random med info Flashcards

(64 cards)

1
Q

Anti clot ; antithrombotic drug classification

A

acute coronary syndrom MI
aspirin, inhibit platelet agregation= antiplatelet agents

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2
Q

anti clot

A
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3
Q

milirone indication

A

HF, cardiac transplant, hypertension

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4
Q

milirone SE

A

hypokalemia

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5
Q

Milirone ADR

A

ventricular tachy arrhytmias , cardiac ischemia, hypotension

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6
Q

Thiazide

A

treats hypertension

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7
Q

antihepersentives thiazides SE

A

hypokalemia = leg cramps

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8
Q

antianginal dont give to pts who have

A

thrombocytopenia
myastasia gravis

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9
Q

antiaginal monitor pts who have

A

heart blocks & pace makers

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10
Q

NE ADRs

A

myocardial ischemial & peripheral ischemia

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11
Q

NE Side effecfts

A

bradycardia

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12
Q

NE indications

A

hypotension,

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13
Q

ACE indications

A

severe HTN & HF

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14
Q

low TI means there is a small window between … & … aka …

A

effective & toxic dose , narrow TI

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15
Q

Digoxin in hf is preffered in pts with

A

AFIB

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16
Q

ACE considerations

A

K supplements/rich foods cough may occur consider ARB

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17
Q

ACE ADRs

A

cough & hyperkalemia

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18
Q

Ronalazine (SCB) indication

A

used to help with life threatening ventricular dysrithmias or for conversion of AFIB
3 classes: 1a, 1b, 1c

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19
Q

anticoagulant

A

prevent conversion of inactive prothrombin to active thrombin (PE, DVT)

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20
Q

Altapase

A

thrombolytic

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21
Q

Altapase indication

A

acute treatment of MI / ischemic stroke, massive PE, also for central line catheter

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22
Q

Altapase ADR

A

fatal, VS q5mins only in IV, monitor super bleeding risk

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23
Q

Altapase Considerations

A

never IM only IV injections
DONT GIVE IF: active internal /intracranial bleeding
HX of recent stroke
w/in 3 months has intracranial/ intraspinal surgery
any head trauma
neoplasm or AV malformation or aneurysm
uncontrolled HTN

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24
Q

Pradaxa indication
(thrombin inhibitor

A

prevents DVT and PE

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25
Pradaxa ADRs
epidural & spinal hematoma
26
Pradaxa considerations
monitor unusual bleeding
27
Pradaxa OD reversal
Idarucizumab
28
RIvoraxaban indication
DVT, PE, MI, PAD
29
Rivoraxaban ADR
epidural and spinal hematomas
30
Rivoraxaban considerations
DONT give to pts with severe liver disease
31
OD reversal of Rivoraxaban
Active charcoal & andexxa
32
Epinephrine indications
VFIB ( pulseless) anaphalasics
33
Epinephrine SE
dizziness, anxiety, tremors, weakness, N/V/D
34
Warfarin OD reversal
Vitamin K (phytonadione)
35
Warfarin indications
DVT, PE, AFB, cardiac valve replacement, MI, or ischemic stroke
36
Warfarin ADRs
fatal bleeding; highest incident for this
37
Warfarin considerations
monitor PT & INR
38
INR Therapeutic range in WARFARIN
NARROW TI of 2.0 - 3.5
39
Warfarin should avoid
alcohol & grapefruit juice straight razors use electric razors instead
40
Warfarin contraindications
hemorrhagic hx surgeries in eyes or CNS system endocarditis dissecting aorta pregnant women
41
Enoxaparin indication
DVT, MI (prevention)
42
Enoxaparin ADRs
epidural & spinal hematomas => paralysis, hemorrhage, HITT
43
Enoxaparin partial reversal is
protamine sulfate
44
Enoxaparin considerations
administer subq= abdomen increase bleeding risk =educate about falls
45
Heparin antidote is
protamine sulfate
46
Heparin ADRs
hemorrhage/bleeding, HYPOTENSION, HR, HIT, skin necrosis, thrombocytopenia
47
what should you do if HIT is present during heparin administration
STOP med (heparin)
48
Heparin considerations
AVOID NSAIDS higher bleeding incidents in pts over 60 yrs ensure women isnt pregnant
49
Heparin indications
DVT, PE, central line or IV flushes
50
Clopidogrel ADRs
risk for bleeding & liver dysfunction
51
Clopidogrel considerations
avoid NSAIDS
52
SE of CLOPIDOGREL
tinnitus gastric irritation unusual gum bleeding
53
Aspirin indications
hx of PAD, MI, ischemic stroke prophalaxis to decrease incident of MI, transient ischemic attacks, re-occlusion in coronary revascularization procedures & stent implants
54
Aspirin ADRs
risk of bleeding, reduced effectiveness w/ liver dysfunction
55
Aspirin SE
tinnitus gum bleed gastric irritation
56
ASPRIN OD is
IRREVERSIBLE
57
Aspirin considerations
DONT give to kids under 12 yrs= REYES syndrome elderly risk of bleeds stop 1 wk prior to surgery
58
normal aPTT
1.5 - 2.5
59
ARB ADR
hypotension dizziness andioedema proteinuria
60
platelets serves as surface for ...
activation of clotting factors
61
Factors Xa convert ...
prothrombin to thrombin
62
Fibrin retracts to ...
from thrombus
63
beta blockers
-lol
64