Pharmacology

Question 1

Cardiovascular

Lowers Cholesterol and CAD
Report muscle aches and weakness (Myopathy) 
Monitor liver function. 
Take at night to increase effectiveness 
If CK >10 DISCONTINUE!

Answer 1

Atrovastatin

Question 2

Cardiovascular
Antiarrhythmic agent

toxicity S/S: Visual alterations, N/V, Abdominal pain, lethargy, fatigue, confusion, dizzy.

Monitor potassium for hypokalemia.

Check HR prior to administration. 
Hold is HR is
<90/110 in infants
<70 in children 
<60 in adults 

Monitor BUN and CREAT

Answer 2

Digoxin

Question 3

Cardiovascular
Antihypertensive

angioedema can occur, contact HCP is you have swelling of the face.
Hyperkalemia
Ortho HypoTN
Hepatoxicity (Monitor Kidney levels CREAT)
Don’t take while pregnant! (teratogenic)

Answer 3

Lisinopril

Question 4

Cardiovascular 
given to a fib patients for ventricular rate control
Decreases HR
Hold if Bradycardic 
Ortho HypoTN

Answer 4

Diltiazem

Question 5

Cardiovascular 
Low molecular weight heparin 
Monitor CBC for thrombocytopenia, bruising and redness are common at injection site. 
Give subs, 2in from umbilicus
Don’t give with low blood counts

Answer 5

Enoxaparin

Question 6

Cardiovascular 
Anti-platelet 
Reduce Atherosclerosis 
increased bleeding risk
can also cause thrombocytopenia <150,000 platelet count 

NO HERBAL SUPPLEMENTS, GINKGO etc
Do not use in those with Peptic Ulcer Disease

Answer 6

Clopidogrel

Question 7

Cardiovascular
Antiarrthythmic

used to treat life-threatening arrhythmias that other meds can’t control.
Highly toxic!
Converts afib to sinus rhythm

Answer 7

Amiodarone

Question 8

Muscoskeletal
central and peripheral muscle relaxant given to treat pain associated with muscle spasm

Contraindicated in patients with hepatitis = liver disease = toxicity

Answer 8

Cyclobenzaprine

Question 9

Muscoskeletal
Osteoporosis treatment
Vaginal spottin post menopause
Calcium and Vit D supplements

Answer 9

Riserdronate

Question 10

Endocrine
Anti-inflammatory/ Severe Allergies
cause high blood sugar and worsens hypertension.
Don’t take with NSAIDs they can increase the risk of peptic ulcer disease
Do not suddenly stop
Avoid GRAPEFRUIT (limit caffeine)

Answer 10

Methylprednisolone

Question 11

Induction of labor
Postpartum - controls bleeding
Expect contractions to become more severe and last longer.

Answer 11

Oxytocin

Question 12

Oral Antidiabetic medication, can be taken even when patient skips meals

Answer 12

Metformin