Pharmacology exam 3

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Questions and Answers

A patient taking clonidine reports feeling dizzy upon standing. Which patient teaching is most important?

  • Change positions slowly and cautiously. (correct)
  • Increase fluid intake and add more salt to your diet.
  • Take the medication in the morning rather than at night.
  • Discontinue the medication immediately.

Which of the following is a contraindication for carvedilol?

  • Tachycardia
  • Heart Failure
  • Asthma (correct)
  • Hypertension

A patient taking captopril develops a persistent, dry cough. Which action is most appropriate?

  • Administer an antitussive cough suppressant.
  • Notify the healthcare provider to discuss an alternative medication. (correct)
  • Instruct the patient to take the medication with food.
  • Encourage the patient to increase fluid intake.

A patient is prescribed losartan. What should they be instructed to avoid?

<p>Salt substitutes containing potassium (D)</p> Signup and view all the answers

Hydralazine is being administered to a patient with severe hypertension. What adverse effect should the nurse monitor for?

<p>Tachycardia (D)</p> Signup and view all the answers

A patient taking nitroglycerin sublingual tablets for angina reports chest pain. After taking one tablet, the patient still has chest pain. What is the next step?

<p>Administer another tablet after 5 minutes and activate emergency medical services if pain persists. (B)</p> Signup and view all the answers

Which of the following instructions should be given to a patient prescribed diltiazem?

<p>Monitor for swelling and dizziness. (C)</p> Signup and view all the answers

Amlodipine is prescribed for a patient with hypertension. Which common adverse effect should the patient be educated about?

<p>Swelling in the ankles (A)</p> Signup and view all the answers

A patient is prescribed lisinopril. Which statement indicates a need for further teaching?

<p>I should take this medication on an empty stomach. (A)</p> Signup and view all the answers

Which of the following is a common side effect of valsartan?

<p>Dizziness (A)</p> Signup and view all the answers

A patient taking digoxin should be taught to monitor for signs of toxicity. Which of the following are signs of dig toxicity?

<p>Nausea, vomiting, vision changes. (D)</p> Signup and view all the answers

A patient receiving Digoxin Immune Fab is exhibiting which condition?

<p>Digoxin toxicity (D)</p> Signup and view all the answers

Adenosine is administered via rapid IV push for which condition?

<p>Supraventricular tachycardia (D)</p> Signup and view all the answers

A patient on amiodarone should be monitored for which of the following adverse effects?

<p>Lung toxicity (D)</p> Signup and view all the answers

A patient is started on atorvastatin. What should the patient be instructed to avoid while on the medication?

<p>Grapefruit juice (B)</p> Signup and view all the answers

Which instruction is most important for a patient taking cholestyramine?

<p>Avoid taking other medications at the same time. (C)</p> Signup and view all the answers

Ezetimibe is prescribed to treat high cholesterol. How does ezetimibe work?

<p>Limiting cholesterol absorption in the intestines. (C)</p> Signup and view all the answers

A patient taking furosemide is at risk for which electrolyte imbalance?

<p>Hyponatremia (B)</p> Signup and view all the answers

Mannitol is used in emergency situations to treat increased intracranial pressure. How does it work?

<p>Increases blood plasma volume and promotes fluid loss through the kidneys. (A)</p> Signup and view all the answers

Which of the following is a unique effect of spironolactone compared to other diuretics?

<p>Helps to avoid low potassium. (C)</p> Signup and view all the answers

When epinephrine is administered, which type of receptor is primarily activated?

<p>Adrenergic receptors (A)</p> Signup and view all the answers

A client has a prescription for midodrine to be administered at 9 PM. What should the nurse assess prior to administration?

<p>Heart rate (B)</p> Signup and view all the answers

Which medication acts on both alpha and beta adrenergic receptors?

<p>Epinephrine (A)</p> Signup and view all the answers

A client is receiving a drug that has a positive chronotropic effect. What physiological change does the nurse anticipate?

<p>Increased heart rate (C)</p> Signup and view all the answers

When a client is taking an adrenergic agonist medication, which effect should the nurse expect to observe?

<p>Bronchodilation (C)</p> Signup and view all the answers

Which is the correct method of administration procedure for dopamine?

<p>Intravenous continuous infusion (D)</p> Signup and view all the answers

A client is prescribed atenolol. Which instruction is most important for the nurse to include in the teaching?

<p>Do not abruptly stop taking this medication (B)</p> Signup and view all the answers

The nurse is screening a client who will be taking a non-specific beta blocker. Which condition may cause serious problems if the client takes this medication?

<p>Asthma (D)</p> Signup and view all the answers

A patient stopped taking a beta blocker 2 months ago due to an "embarrassing problem." What problem did the patient most likely experience?

<p>Impotence (B)</p> Signup and view all the answers

Which of the following is the priority purpose for beta blocker use in a client with a history of myocardial infarction (MI)?

<p>Protects the heart from circulating catecholamines (A)</p> Signup and view all the answers

Select all the drug classes where pregnancy is a contraindication:

<p>Angiotensin II Receptor Blockers (ARBs) (A), Direct Renin Inhibitors (B), Angiotensin Converting Enzyme (ACE) Inhibitors (D)</p> Signup and view all the answers

Which of the following medications would be preferred in a client with asthma? Select all that apply.

<p>Bisoprolol (B), Esmolol (D), Atenolol (E)</p> Signup and view all the answers

Which of the following older client statements indicates the nurse needs to provide further teaching?

<p>&quot;I need to eliminate fiber from my diet.&quot; (C)</p> Signup and view all the answers

Select all the reasons why verapamil and diltiazem are used as drug therapy.

<p>Treatment of arrhythmias (A), Treatment of hypertension (B), Long term prevention of angina (C)</p> Signup and view all the answers

Which of the following calcium channel blockers has an effect on the heart, resulting in a decreased heart rate? Select all that apply.

<p>Diltiazem (A), Verapamil (C)</p> Signup and view all the answers

Which medication will most likely be prescribed to treat hypertension, for a client who has had a heart attack (MI)?

<p>Losartan (A)</p> Signup and view all the answers

Which of the following side effects of captopril needs to be assessed first?

<p>Angioedema (B)</p> Signup and view all the answers

What precautions should the nurse place the client on when administering a blood pressure medication for the first time?

