in the AM so pt isnt up all night peeing - Answers when would you take a diuretic?
loop diuretic - Answers what kind of diuretic is Furosemide?
Furosemide (Lasix) - Answers side effect: *hypokalemia*
- when administered with ototoxic drugs (like antibiotics) may potentiate hearing loss (ototoxicity)
edema, HF, low urine output
(lasix increases kidney blood flow by 40%) - Answers why would someone start taking Furosemide
(lasix)
loop diuretic - Answers what kind of diuretic is Bumetanide
Bumetanide - Answers act on ascending loop of henle to block reabsorption of sodium & chloride
which prevents water reabsorption
Electrolytes, Potassium, Creatinine, BUN
(may cause transient increase in creatinine) - Answers Labs to monitor with bumetanide
osmotic diuretic - Answers what kind of diuretic is Mannitol
Mannitol - Answers adverse reactions: distended neck veins, weakness, SOB
- exacerbate CHF
stop medication & notify provider - Answers if Mannitol causes adverse reactions
Spironolactone (Aldactone) - Answers treats edema due to HF, liver failure and kidney failure
Hyperkalemia (potassium) - Answers lab to monitor with Spironolactone
(especially when combined with ACEI/ ARBs)
Thrombolytic - Answers what kind of medication is Streptokinase
thrombolytics - Answers break down clots
internal bleeding, bleeding disorders
recent surgeries
HTN
on anticoagulants - Answers contraindications of Streptokinase
thrombolytic - Answers what kind of medication is Alteplase (TPA)
neurological status (brain bleed)
pain in abdomen/ back (abd bleed)
anaphylaxis - Answers priority actions to watch for with Alteplase
anticoagulants - Answers prevent platelets from clumping
anticoagulant - Answers what kind of medication is Enoxaparin (lovenox)
Enoxaparin (Lovenox) - Answers Patient teaching for__
- how to administer
- do not aspirate prior to injection
- leave needle in skin for 10 sec to allow med to be administered
- do not massage injection site
- administer 2 in away from umbilicus
weight??? - Answers initial dose of Enoxaparin is determined by
Statins - Answers what kind of antihyperlipidemic medication is Atorvastatin (lipitor) & Lovastatin
Rhabdomyolysis (muscle pain) - Answers side effect of statins
stop med -> evaluate pt -> check CK level to see extent of muscle damage -> check AST/ALT for
hepatic failure - Answers what would you do if pt is having side effects of statins
liver failure - Answers what medical history would you avoid with Atorvastatin & Lovastatin
AST/ ALT - Answers labs to monitor with Atorvastatin & Lovastatin
6-8 weeks - Answers how long does it take for cholesterol medication to work
bowel obstruction (constipation)
assess bowel sounds - Answers what can Bile Acid Sequetrants therapy cause and what to assess?
Fibrate - Answers what kind of antihyperlipedemic is Gemfibrozil (Lopid)
anticoagulants - Answers what is Gemfibrozil (lopid) contraindicated with
Ezetimbe - Answers inhibits absorption of dietary cholesterol in intestines
(often combined w statin to achieve good chol management)
alpha adrenergic blocker - Answers what kind of antihypertensive is Doxazosin
Doxazosin - Answers makes blood vessels expand of peripheral circulation which lowers BP
Carvedilol - Answers nonselective beta blocker (act on beta 1&2)
- slows HR but can cause lung bronchoconstriction