Cilostazol (Pletal) Flashcards

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Questions and Answers

What is cilostazol?

A medication used to treat Peripheral Artery Disease (PAD) and intermittent claudication.

What is the group of cilostazol?

Peripheral Vasodilators, AntiHypertensives, Antithrombotic.

What is the class of cilostazol?

Direct-acting vasodilators, Antiplatelets.

What is the MOA of cilostazol?

Inhibits platelet aggregation and causes vasodilation. Signup and view all the answers

What are the uses of cilostazol?

Treats Peripheral Artery Disease (PAD) and intermittent claudication. Signup and view all the answers

What are the adverse effects of cilostazol?

Tachycardia, palpitations, dysrhythmias, elevated hepatic enzymes, blood disorders. Signup and view all the answers

What are the contraindications of cilostazol?

Heart failure, bleeding disorders, thrombocytopenia. Signup and view all the answers

What are the side effects of cilostazol?

CNS effects, nasopharyngitis, GI distress, melena, back and abdominal pain, peripheral edema, increased susceptibility to infection, cough. Signup and view all the answers

What are the possible drug interactions with cilostazol?

Increased effects with aspirin, clarithromycin, erythromycin, enoxaparin, warfarin sodium; increased levels with grapefruit juice and green tea; increased bleeding time with ginkgo biloba; decreased effects with St. John's wort. Signup and view all the answers

What assessments/cues should the nurse perform for a patient taking cilostazol?

Baseline vital signs, assess for signs of inadequate blood flow to extremities. Signup and view all the answers

What are the possible nursing diagnoses for a patient taking cilostazol?

Impaired tissue integrity related to insufficient blood supply; acute pain related to inadequate blood flow. Signup and view all the answers

What is the planning for a patient taking cilostazol?

Improvement in blood flow to extremities and controlled pain. Signup and view all the answers

What are the nursing interventions for a patient taking cilostazol?

Monitor vital signs, inform the client about therapeutic response time, advise against smoking, encourage slow position changes, instruct to take medication with meals, avoid alcohol. Signup and view all the answers

What should be evaluated for a patient taking cilostazol?

Outcomes of improved blood flow and controlled pain. Signup and view all the answers

Study Notes

Cilostazol Overview

Cilostazol is a medication primarily used to treat Peripheral Artery Disease (PAD) and alleviate symptoms of intermittent claudication.

Drug Classification

Falls under Peripheral Vasodilators, Antihypertensives, and Antithrombotic groups.
Classifies as a direct-acting vasodilator and an antiplatelet agent.

Mechanism of Action

Works by inhibiting platelet aggregation and inducing vasodilation, which improves blood flow.

Clinical Uses

Indicated for the treatment of Peripheral Artery Disease and management of intermittent claudication symptoms.

Adverse Effects

Can lead to tachycardia, palpitations, dysrhythmias, elevated liver enzymes, and blood disorders.

Contraindications

Not recommended for patients with heart failure, bleeding disorders, or thrombocytopenia.

Side Effects

CNS effects, nasopharyngitis, gastrointestinal distress, melena, back and abdominal pain, peripheral edema, increased infection risk, and cough may occur.

Drug Interactions

Effects may be heightened when used with aspirin, clarithromycin, erythromycin, enoxaparin, and warfarin sodium.
Avoid grapefruit juice and green tea due to increased medication levels.
Ginkgo biloba may increase bleeding time, while St. John’s wort can reduce cilostazol's effects.

Nursing Assessments

Nurses should check baseline vital signs and monitor for signs of inadequate blood flow to extremities.

Nursing Diagnoses

Potential diagnoses include impaired tissue integrity related to insufficient blood supply and acute pain due to inadequate blood flow.

Patient Planning

Focus on achieving improved blood flow to extremities and effective pain control as treatment goals.

Nursing Interventions

Monitor vital signs regularly, educate the patient about the expected therapeutic response, discourage smoking, advise slow position changes, recommend taking medication with meals, and suggest avoiding alcohol.

Evaluation of Treatment

Assess for improved outcomes in blood flow and pain management following cilostazol treatment.

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Description

Test your knowledge on cilostazol, its definitions, classifications, and mechanisms of action with these flashcards. Perfect for students and healthcare professionals looking to reinforce their understanding of this medication used to treat Peripheral Artery Disease.