
Uses for bile acid resins
Hyperlipedemia Pruitis associated with partial billary obstruction
59
Adverse reactions for bile acid resins
Constipation which may lead to fecal impaction Aggravation of hemorrhoids Abdominal cramps Flatulence Nausea Increased bleeding due to malabsorption of vitamins ADEK
60
______ may reduce the absorption of vitamins Specifically ADEK
Bile acid resins
61
Because bile acid resins decrease the absorption of many drugs how should it be administered
Alone And other drugs should be given 1 hour before or 2 hours after
62
____ can be served in juice or fruit pulp but not carbonated beverages
Bile acid resins
63
Nanda diagnosis associated with bile acid resins
Altered nutrition less than body requirements
64
What is the action of fibric acid derivatives
Text synthesis and mobilization of cholesterol
65
Fibric acid derivatives ____ triglycerides ____ hdl ___ LDL
Decrease Increase Decrease
66
The adverse reactions of fibrates are associated with what body system
Integumentary Skin rash allopecia etc
67
Cholesterol Absorption inhibitor inhibit cholesterol absorption from what
Food
68
What is a common side effect of cholesterol absorption inhibitors
Fatty deposits in school
69
Nicotonic acid (vitamin b 3) Is similar to what class of drugs
Fibrates
70
What is a severe side effect of Nicotinic acid
Skin rash
71
If ____ is taken with food the affects are minimized
Niacin
72
Another name for an anticoagulant is what
Blood thinner
73
What is the action of an anticoagulant
Inhibit clot formationPrevent extension of clot Prevent additional clots from forming
74
______ Will not make existing clots smaller or break them apart
Anticoagulants
75
What is the drug of choice for acute Thrombolytic conditions
Heparin IV
76
What is the action of heparin
Interferes with conversion of fibrinogen to fibrin
77
How is a heparin dose given
First a bolus doses given IV push then infusion and titratedThe dose will be titrated based on the patient's PTT
78
What does PTT measure
PTT measures how fast the blood will clot
79
What should the patient's PTT Be if they are on heparin
1.5 -2.5 times the control
80
Heparin subcutaneous must be given where
In the lower abdomen quadrants only
81
What are two major side effects of heparin
Bleeding and allergies
82
Why do some people experience allergies. When receiving heparin
Heparin is derived from animal pork and beef
83
If. Bleeding occurs while on heparin what may you do at the site
Use ice chips and light pressure
84
What is the antidote for heparin
Protamine or protamine sulfate
85
What is the drug for low molecular weight heparin
Lovenox
86
What is the onset and dose for Lovenox
Onset 2-3 hrs Dose 1mg/kg of patients weight usually 70mg
87
How is low molecular weight heparin different from Heparin subcutaneous
*** Prefilled syringe***Don't expel inject airCheaperNot animalLess bleeding
88
What is the action of anti-thrombolytic drugs
Inhibit factor X aInhibit conversion of prothrombin into thrombin
89
The long-term drug of choice for thrombolytic affects is
Warfarin Coumadin
90
What is the action of Coumadin
Prevent synthesis of vitamin K
91
What must you teach a patient on Coumadin about their diet
They must have a consistent intake of vitamin K
92
Although Coumadin dosage is based on the INR what is the average adult dose
2-15mg
93
What is the antidote for Coumadin
Vitamin k
94
For patient on Coumadin INR must be between what
3-Feb
95
If you are planning to administer Coumadin and you check the INR and it is greater than three what would you do
Hold the dose
96
INr and PT measure what
Ability of blood to clot
97
The greater the number in the INR the greater the risk of
Bleeding
98
In order to administer heparin you must check what lab
PTT
99
In order to administer Coumadin you must check what lab
INR
100
Glycoproteins receptor antagonist Action
Inhibit platelet aggregationPrevents
101
Warfarin NA Coumadin
Oral anticoagulants
102
Lidocaine Xylocaine
Sodium channel blocker
103
Propranolol hcl Inderal
Class: Beta blocker Dose: 10mg TID
104
Amlodipine Norvasc
Calcium channel blocker
105
Nifedipine Procardia
Calcium channel blocker
106
Verapamil Hcl Calan Isoptin
Calcium channel blocker
107
Diltiazem hcl Cardizem
Calcium channel blocker
108
Isosorbide dinitrate (isordil)
Class: Coronary vasodilator Dose: 2 1/2-5mg Route: P0 chewable sublingual Taken in an empty stomach
109
Nipride
Direct acting peripheral Vasodilator
110
Epinephrine Adrenalick
Vasoconstrictor
111
SimvastatinZocor
Anti hyperlipemic 5-10mg bid
112
Enoxaprin Lovenox
Anticoagulant
113
ClopidogrelPlavix
Antiplatelet75mg/day
114
CaptoprilCapoten
Ace inhibitor
115
LisinoprilPrinvil Zestril
Ace inhibitor
116
AmiodaroneCordarone
Potassium channel blocker
117
Procainamide
Sodium channel blocker
118
Methyldopa Aldomet
Anti hypertensive Anti adrenergic
119
Dopamine
Vasoconstrictors