Pharm Quiz 3

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created 4 years ago by megc1127
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updated 4 years ago by megc1127
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1

Greatest contributor to a variety of diseases that reduce the quality of life and end lives prematurely

Lifestyle

2

Highest rate for metabolic syndrome

Hispanic women (27%)

3

Critical to prevent and treat the comorbidities that make up the metabolic syndrome

Lifestyle management

4

Overweight BMI

25 to 29.9

5

15-20% of total serum cholesterol and most of the total blood triglyceride concentration

VLDLs

(very low density lipoproteins)

6

If the patient is receiving a prescription for a bile-acid-seqiesteromg resin teach the patient about the signs and symptoms of

Vitamin K deficiency: bleeding gums, brusing, dark tarry stools and coffee ground emesis

7

High doses of resins may reduce the absorption of these, but not normal in well nourished patients

Fat soluble vitamins (D,E,A, and K)

8

Water soluble vitamin B

Niacin (nicotinic acid), vitamin b3

9

Only form of vitamin b3 approved by the FDA

Nicotinic acid

10

Nicotinic acid

Should be started in low doses and taken with food to minimize nausea, gas, and abdominal discomfort and pain.

11

The most potent antilipemic agents available

HMG-CoA reductase enzyme inhibitors

12

HMG-CoA reductase enzyme inhibitors are also known as

statins

13

When should statins be taken

Bedtime: These agents are more effective at night because peak production occurs at this time

14

What juice should be avoided with statins

Grapefruit

15

Used in conjunction with dietary therapy to decrease elevated cholesterol concentrations in patients with hyperlipidemia and to reduce the risks of artherosclerosis leading to CAD.

Statins

16

lovastatin (Mevacor) and simvastatin (Zocor)

Statins taken at bedtime

17

Decrease in systolic BP of 20 mm Hg or more, or diastolic BP of 10 mm Hg or more following rapid change of position from recumbent to standing. Gradually resolves after taking meds.

Orthostatic hypotension

18

Inhibit cardiac response to sympathetic nerve stimulation by blocking the beta receptors. As a result, the heart rate, cardiac output and consequently the BP are reduced

Beta-adregnergic blocking agents (beta blockers)

19

Brochospasm, wheezing with beta blockers.

Withhold additional doses until the patient has been evaluated by a health care provider

20

Found to be as effective in lowering BP as ACE inhibitors and beta blockers

Angiotensin II

21

Reduces resistance your heart pumps against

Preload

22

Na channel blockers (intermediate acting)

quinidine (Quinidine)

23

You do not use what medication in a pt with complete AV block and use extreme caution in partial AV block

procainamide

pt should have monitoring of the ECG and BP when receiving IV doses of procainamide

24

IV administration is extremely hazardous. BP and ECG should be monitored continuously because hypotension and dysrhythmia may occur. Therapeutic blood levels are 2-6 mg/L

quinidine

25

Diarrhea is common during initiation of therapy, it usually subsides with this dysrhythmia medication.

quinidine

26

Slows rate of electro conduction and prolongs time between contraction

amiodarone hydrocholride

27

What should you teach the pt taking amiodarone

Rise slowly from a supine or sitting position and encourage the pt to sit or lie down if feeling faint

28

What must be corrected before invitation of dofetilide therapy

Hypokalemia

29

Natural occurring chemical found in every cell within the body

adenosine

30

The AHA recommends that if chest pain is not relieved within how long with nitroglycerin tab the pt should seek emergency medical attetion

5 minutes

31

How often does a pt need a new prescription for nitroglycerin

Every 6 months

32

How do you store nitroglycerin

In its original dark colored glass container with a tight lid

33

Non hospitalized pt on nitroglycerin should

Carry it at all times, but not in a pocket directly next to the body, because heat deteriorates the medication.

34

Maybe used to treat angina pectoris by decreasing myocardial oxygen demand (i.e., decreasing working) and increasing myocardial blood supply by dilating coronary arteries.

Calcium channel blockers

35

What should you do when pulses are difficult to palpitate or absent?

Use a doppler ultrasound device, may help determine peripheral blood flow.