Adverse Effects
What class of med would we NOT want to administer to a patient who has stage 3 renal failure?
ACE Receptor Blockers (ARB) "sartan"
(renal failure is an adverse effect)
Protamine Sulfate is the antidote for what meds?
Heparin and Enoxaparin
What would a patient be prescribed if they needed relief of allergic symptoms?
antihistamine
Anticoaugulants Meds
Warfarin, Heparin, Enoxaparin
Therapeutic AntiXa
0.3-1.3
A patient's labs come back showing potassium levels at 5.5 g/dL. What class of med would we question or hold?
ACE inhibitors (causes elevated K+)
Which two drugs contraindicate due to increased risk of bleediing?
cilostazol and clopidogrel
A patient has PAD and has been having pain in their legs during activity. What med would you expect to be in the MAR?
cilostazol
(clopidogrel and aspirin also prevent platelet aggregation, but cilostazol specifically increases blood supply to the legs and combats intermittent claudication)
Beta Adrenergic Agonists (Bronchodilators) Meds
albuterol, terbutaline, levalbuterol
Therapeutic INR
2.0-3.0
A patient on these types of meds may want to use caution when driving or operating heavy machinery
Antihistamines OR Beta Blockers
(both have sedative effects)
Which med would we want to notify the HCP if the patient stopped taking abruptly?
Beta Blockers
(we want to taper over two weeks)
What meds would be prescribed for LONG-TERM airway obstruction?
Aminophylline and Theophylline
Calcium Channel Blockers Meds
nifedipine, felodipine, amlodipine
Normal aPTT
20-39 sec
Patients on these meds may be instructed to use an electric razor or a soft bristle toothbrush
Antiplatelet Agents or Anticoagulants
(thrombocytopenic effects)
When do we want to administer ACE Inhibitors?
1hr ac or 2hr pc
(decreased absorption if taken with food)
Which foods do we want to avoid with Antiplatelet Agents (clopidogrel, aspirin, cilostazol, dipyridamole)?
garlic, ginseng, or gingko herbs
(all increase bleeding risk)
Antiplatelet Agents Meds
clopidogrel, dipyridamole, aspirin, cilostazol
Normal PT
9.5-12 sec
What drug classes would we want to offer our patient ice chips or hard candy along with their meds?
Anticholinergic Bronchodilators and Antihistamines
(cause dry mouth)
What two med classes do we monitor, hold, and call the HCP according to vital signs? What are the signs and parameters?
Calcium Channel Blockers (notify HCP is BP< 90/60)
Beta Blockers (hold if apical pulse is <50bpm)
What food/drink do we want to avoid with Calcium Channel Blockers?
Grapefruit Juice
Xanthine Bronchodilators Meds
aminophylline and theophylline
Normal INR
1.0