Pharm Quiz 3
Greatest contributor to a variety of diseases that reduce the quality of life and end lives prematurely
Highest rate for metabolic syndrome
Hispanic women (27%)
Critical to prevent and treat the comorbidities that make up the metabolic syndrome
25 to 29.9
15-20% of total serum cholesterol and most of the total blood triglyceride concentration
(very low density lipoproteins)
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
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)
Water soluble vitamin B
Niacin (nicotinic acid), vitamin b3
Only form of vitamin b3 approved by the FDA
Should be started in low doses and taken with food to minimize nausea, gas, and abdominal discomfort and pain.
The most potent antilipemic agents available
HMG-CoA reductase enzyme inhibitors
HMG-CoA reductase enzyme inhibitors are also known as
When should statins be taken
Bedtime: These agents are more effective at night because peak production occurs at this time
What juice should be avoided with statins
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.
lovastatin (Mevacor) and simvastatin (Zocor)
Statins taken at bedtime
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.
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)
Brochospasm, wheezing with beta blockers.
Withhold additional doses until the patient has been evaluated by a health care provider
Found to be as effective in lowering BP as ACE inhibitors and beta blockers
Reduces resistance your heart pumps against
Na channel blockers (intermediate acting)
You do not use what medication in a pt with complete AV block and use extreme caution in partial AV block
pt should have monitoring of the ECG and BP when receiving IV doses of procainamide
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
Diarrhea is common during initiation of therapy, it usually subsides with this dysrhythmia medication.
Slows rate of electro conduction and prolongs time between contraction
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
What must be corrected before invitation of dofetilide therapy
Natural occurring chemical found in every cell within the body
The AHA recommends that if chest pain is not relieved within how long with nitroglycerin tab the pt should seek emergency medical attetion
How often does a pt need a new prescription for nitroglycerin
Every 6 months
How do you store nitroglycerin
In its original dark colored glass container with a tight lid
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.
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
What should you do when pulses are difficult to palpitate or absent?
Use a doppler ultrasound device, may help determine peripheral blood flow.