<p>Fall (C)</p> Signup and view all the answers

The client presents with elevated potassium, angioedema, and cough. What medication does the nurse expect to find on the client's home medication list?

<p>Lisinopril (A)</p> Signup and view all the answers

The nurse cares for a client who was diagnosed with hypertension 6 years ago and refused treatment. The current assessment findings include a blood pressure of 182/100 mm Hg, confusion, headache, and shortness of breath. Which condition does the nurse associate with these assessment findings?

<p>Hypertensive crisis (A)</p> Signup and view all the answers

A patient with hypertension and a history of opioid addiction is prescribed clonidine. What is the most important teaching point regarding potential withdrawal symptoms?

<p>The medication must be tapered off slowly under medical supervision to avoid rebound hypertension. (A)</p> Signup and view all the answers

When initiating carvedilol therapy for a patient with heart failure, what assessment finding would warrant immediate consultation with the prescriber?

<p>New onset wheezing (A)</p> Signup and view all the answers

A patient is started on captopril for hypertension. Which of the following findings requires the most immediate intervention?

<p>A rise in serum potassium levels to 5.8 mEq/L (A)</p> Signup and view all the answers

Which statement made by a patient prescribed losartan indicates a need for further teaching?

<p>&quot;I can continue to eat my regular diet, including bananas and oranges.&quot; (A)</p> Signup and view all the answers

A patient is receiving hydralazine for hypertensive crisis. Which assessment finding should prompt the nurse to suspect a potential adverse effect of the medication?

<p>Facial rash and joint pain (D)</p> Signup and view all the answers

A patient with angina pectoris takes a sublingual nitroglycerin tablet for chest pain. After 5 minutes, the pain is partially relieved but still present. What should the patient do next?

<p>Take another nitroglycerin tablet and call 911 if the pain is not relieved after another 5 minutes. (B)</p> Signup and view all the answers

A patient taking diltiazem reports persistent constipation. Which of the following recommendations is most appropriate?

<p>Consume a high-fiber diet and increase fluid intake (A)</p> Signup and view all the answers

A patient has been prescribed amlodipine for hypertension. What findings should the nurse instruct the patient to report?

<p>Gradual increase in lower leg swelling (D)</p> Signup and view all the answers

A patient is prescribed lisinopril and is also taking ibuprofen for arthritis. What potential interaction should the nurse be most concerned about?

<p>Reduced effectiveness of lisinopril (A)</p> Signup and view all the answers

A patient taking valsartan reports experiencing muscle weakness and cramps. Which laboratory value should the nurse assess first?

<p>Potassium level (D)</p> Signup and view all the answers

A patient with heart failure is prescribed digoxin. Which assessment finding would indicate that the medication is having a therapeutic effect?

<p>Decreased heart rate (C)</p> Signup and view all the answers

A patient with severe digoxin toxicity is being treated with Digoxin Immune Fab. What is a priority nursing intervention following the administration of this antidote?

<p>Monitor the patient for signs of heart failure (C)</p> Signup and view all the answers

A patient is receiving adenosine for supraventricular tachycardia (SVT). Which of the following side effects is most important for the nurse to explain to the patient before administering the medication?

<p>Temporary feeling of flushing or chest discomfort (D)</p> Signup and view all the answers

A patient is on amiodarone for the treatment of atrial fibrillation. What is the most important instruction the nurse should give this patient regarding potential adverse effects?

<p>Avoid direct sunlight exposure (C)</p> Signup and view all the answers

A patient is prescribed atorvastatin for hyperlipidemia. Which of the following findings would warrant immediate discontinuation of the medication?

<p>Unexplained muscle pain and weakness (C)</p> Signup and view all the answers

What is the most important instruction to include in patient teaching when administering cholestyramine?

<p>Take cholestyramine with plenty of water to prevent constipation and esophageal irritation. (B)</p> Signup and view all the answers

A patient is prescribed ezetimibe in addition to a statin for managing their hyperlipidemia. What is the primary mechanism of action of ezetimibe?

<p>Inhibiting cholesterol absorption in the small intestine (B)</p> Signup and view all the answers

A patient is prescribed furosemide for the treatment of edema. Which of the following electrolyte imbalances is the patient most at risk for developing?

<p>Hypokalemia (D)</p> Signup and view all the answers

A patient with increased intracranial pressure is receiving mannitol. What finding indicates the medication is having the desired effect?

<p>Improved level of consciousness (C)</p> Signup and view all the answers

A patient taking spironolactone for heart failure should be monitored for which of the following adverse effects?

<p>Hyperkalemia (D)</p> Signup and view all the answers

A child with growth hormone deficiency is prescribed somatropin. What is the most important consideration?

<p>Monitor for joint or muscle pain (B)</p> Signup and view all the answers

A patient with diabetes insipidus is prescribed vasopressin. Which of the following indicates that the medication is effective?

<p>Decreased thirst (D)</p> Signup and view all the answers

A patient who has hypothyroidism is prescribed levothyroxine. When should the patient take the medication, and why?

<p>On an empty stomach, in the morning, to maximize absorption (B)</p> Signup and view all the answers

A patient with type 1 diabetes is prescribed lispro insulin. Which instruction should the nurse emphasize to the patient?

<p>The injection should be given as soon as the meal is served. (B)</p> Signup and view all the answers

A patient is prescribed regular insulin to manage their diabetes. What is the most important instruction regarding administration?

<p>Administer the insulin 30 minutes before meals. (A)</p> Signup and view all the answers

A patient is prescribed isophane insulin (NPH). What is the most important concept to emphasize during patient teaching?

<p>NPH insulin has a long duration and provides consistent blood sugar control overnight. (A)</p> Signup and view all the answers

A patient with type 1 diabetes is prescribed insulin glargine. What is the most important instruction?

<p>Administer it at the same time each day (C)</p> Signup and view all the answers

A patient with type 2 diabetes is started on metformin therapy. Which of the following side effects should the patient be instructed to report immediately?

<p>Muscle aches and fatigue (A)</p> Signup and view all the answers

A patient with type 2 diabetes is prescribed glipizide. What is the primary mechanism of action of glipizide?

