Name an adverse effect of lisinopril.
Dry cough at night, angioedema, and renal failure
Name a patient population who should not take calcium containing antacids.
Patients with renal failure, heart failure, HTN, and low sodium diets.
What medications are used to treat UTIs?
1st line: Sulfonamides
2nd line: Nitrofurantoin
What is the most common sign of digoxin toxicity?
Vision changes
A provider has ordered IV ceftriaxone and a culture swab of the patient's wound. Which do you do first?
The culture
What medication/class of medications selectively inhibits cholesterol absorption in the small intestine?
Cholesterol Absorption Inhibitors (Ezitamibe)
Which acid controlling drug is considered "Pregnancy Category X"?
Misoprostol
What do you want to teach a patient who is taking doxycycline for severe acne?
No tanning bed and avoid direct sunlight (adverse effect is photosensitivity)
Also can cause tooth discoloration
Zosyn is a combination of what 2 antibiotics?
Piperacillin and Tazobactam
What are 3 s/s of a clostridium difficile infection?
Watery diarrhea, abdominal pain or cramping, and fever.
What do you want to teach patients taking clonidine (Alpha 2 Agonist)?
Don't discontinue abruptly because it could cause rebound HTN
What class of laxatives should be taken with a full glass of water to prevent an esophageal obstruction?
Bulk-forming laxatives
What are 3 options of medications to use as supportive therapy to give with amphotericin B?
Antipyretic, antiemetic, and antihistamine
Proton Pump Inhibitors (PPI's) are given to patients in what unit of the hospital?
ICU - to prevent stress ulcers
A black patient comes in to the office and is experiencing HTN. What 2 classes of medications do you expect the provider to order?
Calcium Channel Blockers & Thiazide Diuretics
What is a BBW for nitros?
Cyanide toxicity and hypotension
When should sucralfate be administered?
1 hour before meals and at bedtime
A patient with pneumonia came into the ER with a tendon rupture. What medication(s) could the patient be using that would cause tendon ruptures?
Fluroquinolones such as levofloxacin and ciprofloxacin
What 2 groups of Anti-HTN should not be given with NSAIDs?
ACE inhibitors and ARB's
What is an AE of taking statins?
What adverse effect do you want to be watching for in a patient taking a carvedilol?
Beta Blockers- postural hypotension
What is the CI for H2 Receptor Antagonists?
Smoking
Name 4 medications used to treat tuberculosis.
Isoniazid, ethambutol (vision problems), pyrazinamide, rifampin, rifabutin (orange, brown, reddish secretions), and bedequilline
What is the mechanism of action (MOA) of niacin?
Unknown
Which antibiotics should you be careful administering with warfarin?
Penicillins decrease vitamin K which decreases clotting factors