Formulary quiz week 3 - Lab

Question 1

Ranolazine ER

Answer 1

Brand: Ranexa
Dose: 500mg BID titrate to 1000mg BID over 1-2 weeks
AE: constipation, nausea, dizziness and headache
Monitoring: metabolized by CYP3A4 and CYP2D6

Question 2

bumetanide (loop diuretic)

Answer 2

Brand: Bumex
Dose: 0.5mg or 1mg
AE: hyperuricemia, hypochloremia, hypokalemia (loss of electrolytes), AKI, ototoxicity
Monitoring: electrolytes and renal function

Question 3

ACEi

Answer 3

AE: dry cough, angioedema
Monitoring: CrCl, potassium levels, renal fxn

Question 4

ARB

Answer 4

AE: angioedema, hyperkalemia,
Monitoring: CrCl, potassium levels, renal fxn

Question 5

DHP CCB

Answer 5

AE: lightneadedness, flushing, HA, peripheral edema
Monitoring: glucose, potassium, calcium, bicarb

Question 6

non-DHP CCB

Answer 6

AE: HA, bradycardia, pulmonary edema
Monitoring: BP, HR, liver fxn

Question 7

BB

Answer 7

AE: bradycardia, hypotension, edema (pindolol and possibly certain others)
Monitoring: BP and ECG, taper off BB

Question 8

empagliflozin

Answer 8

Brand: Jardiance
Dose: 10mg daily
AE: UTI, increased urination
Monitoring: blood glucose, renal fxn, electrolytes, foot inspections (for injuries and infections), A1c

Question 9

hydralazine

Answer 9

Brand: APO-hydralazine, Apresoline
Dose:
-HFrEF: 25mg TID titrate to 75 or 100mg TID
-HTN: 10mg QID for 2-4 days, then 25mg QID for rest of week, then 50mg QID
AE: flushing, hypotension, tachycardia, lupus like syndrome
Monitoring: BP, HR, CBC

Question 10

ISMN

Answer 10

Brand: IMDUR, APO-ISMN
Dose: (remember nitrate free period)
-IR: 20mg BID
-ER: 30-60mg QAM, may titrate to 120mg and sometimes 240mg
AE: HA, dizziness, hypotension, bradycardia
Monitoring: BP, HR

Question 11

ISDN

Answer 11

Brand: Dilatrate-SR, Isordil Titradose
Dose:
-angina: (remember nitrate free period)
—IR: 5-20mg 2-3x daily, titrate up to 10-40mg 2-3x daily
—ER: 40-160mg daily
-HFrEF:
—IR: initial is 20mg TID in combo w/ hydralazine, titrate to 40mg TID
AE: hypotension, HA
Monitoring: BP, HR

Question 12

NTG

Answer 12

Brand: GoNitro, Minitran, Nitro-Bid, Nitro-Dur, NitroMist, Nitrostat
Dose:
-SL Tab: 0.3-0.4mg at onset and q5minutes if pain persists, up to 3 tabs in 15 min period
-spray: 0.4mg/spray with 1-2 sprays at onset and q5minutes after
-patch: 0.2-0.4mg per hour (max of 0.8mg/hr)
AE: HA (patch and spray)
Monitoring: BP, HR

Question 13

omega 3 fatty acid

Answer 13

Brand: fish oil, Lovaza
Dose:
-Lovaza: 4g daily or 2g BID
AE:
Monitoring: TG, LDL, liver fxn

Question 14

potassium chloride

Answer 14

Brand: K-Tab, Klor-Con, Pokanza
Dose: largely variable depending on potassium levels and whether IV or oral
AE: bradycardia, chest pain, hyperkalemia, hyponatremia
Monitoring: electrolytes, bicarb (acid/base balance), renal fxn

Question 15

rivaroxaban

Answer 15

Brand: xarelto
Dose:
AE:
Monitoring:

Question 16

spironolactone

Answer 16

Brand: aldactone
Dose:
AE:
Monitoring:

Question 17

ticagrelor

Answer 17

Brand: brilinta
Dose:
AE:
Monitoring:

Question 18

torsemide

Answer 18

Brand: demadex
Dose:
AE:
Monitoring:

Question 19

bivalirudin

Answer 19

Brand: angiomax and angiox
Dose:
AE:
Monitoring:

Question 20

enoxaparin

Answer 20

Brand: lovenox
Dose:
AE:
Monitoring:

Question 21

eplerenone

Answer 21

Brand: Inspra
Dose:
AE:
Monitoring:

Question 22

fondaparinux

Answer 22

Brand: arixtra
Dose:
AE:
Monitoring:

Question 23

heparin

Answer 23

Brand:
Dose:
AE:
Monitoring:

Question 24

ivabradine

Answer 24

Brand: Corlanor
Dose:
AE:
Monitoring:

Question 25

prasugrel

Answer 25

Brand: Effient
Dose:
AE:
Monitoring:

Question 26

aspirin

Answer 26

Brand: ASA
Dose:
AE:
Monitoring: