Statins & Lipid-Lowering Drugs
This drug is the first line treatment to lower LDL cholesterol and reduce risk of heart attack and stroke
What are statins?
This drug irreversibly inhibits platelet aggregation and is given immediately during an acute MI
What is aspirin?
This class of drugs reduces heart rate and blood pressure, decreasing cardiac workload
What are beta-blockers?
The acronym MONA stands for the immediate interventions for chest pain
What are morphine, oxygen, nitrates, aspirin?
Statins can affect this organ; nurses should monitor these labs
What are liver function tests (AST,ALT)?
The nurse should teach the patient to report muscle pain or weakness while on this drug class
What are statins?
The nurse should monitor platelet count when giving this IV anticoagulant
What is heparin?
Before giving a beta-blocker, the nurse should check these two vital signs
What are heart rate and blood pressure?
This enzyme therapy dissolves clots if PCI is not available for STEMI
What is alteplase (tPA)?
The nurse should advise patients taking nitroglycerin to keep tablets stored like this
What is in a dark, tightly closed glass container?
Statins work best when taken at this time of day, since cholesterol synthesis peaks overnight
What is at bedtime or in the evening?
This oral anticoagulant requires INR monitoring and consistent intake of vitamin K foods
What is warfarin?
This drug class prevents ventricular remodeling after an MI but can cause a dry cough
What are ACE inhibitors?
The nurse should closely monitor for bleeding in a patient on these medications used in ACS
What are antiplatelets and anticoagulants?
The nurse should advise male patients to not take this class of drugs with nitroglycerin
What is phosphodiesterase enzyme type 5 inhibitors?
This non-statin medication can be added if LDL remains high on maximum statin dose
What is ezetimibe?
This antiplatelet drug should not be combined with omeprazole due to reduced effectiveness
What is clopidogrel (Plavix)?
The nurse should NOT give nitroglycerin if the patient's systolic blood pressure is below this number
What is 90 mmHg?
This drug should be given under the tongue every 5 minutes for chest pain, up to 3 doses
What is sublingual nitroglycerin?
Patients on warfarin should avoid sudden changes in intake of this nutrient?
What is vitamin K?
These injectable medications are reserved for severe or genetic hypercholeserolemia and require patient teaching on self-administration
What are PCSK9 inhibitors?
The antidote for heparin overdose is this
What is protamine sulfate?
The nurse should teach that this type of chest pain relief drug may cause a headache and flushing.
What is nitroglycerin?
Nurses must check this lab before giving thrombolytics like tPA
What are PT/INR and aPTT (coagulation studies)?
This supplement can cause flushing, and taking aspirin 30 minutes before can reduce the effect
What is niacin (vitamin B3)?