MED SHEETS Flashcards by Mikeal Lang

What is the generic name for Lanoxin

digoxin

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What is the Trade/Brand name for digoxin

Lanoxin

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What is the antidote for digoxin

dig immune fab

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What therapeutic class is digoxin

Inotropics

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What pharmacologic class is digoxin

Glycosides

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What is the indication for digoxin

HF
A. Fib
A. Flutter

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What drug helps the heart pump more efficiently/effectively

Digoxin

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Is digoxin Low or High protein binding

Low

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What is the MOA of digoxin

Increase:
Force of heart contractions
Cardiac output

Decrease:
Heart Rate

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What does digoxin inhibit

Na+
K+
ATPase

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What are the contraindications of digoxin

Low:
K
Mag

High:
Ca

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What are the adverse affects of digoxin?

Bradycardia
Arrhythmias
Thrombocytopenia (drop in platelet count)

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What are the signs and symptoms of dig toxicity

Visual disturbances (halos)
Bradycardia
Anorexia
Abdominal pain
N/V

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What interactions does digoxin have?

High fiber- lowers absorption
Give 1 hour before or 2 hours after meals
Black Licorice + Aloe (drops K)
St. John’s wort (lessens drug effects)

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What do you assess for when administering digoxin

Serum dig level
Apical Pulse 60 secs (>60)
I & O
Daily weight

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What labs do you check for with digoxin

Ca (^)
K (v)
Mag (v)
BUN
Cr
ALT
AST
Albumin

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What is the generic name for Lasix

furosemide

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What is the Brand/Trade name for furosemide

Lasix

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What is the therapeutic class for furosemide

Diuretics

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What is the pharmacologic class of furosemide

Loop diuretics

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What is the indication of furosemide

Edema (due to HF, liver/kidney disease)
Hypertension

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What is the MOA of furosemide

Lower BP
Increase excretion (H2O, Na,Cl, Ca, K, Mag)
Inhibits sodium & chloride reabsorption

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Is furosemide Low or High protein binding

HIGH
91-99%

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What are the counter indications of furosemide

Diabetes
Low electrolyte
Hypotension (systolic <100)

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What are the adverse effects of furosemide

Hypocalcemia Erythema multiforme Stevens-Johnson syndrome Hypotension Aplastic anemia Hypokalemia Agranulocytosis

What do you assess for with furosemide

Daily weight I&O BP HR Skin rash Turgor Edema Lung sounds

What vitals do you check for before administering furosemide

BP (systolic >100) HR

What labs do you check when administering furosemide

ALT AST BUN Cr Electrolytes Albumin

What electrolytes do you check for with furosemide

Na Cl Ca K Mag

What do we teach a pt taking furosemide

Contact HCP in case of Rash Muscle weakness Cramps Nausea Dizziness Tingling of extremities Increased urination expectation Reposition/ move slowly Take in the AM

What is the Brand/Trade name for enoxaparin

Lovenox

What is the generic name for Lovenox

enoxaparin

What is the therapeutic class for enoxaparin

Anticoagulants

What is the pharmacologic class for enoxaparin

Antithrombotics

What is the MOA for enoxaparin

Decreasing blood clot (thrombus) formation

What is the indication for enoxaparin

Prevention of DVT (Deep Vein Thrombosis) With or without PE (Pulmonary Embolism)

Is enoxaparin Low or High protein binding

Low

What route do you administer enoxaparin

Subcut

Where do you administer enoxaparin

Lateral abdomen Love handles

What are the contraindications of enoxaparin

Active bleeding/ ulcers History of heparin induced thrombocytopenia

What kind of heparin is enoxaparin

Low molecular weight

What are the adverse effects of enoxaparin

Urinary retention Anemia Bleeding

What do you assess for with enoxaparin

Platelets (PLT) >100,000 s/s of: Bleeding/ Hemorrhage Clots

What labs do you monitor with enoxaparin

CBC Platelet count Stool (occult blood) ALT AST

What interactions are associated with enoxaparin

Arnica Chamomile Clove Garlic Ginger Ginko Ginseng

What do you teach a pt using enoxaparin

s/s of unusual bleeding/bruising Dizziness Rash Swelling Itchiness Difficulty breathing

How does enoxaparin come prepared

Pre-filled syringes

What medication do you not want to use in combination with enoxaparin

Unfractionated heparin

What is the antidote for enoxaparin

Protamine sulfate (1mg/1mg enoxaparin)

What are the 4 insulins

Regular NPH Aspart/Lispro Glargine

What is the antidote for insulin

Glucose Glucagon Epinephrine

What is the therapeutic class of insulin

Antidiabetics

What is the pharmacologic class of insulin

Pancreatics

What is the indication for insulin

Control of hyperglycemia in pts with diabetes

What is the MOA of insulin

Lower blood sugar Control hyperglycemia

Is insulin Low or High protein binding

Low

Name insulins in order from fastest acting to slowest acting

Aspart/ Lispro Regular NPH Glargine

Which insulin can never be mixed

Glargine

Which insulins can you mix? Which one must be drawn up first?

Regular (drawn first) NPH

What are the contraindications of insulin

Hypoglycemia Kidney/ liver impairment

What do you assess for with insulin

Blood sugar level every 6 hours s/s of Hypoglycemia Body weight for dosing Serum K A1C every 3-6 months

ONSET/ PEAK/ DURATION Aspart/ Lispro

15 min 1-2 hr 3-4 hr (15. 1234)

ONSET/ PEAK/ DURATION Regular

30-60 min 2-4 hr 5-7 hr (30.60.24.57)

ONSET/ PEAK/ DURATION NPH

2-4 hr 4-10 hr 10-16 hr (2-4-10-16)

ONSET/ PEAK/ DURATION Glargine

3-4 hrs None 24 hrs

What interactions is insulin associated with

Glucosamine- worsen blood glucose control Fenugreek Chromium CO-QIO: may produce additive hypoglycemic effects

What route do you give insulin

Subcut

What are the adverse effects of insulin?

Hypoglycemia Hypersensitivity reaction

What is the therapeutic classification of morphine

Opioid analgesics

What is the pharmacologic class of morphine

Opioid agonists

What route do you administer morphine

What is the antidote for morphine

naloxone (Narcan)

What is the MOA of morphine

Decrease severity of pain

What is the indication of morphine

Severe pain MI pain Pulmonary edema

Is morphine Low or High protein binding

35% Low-ish

What are the contraindications of morphine

Significant respiratory depression Bronchial asthma Head trauma Seizure disorders GERI Risk- respiratory depression (lower dose)

What are the adverse effects of morphine

Hypotension Respiratory depression Confusion

What do you assess for when administering morphine

Pain level RR LOC Risk for abuse, addiction, misuse

What labs do you check when administering morphine

Plasma amylase Lipase levels

What interactions is morphine associated with

Kava-kava Valerian Chamomile- increases CNS depression

What drugs are high alert!

All but furosemide! Morphine Insulin Enoxaparin Digoxin

What drugs are on the BEERS list

Lorazepam Ibuprophen Meperidine insulin digoxin L.I.M.I.D.

What is the antidote for furosemide

NONE! There is no antidote

FOOD THAT MAKES URINE ALKALINE

ALL FRUITS ECEPTS- PRUNES, PLUMS, CRANBERRYS ALL VEGETABLES- EXCEPT CORN NUTS, MILK

MED SHEETS Flashcards

(84 cards)