<p>Stimulating the release of insulin from the pancreas (A)</p> Signup and view all the answers

A patient with type 2 diabetes is prescribed sitagliptin. What is the primary mechanism?

<p>Slows the breakdown of incretin hormones (A)</p> Signup and view all the answers

A patient is prescribed prednisone for an inflammatory condition. Which instruction is most important to provide?

<p>Do not stop the medication suddenly (B)</p> Signup and view all the answers

A postmenopausal woman is prescribed estrogen. Which of the following should the nurse include in the teaching?

<p>Estrogen therapy replaces missing hormones and helps with symptoms such as hot flashes. (B)</p> Signup and view all the answers

A patient is prescribed progesterone as part of hormone replacement therapy. Which of the following adverse effects should the nurse teach the patient to report?

<p>Calf pain or swelling (C)</p> Signup and view all the answers

A patient is prescribed sildenafil for erectile dysfunction. Which instruction is most important?

<p>Do not take sildenafil with nitrates (C)</p> Signup and view all the answers

A man is prescribed finasteride for benign prostatic hyperplasia (BPH). What information should the nurse provide?

<p>Pregnant women should not handle crushed finasteride tablets. (C)</p> Signup and view all the answers

A male patient is prescribed testosterone replacement therapy. Which assessment finding should the nurse report to the provider?

<p>Increased red blood cell count (C)</p> Signup and view all the answers

Which instruction is important to provide to a patient who is prescribed dipivefrin eye drops?

<p>Avoid touching the tip of the dropper to the eye. (A)</p> Signup and view all the answers

A patient is prescribed latanoprost eye drops for glaucoma. Which statement is most important?

<p>You may experience a change in iris color. (B)</p> Signup and view all the answers

A patient is prescribed dorzolamide eye drops for glaucoma. What is the most important point to emphasize to the patient?

<p>Apply gentle pressure to the inner canthus after instilling the eye drops. (A)</p> Signup and view all the answers

A patient with hypertension is prescribed clonidine. What is the primary mechanism by which this medication lowers blood pressure?

<p>Reducing the release of norepinephrine in the brain. (A)</p> Signup and view all the answers

Carvedilol is prescribed to a patient with both hypertension and heart failure. What is the combined effect of its alpha and beta-blocking action that makes it beneficial in this scenario?

<p>Decreased heart rate, decreased blood pressure, and improved blood flow. (B)</p> Signup and view all the answers

Captopril is prescribed for a patient with hypertension and type 2 diabetes. Besides lowering blood pressure, what additional benefit does captopril provide in managing this patient's condition?

<p>Kidney protection. (D)</p> Signup and view all the answers

A patient taking losartan is advised to avoid potassium-rich foods and supplements. What is the rationale behind this recommendation?

<p>Losartan can lead to hyperkalemia, and dietary intake must be monitored. (A)</p> Signup and view all the answers

Hydralazine is prescribed for a patient with severe hypertension. Why is hydralazine often used in combination with other blood pressure medications?

<p>To minimize the risk of reflex tachycardia and fluid retention. (B)</p> Signup and view all the answers

A patient with angina pectoris is prescribed nitroglycerin sublingual tablets. What instructions should be provided to the patient regarding the use of this medication during an acute anginal attack?

<p>Take one tablet at the onset of chest pain, and if pain persists after 5 minutes, call 911. (A)</p> Signup and view all the answers

A patient is prescribed diltiazem for hypertension. Which of the following dietary instructions is most important for the nurse to provide?

<p>Avoid grapefruit juice. (C)</p> Signup and view all the answers

Amlodipine is prescribed for a patient with hypertension. What mechanism of action allows amlodipine to effectively treat hypertension?

<p>Blocking calcium entry into cells, leading to vasodilation. (A)</p> Signup and view all the answers

A patient is started on lisinopril for hypertension. What is the rationale for advising the patient to take lisinopril on an empty stomach?

<p>To enhance the absorption of the medication. (A)</p> Signup and view all the answers

A patient taking valsartan reports persistent headaches. What is the most appropriate initial nursing action?

<p>Assessing the patient's blood pressure and reviewing other potential causes. (B)</p> Signup and view all the answers

A patient with heart failure is prescribed digoxin. How does digoxin improve cardiac output in patients with heart failure?

<p>By decreasing the heart rate and increasing myocardial contractility. (D)</p> Signup and view all the answers

A patient with severe digoxin toxicity is receiving Digoxin Immune Fab. What is the primary goal of administering this medication?

<p>To bind to digoxin and prevent it from exerting its toxic effects. (D)</p> Signup and view all the answers

Why does adenosine have to be administered via rapid IV push?

<p>To ensure that the medication reaches the heart quickly due to its short half-life. (C)</p> Signup and view all the answers

A patient on amiodarone therapy is instructed to watch for vision changes, such as halos or blurred vision. What is the rationale for this instruction?

<p>Amiodarone can cause corneal deposits. (A)</p> Signup and view all the answers

A patient is prescribed atorvastatin for hyperlipidemia. Why is it important to advise the patient to take atorvastatin at night?

<p>To coincide with the body's natural cholesterol production cycle. (B)</p> Signup and view all the answers

What is the rationale for advising patients taking cholestyramine to take other medications 1 hour before or 4 hours after taking cholestyramine?

<p>Cholestyramine binds to several medications, reducing their absorption. (D)</p> Signup and view all the answers

Ezetimibe reduces cholesterol by which mechanism?

<p>Limiting cholesterol absorption in the intestines. (A)</p> Signup and view all the answers

A patient is prescribed furosemide. What electrolyte imbalance is the patient most at risk for?

<p>Hypokalemia. (D)</p> Signup and view all the answers

A patient taking spironolactone for heart failure should be monitored for which of the following electrolyte imbalances?

<p>Hyperkalemia. (C)</p> Signup and view all the answers

A child is prescribed somatropin. Why is it important to monitor growth and hormone levels during treatment?

<p>To ensure that the medication is effective and to adjust the dose as needed. (B)</p> Signup and view all the answers

A patient with diabetes insipidus is prescribed vasopressin. What assessment finding would indicate that the medication is effective?

<p>Decreased urine output. (A)</p> Signup and view all the answers

A patient with hypothyroidism is prescribed levothyroxine. Why is it important to instruct the patient to take levothyroxine on an empty stomach in the morning?

