Exam III Review

Exam III Review Exam III Review Cholesterol - Patient Teaching: • Notify HCP of any new symptoms • Keep medications out of children reach, childproof lids. • Keep daily Journal of fluid intake and dietary practices. • Encourage diet full of Raw veggies, fruit & bran. • Advise HCP about all your current meds. • Drugs are highly protein bound; many drug interactions. • Exercise in moderation • Food Interactions: oral anticoagulants, Grapefruit Juice. • Niacin Statins 1. Atorvastatin 2. Fluvastatin 3. Lovastatin 4. Pravastatin 5. Rosuvastatin 6. Pitavastatin - Mechanism of action: Lower blood cholesterol by decreasing rate of production. - Patient Teaching: See Cholesterol PT - Administration: with short half lives administered at bedtime • Assess food intake over several weeks. - Contraindications: Known drug allergies, Pregnancy, Liver disease - Side Effects: muscle pain and damage - Adverse Effects: Effects uncommon, rash, abd pain, headache Niacin - Administration: Carbonic Anhydrase - Carbonic Anhydrase inhibitors= - Indications • Treatment of glaucoma • Edema • High altitude Sickness - Adverse Effects • Acidosis and Hypokalemia • Photosensitivity • Anorexia - Drug Interactions • Digoxin - Antihypertensive Therapy - Adverse Effects: orthostatic hypotension, brady, dry mouth, constipation. - Contraindications: - Patient Teaching: take meds as instructed, don’t omit or double up on doses, monitor stress levels, avoid smoking and excessive alcohol, wear med alert bracelet, sugar free hard candy for saliva, sexual dysfunction, don’t stop abruptly. - Benefits: reduction of cardiovascular and renal morbidity and mortality. - Drug-to-drug interactions: Ace Inhibitor • Adverse Effects: o CNS – fatigue, dizziness, mood changes, and headache o Dry, productive cough that is reversible with d/c of therapy o Significant decline in BP caused by first-dose hypotensive effect o Loss of taste, hyperkalemia, renal impairment and angioedema o Anaphylaxis caused by angioedema - Contraindications: known drug allergies, reaction of angioedema - Patient Teaching: may be combined with thiazide diuretic or CCB - Benefits: heart failure and hypertension - Drug-to-drug interactions: NSAID’s can reduce effect. NSAID’s w/ ace inhibitors may predispose patients to develop acute renal failure Beta Adrenergic Blockers - Adverse Effects: decreased HR, CO, cardiac contractility - Contraindications: systolic heart failure, serious conduction disturbances. Use caution if you have bronchial asthma. Diabetes Mellitus. K+ diuretics - Patient Teaching: move and change positions slowly, heat  hypotensive effects. - Benefits: - Drug-to-drug interactions: diuretics & hypertensives, CCB, Insulin and ABT …………………………….CONTINUED………………………