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Flashcards in Pharm 9-11 Deck (37)
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1

black patients with hypertension medications

CCB or thiazide

2

patient with hypertension and DM medications

thiazide or ACE or ARB

3

pregnant people with hypertension

-no ACE or ARB
-methyldopa, lobetalol, nifedipine, hydralazine

4

post MI

beta blocker or thiazide

5

ACE, CCB, thiazide with edema in legs

amlodipine - reduce dose

6

decreased HR, increased BP

ace or arb or ccb

7

kidneys - renin

beta-adrenergic receptor antagonists

8

angiotensinogen to angiotensin I

aliskirin

9

angiotensin I to angiotensin II and bradykinin to inactive products

ACE inhibitors

10

angiotensin II to adrenal cortex and/or arterioles

angiotensin receptor inhibitors

11

reflex tachycardia side effects

-DHP CCB
-nitrates
-hydralazine and minoxidil (vasodilators)
-alpha-1 antagonist

12

high dose of medications and not responding

-adherence
-add medication
-call pharmacist to see what meds/ supplements they are on and if they are refilling their medication
-diet

13

hypertension urgency

-not taking medications
-due to side effects

14

anti arrhythmic - rate

elderly, V. arrthmias
-beta-blockers
-calcium channel blockers
-sotalol
-dig

15

anti-arrhythmic - rhythm

-young, severe symptoms, hypotension
-Class Ia, Ic, and III

16

anti-arrhythmic drug side effect

dysrhythmias

17

Class I (quinine, procainamide, lidocaine)
phase of AP

phase 0 - depolarization

18

Class II Beta-blockers and Class IV Calcium Channel blockers
phase of AP

phase 2 - contraction

19

Class III (amiodorone and bretylium)
phase of AP

phase 3 - repolaraziation

20

Class Ia
increase or decrease AP

increase

21

Class Ib
increase or decrease AP

decrease

22

Class Ic
increase or decrease AP

no effect

23

Class III
increase or decrease AP

increase

24

afib and no other drugs are working

Digitals

25

side effects of nitro

headache, don't use with erectile dysfunction medications, hypotension

26

advantages of DOCAs over warfarin

-no need for routine lab tests
-not affected by food or activity level
-very few drug interactions
-rapid onset and short washout for procedure
-cause less catastrophic inter cranial hemorrhage

27

disadvantages of DOACs over warfarin

-cost
-twice daily
-adherence is critically important
-only dabigatran has an effective rapid reversal agent
-not effective for stroke prevention in patients with prosthetic heart valves
-lack of lab test to verify dose appropriate for size/clearance

28

drug therapy for TB
rifampin - effects warfarin

induces warfarin clearance -recheck INR

29

clotting factors for warfain

10,9,7,2

30

stroke or MI

fibrolytics within 12 for MI and 3-4.5 hours for nonhemorrhagic stroke