<p>To enhance the absorption of the medication. (B)</p> Signup and view all the answers

A patient with type 1 diabetes is prescribed lispro insulin. What is the most important instruction for the nurse to emphasize to the patient?

<p>Administer the insulin immediately before or after meals. (D)</p> Signup and view all the answers

A patient is prescribed isophane insulin (NPH). What patient teaching should the nurse emphasize regarding this medication?

<p>NPH insulin has an intermediate duration of action, so a consistent daily schedule is important. (D)</p> Signup and view all the answers

A patient with type 2 diabetes is started on metformin therapy. What is the rationale for advising the patient to take metformin with food?

<p>To minimize gastrointestinal side effects. (B)</p> Signup and view all the answers

A patient with type 2 diabetes is prescribed glipizide. What is the primary reason for using this medication?

<p>To increase insulin release from the pancreas. (B)</p> Signup and view all the answers

A patient is prescribed prednisone. What is the rationale for the patient to avoid stopping this medication suddenly?

<p>To prevent adrenal insufficiency. (D)</p> Signup and view all the answers

A postmenopausal woman is prescribed estrogen. Why is it important to advise the patient not to smoke?

<p>Smoking increases the risk of blood clots while on estrogen therapy. (D)</p> Signup and view all the answers

A male patient is prescribed finasteride for benign prostatic hyperplasia (BPH). What should the nurse teach the patient?

<p>Women who are pregnant or may become pregnant should not handle crushed tablets. (B)</p> Signup and view all the answers

A patient is prescribed latanoprost eye drops for glaucoma. What should an educational statement include regarding this medication?

<p>Use the eye drops at the same time every day. (A)</p> Signup and view all the answers

Flashcards

Clonidine: Mechanism of Action

Reduces norepinephrine release in the brain to lower blood pressure; treats hypertension, ADHD, and opioid withdrawal.

Carvedilol: Action

Blocks beta and alpha receptors, lowering heart rate and blood pressure; used for hypertension and heart failure.

Captopril: Action

Inhibits the conversion of angiotensin I to angiotensin II; lowers blood pressure to protect the heart and kidneys.

Losartan: Action

Blocks angiotensin II effects, relaxing blood vessels and lowering blood pressure; used for hypertension and heart failure.

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Hydralazine: Function

Causes vasodilation to lower BP; often paired with other blood pressure meds; monitor BP and take with food.

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Nitroglycerin

Relaxes blood vessels, reducing heart workload; for chest pain (angina).

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Diltiazem: Action

Blocks calcium entry into heart and blood vessel cells, relaxing vessels and reducing heart rate; treats hypertension and angina.

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Amlodipine: Action

Blocks calcium, relaxing blood vessels and reducing heart workload; used for hypertension and angina.

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Lisinopril: Action

Helps relax blood vessels and lower blood pressure; protects kidneys in diabetes.

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Valsartan: Action

Blocks angiotensin II, relaxing blood vessels to lower blood pressure; for hypertension and heart failure.

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Digoxin: Action

Increases the strength of heart contractions and slows heart rate; used for heart failure and arrhythmias.

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Digoxin Immune Fab

Inactivates digoxin to treat severe toxicity; report allergic reactions immediately.

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Adenosine: Action

Slows electrical conduction to restore normal heart rhythm; for supraventricular tachycardia.

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Amiodarone: Action

Slows heart rate and stabilizes abnormal heart rhythms; for life-threatening arrhythmias.

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Atorvastatin: Action

Inhibits cholesterol production in the liver by blocking HMG-CoA reductase; lowers cholesterol and reduces heart attack risk.

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Cholestyramine: Action

Binds bile acids in the intestines, prevents reabsorption, lowers cholesterol levels.

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Ezetimibe: Action

Reduces cholesterol absorption in the intestines; lowers cholesterol levels.

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Furosemide: Action

Inhibits salt and water reabsorption, promotes urine production; treats fluid retention and high blood pressure.

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Mannitol: Action

Increases blood plasma volume and promotes fluid loss; reduces swelling and pressure in the brain and eyes.

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Spironolactone: Action

Blocks aldosterone, increasing urine production; treats high blood pressure and heart failure.

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Epinephrine's receptor type

Activates adrenergic receptors.

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Midodrine administration: Nurse's first action?

Monitor the heart rate after the drug is given

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Positive chronotropic effect: expected outcome?

Increased heart rate.

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Adrenergic Agonist Effect

Bronchodilation.

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Dopamine: Administration Route

Intravenous continuous infusion.

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Atenolol: Crucial teaching point?

Do not abruptly stop taking this medication.

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Nonselective beta-blockers: main contraindication?

Asthma.

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Beta-blockers: embarrassing side effect?

Impotence.

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Beta-blockers post-MI: primary purpose?

Protects the heart from circulating catecholamines.

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Pregnancy: Contraindicated drug classes?

Angiotensin Converting Enzyme (ACE) Inhibitor and Angiotensin II Receptor Blockers (ARBs)

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Asthma: preferred beta blocker?

Atenolol

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Incorrect statement after diet review

"I need to eliminate fiber from my diet."

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Diltiazem reasons?

Treatment of hypertension, Long term prevention of angina, Treatment of arrhythmias

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Calcium channel blockers affect and decrease heart rate?

Verapamil and Diltiazem.

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Hypertension in a client with MI

Valsartan.

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Captopril first side effect?

Cough

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First-time antihypertensives: main precautions?

Falls

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Elevated K, Cough, angiodema causes?

Lisinopril

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Propranolol: exercise difficulty, response?

"Beta-blockers slow your pulse rate and prevents it from increasing during exercise."

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Chemo IV: infiltration, priority action?

Stop the infusion

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Clonidine: Class

Alphaâ‚‚ adrenergic agonist that lowers blood pressure by reducing norepinephrine release in the brain.

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Carvedilol: Patient Teaching

Monitor BP regularly, avoid sudden position changes to minimize dizziness.

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Captopril: Patient Teaching

Report any persistent cough, stay hydrated.

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Losartan: Patient Teaching

Monitor blood pressure and avoid potassium-rich foods or supplements.

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Hydralazine: Patient Teaching

Take with food to avoid stomach upset and monitor blood pressure regularly.

