week 10 pharm Flashcards

1
Q

between captopril and candesartan, which drugs lowers GFR

A

only captopril

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1
Q

how does captopril help with CKD

A

it lowers BP to prevent further damage to small blood vessels of the kidney

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2
Q

what drug class is candesartan

A

angio receptor blocker (ARB)

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3
Q

whats the main difference between captopril and Candesartan

A

candesartan does exactly what captopril does, but it blocks angio 2 instead of ACE so it doesn’t cause a cough
captopril is also better researched

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4
Q

how does atorvastatin help with CKD

A

because CKD can cause dyslipidemia (difficulty synthesising lipids) this drug helps get rid of it so there isn’t excess in the body

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5
Q

what are 2 lab values you should monitor for a patient on atorvastatin

A

LFTs because it can cause hepatotoxicity
Creatinine Kinase because it can cause rhabdomylysis

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6
Q

when would you see atorvastatin start working

A

within 2 weeks of starting the drug

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7
Q

can you use furosemide if GFR is low

A

yes

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8
Q

what is the lasix challenge

A

if all else fails, we use lasix to kick kidneys into action

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9
Q

what urine output constitutes anuria

A

less than 40cc/hr

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10
Q

what is ototoxicity and which drug causes it

A

ringing in the ears caused by furosemide

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11
Q

why is hydrochlorothiazide weaker than furosemide

A

because its farther from the glomerulus

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12
Q

which GFR contraindicates hydrochlorothiazide

A

less than 15-20

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13
Q

which GFR contraindicates spironolactone

A

less than 30

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14
Q

how does erythropoetin help with CKD

A

CKD can cause anemia, so this drug stimulates RBCs in the bone marrow

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15
Q

how does calcium carbonate help with CKD

A

it binds to phosphate in GI tract and gets rid of it through stool
because CKD can cause high levels of phosphate

16
Q

which two CKD drugs can cause digoxin toxicity

A

calcium carbonate and sodium polystyrene sulfate

17
Q

what is sodium polystyrene sulfate MOA

A

it exchanges Na for K in the small intestine

18
Q

what is the indication for sodium polystyrene sulfate

A

hyperkalemia

19
Q

what are the indications for calcitriol

A

hypocalcemia and renal osteodystrophy

20
Q

what is calcitriol MOA

A

it is a vitamin D hormone that ultimately increases absorption of calcium

21
Q

what does ferrous sulfate do

A

it replaces iron stores