MOA+ drug selection
Epinephrine effects what receptors
A1, A2, B1, B2
List one adverse effect for atorvastatin
Myalgia, myopathy, rhabdomyolisis
Calcium channel blocker food interaction
grapefruit- duh!
Antidote for Warfarin (think of its MOA)
vitamin K
Alpha 1 medications increase or decrease BP?
Terbutline is used for?
preterm labor!
List two adverse effects of loop diuretics
Hyponatremia, hypokalemia, Dehydration, hypotension, ototoxicty
**remember slow IV push - to prevent ototoxicty
medications to avoid in Heart Failure
NSAIDS, CCB, Antiarrhythmics
Your patient is experiencing an overdose from an anticholinergic drug. What should you give them?
Phyostigimine Salicylate
Beta 1 effects the.... Beta 2 effects...
Heart/Lungs
MOA of Heparin
reduces fibrin production, inactivates Xa and thrombin
major adverse effect of NONSELECTIVE BETA BLOCKERS + what should you give instead for these patients?
bronchoconstriction- use cardio selective for all pulmonary patients
Gemfribrozil, Fenofibrate, and Fenofibric acid can not be given with?
warfarin or any -statins
treatment for digoxin toxicty- (bonus 100- list all symptoms of toxicty)
stop dig and K+ wasting diuretics, give lidocaine or phenytoin to treat arrthymias, if serious give digibind
halo, double visiion, pyschosis, confusion, arrthymias, rate change
what diseases are included in metabolic syndrome
obesity, insulin resistance, hypertension, high tryglycerides, low HDL chlosterol
MONA B stands for
morphine, oxygen, nitroglycerin, aspirin, beta blocker
Adverse effects of Lovenox
bleeding, immune-mediated thrombocytopenia, severe neurological injury for patients undergoing spinal puncture
Nitroglycerin can not be given with what?
Phosphodieterase type 5 inhibitors and erectile dysfunction meds
list three contraindications for thrombolytics
Internal bleeding, any prior hemorrhagic strokes, ischemic strokes, facial trauma, hypertension, intraspinal surgery
What does DDINE stand for
Dopamine, Dobutamine, Isoproterenol, Norepinephrine, Epinephrine
What heart failure medication should be given to a patient that is African American.
hydroalazine or isosorbide
List three amiodarone adverse effects- (bonus 200- list four monitoring tests needed for the medication)
pulmonary fibrosis, QT prolongation, hepatoxicty, hypo/hyperthyroidism, corneal deposits, blue skin hypotension
Eye exams, LFTs every 6 months,Chest XR yearly, Pulmonary function tests, TSH every 6 months, EKG yearly
list two drugs interactions for digoxin
aniodarone, drodedarone, verpamil, itraconazole, posaconazole, cycolsporine, tacroismus,
List four contraindications of Beta Blockers
Bradycardia, Heart blocks, Acute decompensated CHF, Reduced cardiac output, Asthma, COPD
Education that should be given to all patients on warfarin
soft bristled toothbrush, use caution with amount of green leafy vegetables bc of increased Vit K, drug interacts with oral contraceptives