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Protamine

Treat overdose of heparin.

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Warfarin

Prevents clots in patients with atrial fibrillation

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Warfarin: Patient Teaching

Maintain consistent diet, report signs of bleeding to health professional.

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Aspirin: Patient Teaching

Take with food to avoid stomach irritation; used for prevention of heart disease.

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Clopidogrel: Patient Teaching

Monitor for any unusual bleeding, used often after stent placement.

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Atorvastatin: Patient Teaching

Avoid grapefruit juice, monitor for muscle pain, take it at night.

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Mannitol: Use

Used to reduce swelling and pressure in the brain

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Hydrochlorothiazide: Teaching

Monitor for low potassium, stay hydrated, and take it in the morning.

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Vasopressin: Teaching

Watch for signs of water retention, such as swelling or weight gain.

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Levothyroxine: Teaching

Take on an empty stomach, avoid calcium/iron; thyroid hormone replacement.

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Lispro: Patient Teaching

Monitor blood sugar and watch for signs of low blood sugar.

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Oral antidiabetic that lowers blood sugar by reducing glucose production.

Metformin: Class

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Glipizide: Patient Teaching

Take with meals, monitor blood sugar for signs of hypoglycemia

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Prednisone: Patient Teaching

Take with food, avoid stopping suddenly.

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Progesterone

Helps prepare the body for pregnancy and menstruation.

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Increases blood flow to male genital area.

Sildenafil

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Dipivefrin (Mydriatics)

Often used in eye procedures.

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Reduces the production of fluid in the eye, lowering eye pressure.

Carbonic Anhydrase Inhibitors

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Study Notes

Epinephrine

  • Activates adrenergic receptors

Midodrine

  • Administering midodrine at 2100 requires checking the client’s heart rate first

Medications Acting on Alpha and Beta Adrenergic Receptors

  • Epinephrine acts on both alpha and beta adrenergic receptors

Chronotropic Effect

  • A drug with a positive chronotropic effect increases heart rate

Adrenergic Agonist Effects

  • Adrenergic agonists are expected to cause bronchodilation

Dopamine Administration

  • Administer dopamine via intravenous continuous infusion

Atenolol Teaching

  • Teach clients not to abruptly stop taking atenolol

Nonselective Beta Blockers

  • Asthma can cause serious problems in clients taking nonselective beta blockers

Beta Blockers and Erectile Dysfunction

  • Impotence is a potential reason why patients stop taking beta blockers

Use of Beta Blockers Post-MI

  • Beta-blockers are used post-myocardial infarction to protect the heart from circulating catecholamines

Contraindications of Pregnancy in Cardiovascular/Renal Drug Classes

  • ACE inhibitors, ARBs, and direct renin inhibitors are contraindicated in pregnancy

Asthma and Beta Blockers

  • Atenolol, bisoprolol and esmolol are preferred over propranolol and labetalol in clients with asthma

Patient Teaching and Fiber Intake

  • A client stating "I need to eliminate fiber from my diet" requires further teaching

Verapamil and diltiazem

  • Verapamil and diltiazem are used to treat hypertension, prevent angina, and treat arrhythmias

Calcium Channel Blockers & Heart Rate

  • Verapamil and diltiazem are calcium channel blockers that decrease heart rate

Hypertension Treatment After MI

  • After a heart attack (MI), valsartan may be prescribed to treat hypertension

Captopril Assessment Priority

  • The priority side effect of captopril to assess is cough

Initiating Blood Pressure Meds

  • Falls are a primary precaution when administering blood pressure medication for the first time
  • Elevated potassium, angioedema, and cough suggest lisinopril use

Findings Indicating Hypertensive Crisis

  • A blood pressure of 182/100 mm Hg accompanied by confusion, headache, and shortness of breath indicates a hypertensive crisis

Propranolol and Exercise

  • Beta-blockers like propranolol slow the pulse rate and prevents it from increasing during exercise

Priority Action for IV Chemo Site Reaction

  • The priority action for swelling, pain, and skin discoloration near an IV chemo insertion site is to stop the infusion

Cytotoxic Chemo Drugs

  • Methotrexate, cisplatin, cyclophosphamide, and vincristine are medications that produce cytotoxic changes

Chemo Education/Blood Transfusions

  • The client requires further education if they believe a blood transfusion will prevent future chemotherapy treatments

Monitoring Skin Cancer Chemo Treatment

  • Alopecia, leukocytopenia, photosensitivity, and stomatitis are adverse effects to monitor for in skin cancer chemotherapy

Understanding Intraperitoneal Chemo

  • The client demonstrates understanding of intraperitoneal chemotherapy by stating "This type of chemotherapy goes directly into a space in my abdomen"

Cisplatin Peripheral Vein Administration

  • When administering cisplatin through a peripheral vein and the client reports tenderness at the IV site, the priority nursing intervention is to stop the infusion

Chemotherapy Side Effects

  • Ondansetron is used for a side effect of chemotherapy

Bladder Cancer Chemo

  • Hematochezia in a client receiving chemotherapy is the most concerning

Administering Chemo/PRN Analgesic

  • Administer a prescribed PRN analgesic for a client who reports oral pain during chemotherapy, noting sores in the client's mouth

Shift Report - Chemo Patients

  • A client reporting 100 mL output of black emesis and 112 beats/min requires immediate attention over temperatures of 98.6F or hemoglobin of 8.6 mg/dL

Expected Chemo Assessment Findings

  • Hair loss, sores inside the mouth, papulopustular rash on the chest, and bruising of the gums are expected adverse effects of chemotherapy

Chemotherapy and Low Blood Cell Count

  • For a blood cell count of 3x109/L in a client receiving chemotherapy, filgrastim is administered

Restoring Red Blood Cell Production

  • Erythropoietin stimulates red blood cell production after chemotherapy

Pancreatic Cancer & Neutrophil Count

  • For a client with an absolute neutrophil count of 0.45x109/L, the nurse intervenes when unlicensed assistive personnel place flowers from family at the bedside

Changes with Corticosteroids

  • With high doses of corticosteroids, monitor salt and water balance, blood pressure, and immune function

Cushings & Corticosteroids

  • The cortex is where corticosteroids are made

Contraindications of Corticosteriods

  • Long-term corticosteroid therapy is reconsidered for a young adult client with bronchial asthma

Thinning & Corticosteriods

  • This is a common side effect and your medication needs adjustment

Parent/Child Diabetes Teaching

  • "I understand that children develop Type 1 diabetes, while adults have Type 2" requires further teaching

Glyburide Instructions

  • Glyburide will reduce blood glucose levels whether they are high or low is an important instruction

Medications & Nateglinide

  • Client not responding to glipizide, discontinued and replaced by repaglinide is the medication to reconsider

Potential teaching for Incretin and Amylin Mimetics

  • Digestion problems
  • Hypoglycemia
  • Poor absorption of oral medications

Metformin Adverse Reactions

  • Muscle Pain
  • Unusual drowsiness
  • Hyperventilation
  • Unusual thirst

Increased Risk of Stroke/MI/Testosterone

  • There is an increased risk of stroke when using testosterone therapy
  • There is an increased risk of myocardial infarction when using testosterone therapy

Side Effects of Topical Testosterone

  • Your condition is probably caused by contact with testosterone gel

Diabetes, Deppresion and Erectile Dysfunction

  • Sildenafil is most appropriate for the treatment of erectile dysfunction

Risks of Estrogen Therapy

  • The increased risk of deep vein thrombosis is a significant concern

Harmful Side Effects of Estrogen/Progestin Therapy

  • Deep Vein Thrombosis
  • Breast Cancer
  • Stroke

Oral Contraceptives - Potential Side Effects

  • The risk of developing clots increases when you take a combination oral contraceptive
  • Combined OCs are contraindicated if you have migraines and auras due to the risk of stroke
  • Combination OCs suppress ovulation

Clonidine (Alphaâ‚‚ Agonists)

  • Reduces norepinephrine in the brain, lowering blood pressure
  • Treats high blood pressure, ADHD, and opioid withdrawal
  • Contraindicated in severe heart disease and low blood pressure
  • Adverse effects: drowsiness, dry mouth, low blood pressure, constipation
  • Don’t stop abruptly and take at night
  • Available in oral and transdermal patch routes

Carvedilol (Dual Action Beta/Alpha-Blocker)

  • Blocks beta and alpha receptors, lowering heart rate and blood pressure
  • Treats high blood pressure, heart failure, and reduces heart attack risk
  • Contraindicated in asthma, severe heart block, and severe liver disease
  • Adverse effects: dizziness, fatigue, low blood pressure, bradycardia
  • Monitor blood pressure regularly and avoid sudden position changes
  • Administered orally

Captopril (ACE Inhibitor)

  • Blocks angiotensin I to angiotensin II conversion, lowering blood pressure
  • Treats high blood pressure, heart failure, and diabetic kidney protection
  • Contraindicated in angioedema history, pregnancy, and severe kidney disease
  • Adverse effects: cough, elevated potassium, low blood pressure, dizziness
  • Report persistent cough, monitor potassium, and stay hydrated
  • Administered orally

Losartan (ARBs)

  • Blocks angiotensin II effects, relaxing blood vessels and lowering blood pressure
  • Treats high blood pressure, heart failure, and diabetic kidney protection
  • Contraindicated in pregnancy and severe kidney disease
  • Adverse effects: dizziness, headache, elevated potassium, low blood pressure
  • Monitor blood pressure and avoid potassium-rich foods
  • Administered orally
  • Has fewer side effects compared to ACE inhibitors

Hydralazine (Vasodilators)

  • Relaxes blood vessels, improving heart efficiency and lowering blood pressure
  • Treats severe hypertension and heart failure
  • Contraindicated in coronary artery disease and lupus
  • Adverse effects: dizziness, headache, rapid heartbeat, fluid retention
  • Monitor blood pressure and take with food
  • Available in oral and injection routes

Nitroglycerin (Nitrates)

  • Relaxes blood vessels, easing blood flow and reducing heart workload
  • Treats chest pain (angina) and heart failure
  • Contraindicated in severe hypotension and use of erectile dysfunction drugs
  • Adverse effects: headache, dizziness, low blood pressure, flushing
  • Take during angina, sit or lie down, and avoid erectile dysfunction drugs
  • Available in sublingual, transdermal, oral, and IV routes

Diltiazem (Calcium Channel Blockers)

  • Blocks calcium entry into heart and blood vessel cells, relaxing vessels and reducing heart rate
  • Treats hypertension, angina, and some arrhythmias
  • Contraindicated in severe heart failure, low blood pressure, and heart block
  • Adverse effects: dizziness, swelling, constipation, headache
  • Avoid grapefruit juice and monitor for swelling or dizziness
  • Available in oral and IV routes
  • Commonly used for arrhythmias

Amlodipine (Calcium Channel Blockers)

  • Relaxes blood vessels and reduces heart workload
  • Treats high blood pressure and angina
  • Contraindicated in severe heart failure
  • Adverse effects: swelling in the ankles, dizziness, fatigue, palpitations
  • Take at the same time each day and monitor for swelling
  • Administered orally
  • Has a long half-life, allowing once-daily dosing

Lisinopril (ACE Inhibitors)

  • Blocks angiotensin I to angiotensin II conversion
  • Treats high blood pressure, heart failure, and diabetic kidney protection
  • Contraindicated in pregnancy and angioedema history
  • Adverse effects: persistent cough, elevated potassium, dizziness, low blood pressure
  • Take on an empty stomach and monitor for a persistent cough
  • Administered orally
  • One of the most commonly prescribed ACE inhibitors

Valsartan (ARBs)

  • Blocks angiotensin II, relaxing blood vessels and lowering blood pressure
  • Treats high blood pressure and heart failure
  • Contraindicated in pregnancy and severe kidney problems
  • Adverse effects: dizziness, headache, elevated potassium, low blood pressure
  • Take as prescribed and monitor blood pressure regularly
  • Administered orally
  • Causes fewer side effects like coughing compared to ACE inhibitors

Digoxin (Cardiac Glycosides)

  • Increases heart contraction strength and slows heart rate
  • Treats heart failure and certain arrhythmias
  • Contraindicated in ventricular arrhythmias and severe kidney disease
  • Adverse effects: Digoxin toxicity (nausea, vomiting, vision changes), arrhythmias
  • Monitor pulse regularly and report toxicity signs
  • Available in oral and IV routes
  • Requires regular monitoring of blood levels

Digoxin Immune Fab (Cardiac Glycosides)

  • Antidote for digoxin toxicity
  • Binds to digoxin, inactivating it
  • Treats severe digoxin toxicity
  • Contraindicated in hypersensitivity
  • Adverse effects: Allergic reactions, serum sickness, abnormal heart rhythms
  • Report any allergic reactions immediately
  • Administered via IV

Adenosine (Antidysrhythmic)

  • Slows electrical conduction in the heart to restore normal rhythm
  • Treats supraventricular tachycardia
  • Contraindicated in severe heart block and low blood pressure
  • Adverse effects: Shortness of breath, chest pain, flushing, dizziness
  • May feel brief chest discomfort during administration
  • Administered as a rapid IV push
  • Has a very short half-life

Amiodarone (Antidysrhythmic)

  • Slows heart rate and stabilizes abnormal heart rhythms via electrical impulses
  • Treats life-threatening arrhythmias (e.g., ventricular fibrillation)
  • Contraindicated in severe heart block, lung disease, and pregnancy
  • Adverse effects: Lung toxicity, liver damage, thyroid problems, vision changes
  • Monitor for breathing problems and vision changes
  • Available in oral and IV routes
  • Can be used for both atrial and ventricular arrhythmias

Enoxaparin (Anticoagulants)

  • Inhibits clot formation
  • Prevents blood clots (e.g., DVT, PE)
  • Contraindicated in active bleeding and low platelet count
  • Adverse effects: Bleeding, injection site reactions
  • Report any unusual bleeding or bruising
  • Administered subcutaneously
  • Often used for short-term anticoagulation

Heparin (Anticoagulants)

  • Inhibits clotting factors to prevent blood clots
  • Prevents and treats blood clots
  • Contraindicated in active bleeding and severe hypertension
  • Adverse effects: Bleeding, thrombocytopenia
  • Report signs of bleeding immediately
  • Available in IV and subcutaneous routes
  • Requires frequent monitoring of clotting times

Protamine (Heparin Antidote)

  • Neutralizes heparin's effect
  • Reverses heparin overdose
  • Contraindications: None when used for heparin overdose
  • Adverse effects: Allergic reactions, low blood pressure
  • Used in hospitals only
  • Administered via IV

Warfarin (Anticoagulants)

  • Inhibits vitamin K, essential for clotting factors
  • Prevents clots in patients with atrial fibrillation, post-surgery, etc.
  • Contraindicated in active bleeding and pregnancy
  • Adverse effects: Bleeding, bruising
  • Maintain consistent diet and report signs of bleeding
  • Requires regular blood tests (INR)
  • Administered orally

Vitamin K (Warfarin Antidote)

  • Reverses the effects of warfarin by promoting clotting factor production
  • Treats warfarin overdose
  • Contraindications: None when used to reverse warfarin
  • Adverse effects: Rare allergic reactions
  • Rarely used outside of emergency settings
  • Administered via IV or subcutaneously

Aspirin (Antiplatelets)

  • Inhibits platelets from clumping together
  • Prevents heart attacks, strokes, and clots
  • Contraindicated in active bleeding and history of ulcers
  • Adverse effects: Stomach upset, bleeding
  • Take with food to avoid stomach irritation
  • Administered orally
  • Commonly used for heart disease prevention

Clopidogrel (Antiplatelet)

  • Prevents platelets from sticking together
  • Prevents clots in cardiovascular disease
  • Contraindicated in active bleeding and certain blood disorders
  • Adverse effects: Bleeding, bruising
  • Monitor for any unusual bleeding
  • Administered orally
  • Often used after stent placement

Alteplase (Thrombolytic)

  • Breaks down blood clots
  • Treats acute heart attack, stroke, or pulmonary embolism
  • Contraindicated in active bleeding and recent surgery
  • Adverse effects: Bleeding, allergic reactions
  • Closely monitored during administration
  • Given in emergency settings to dissolve clots quickly
  • Administered via IV

Atorvastatin (HMG-CoA Reductase Inhibitors - Statins)

  • Reduces cholesterol production in the liver
  • Lowers cholesterol and reduces the risk of heart attack or stroke
  • Contraindicated in liver disease, pregnancy, and breastfeeding
  • Adverse effects: Muscle pain, liver damage, digestive problems
  • Avoid grapefruit juice, monitor for muscle pain, and take at night
  • Administered orally
  • One of the most commonly prescribed cholesterol-lowering drugs

Cholestyramine (Bile Acid Sequestrants)

  • Binds to bile acids in the intestines, lowering cholesterol levels
  • Lowers cholesterol levels in the blood
  • Contraindicated in bowel obstructions and certain types of high cholesterol
  • Adverse effects: Constipation, bloating, nausea
  • Take with plenty of water, may cause constipation, take other medications 1 hour before or 4 hours after
  • Administered orally (powder form mixed with water)
  • Often used when statins are not effective or not tolerated

Ezetimibe (Miscellaneous Antilipemic Drugs)

  • Reduces cholesterol absorption in the intestines
  • Lowers cholesterol levels, often used with statins
  • Contraindicated in liver disease and pregnancy
  • Adverse effects: Diarrhea, stomach pain, liver problems
  • Report unusual abdominal pain or yellowing of skin
  • Administered orally
  • Can be used in combination with statins for more effective cholesterol control

Furosemide (Loop Diuretics)

  • Inhibits salt and water reabsorption in the kidneys, promoting urine production
  • Treats fluid retention (edema) and high blood pressure
  • Contraindicated in severe kidney disease and dehydration
  • Adverse effects: Low potassium, dehydration, low blood pressure
  • Monitor for dehydration, avoid potassium loss (eat potassium-rich foods), take in the morning
  • Available in oral and IV routes
  • Often used in hospital settings for rapid fluid removal

Mannitol (Osmotic Diuretics)

  • Increases blood plasma volume and promotes fluid loss through the kidneys
  • Reduces swelling and pressure in the brain and eyes, and treats kidney failure
  • Contraindicated in severe kidney disease and dehydration
  • Adverse effects: Dehydration, electrolyte imbalances, heart failure
  • Monitor for signs of dehydration and avoid sudden position changes
  • Administered via IV
  • Often used in emergency situations to treat increased intracranial pressure

Spironolactone (Potassium-Sparing Diuretics)

  • Blocks aldosterone, increasing urine production
  • Treats high blood pressure, heart failure, and conditions with excess aldosterone
  • Contraindicated in hyperkalemia and severe kidney dysfunction
  • Adverse effects: High potassium, dizziness, gynecomastia
  • Monitor for high potassium (avoid potassium supplements) and report any breast tenderness or enlargement.
  • Administered orally
  • Helps to avoid low potassium, unlike other diuretics

Hydrochlorothiazide (HCTZ - Thiazide Diuretics)

  • Blocks sodium reabsorption in the kidneys, increasing urine output
  • Treats high blood pressure and edema
  • Contraindicated in severe kidney disease and dehydration
  • Adverse effects: Low potassium, dehydration, dizziness
  • Take in the morning, monitor for low potassium, and stay hydrated
  • Administered orally
  • Often the first line treatment for high blood pressure

Somatropin (Pituitary Drugs)

  • Stimulates growth
  • Treats growth hormone deficiency
  • Contraindicated in severe obesity and respiratory problems
  • Adverse effects: Swelling, joint pain, muscle pain
  • Monitor growth and hormone levels
  • Administer as directed, often by injection, and monitor for side effects
  • Administered via subcutaneous injection

Vasopressin (Pituitary Drugs)

  • Helps the kidneys retain water and maintain blood pressure
  • Treats diabetes insipidus, low blood pressure, and certain types of bleeding
  • Contraindicated in high blood pressure and heart disease
  • Adverse effects: Water retention, increased blood pressure
  • Watch for signs of water retention, such as swelling or weight gain
  • Available in IV, subcutaneous, and intranasal routes
  • Can also be used in emergency situations to control bleeding

Levothyroxine (Thyroid-Replacement Drugs)

  • Replaces thyroid hormone
  • Treats hypothyroidism
  • Contraindicated in thyroid hormone toxicity, acute heart problems
  • Adverse effects: Hyperthyroidism symptoms, hair loss, sweating
  • Take on an empty stomach in the morning and avoid taking with calcium or iron supplements
  • Administered orally (tablet)
  • Commonly prescribed for people with low thyroid hormone levels

Lispro (Insulin)

  • Helps the body use sugar by promoting its uptake into cells
  • Controls blood sugar in type 1 and type 2 diabetes
  • Contraindicated in hypoglycemia
  • Adverse effects: Low blood sugar, weight gain, swelling
  • Monitor blood sugar regularly and watch for signs of low blood sugar
  • Administered via subcutaneous injection
  • Fast-acting insulin, often used with meals

Regular Insulin

  • Lowers blood sugar by helping sugar enter the cells
  • Controls high blood sugar in type 1 and type 2 diabetes
  • Contraindicated in hypoglycemia
  • Adverse effects: Hypoglycemia, swelling, allergic reactions
  • Monitor blood sugar levels closely and take before meals
  • Administered via subcutaneous injection
  • Takes longer to work compared to rapid-acting insulins

Isophane (NPH) Insulin

  • Helps control blood sugar by promoting sugar uptake into cells
  • Manages blood sugar levels in type 1 and type 2 diabetes
  • Contraindicated in hypoglycemia
  • Adverse effects: Hypoglycemia, weight gain, injection site reactions
  • Take at the same time each day and monitor blood sugar
  • Administered via subcutaneous injection
  • Can be used in combination with other insulin types for long-lasting control

Glargine (Insulin)

  • Provides a steady release of insulin to maintain blood sugar levels over time
  • Manages diabetes, particularly for long-term blood sugar control
  • Contraindicated in hypoglycemia
  • Adverse effects: Low blood sugar, weight gain, allergic reactions
  • Do not mix with other insulins and monitor for signs of low blood sugar
  • Administered via subcutaneous injection
  • Provides 24-hour blood sugar control with one daily dose

Metformin (Biguanides)

  • Lowers blood sugar by reducing liver glucose production and improving insulin sensitivity
  • Manages type 2 diabetes
  • Contraindicated in severe kidney disease and acidosis
  • Adverse effects: Stomach upset, lactic acidosis (rare), diarrhea
  • Take with food to avoid stomach upset and monitor kidney function regularly
  • Administered orally
  • First-line treatment for type 2 diabetes, does not cause weight gain

Glipizide (Sulfonylureas)

  • Stimulates the pancreas to release more insulin
  • Treats type 2 diabetes
  • Contraindicated in hypoglycemia, kidney or liver disease
  • Adverse effects: Low blood sugar, weight gain, gastrointestinal issues
  • Take with meals and monitor blood sugar for signs of hypoglycemia
  • Administered orally
  • Often used when metformin alone doesn’t control blood sugar

Sitagliptin (Incretin Mimetics)

  • Increases insulin release in response to meals and decreases liver glucose production
  • Manages type 2 diabetes
  • Contraindicated in severe kidney disease
  • Adverse effects: Headache, upper respiratory tract infections, low blood sugar
  • Can be taken with or without food and monitor for signs of low blood sugar
  • Administered orally
  • Works by enhancing the body’s own incretin system, which helps regulate blood sugar

Prednisone (Adrenal Drugs)

  • Reduces inflammation and suppresses the immune system
  • Treats inflammation, allergies, autoimmune disorders, and certain cancers
  • Contraindicated in fungal infections and active tuberculosis
  • Adverse effects: Weight gain, high blood sugar, mood swings, osteoporosis
  • Take with food, avoid stopping suddenly, and monitor for side effects like increased blood sugar
  • Administered orally
  • Often used for short-term flare-ups of chronic conditions

Estrogen (Female Sex Hormones)

  • Replaces estrogen
  • Used for menopausal symptoms, hormone replacement therapy (HRT), and certain types of cancer
  • Contraindicated in estrogen-dependent cancers and blood clots
  • Adverse effects: Nausea, weight gain, blood clots
  • Take as prescribed and do not smoke while on therapy due to increased clot risk
  • Available in oral and transdermal patch routes
  • Often combined with progesterone in hormone replacement therapy

Progesterone (Female Sex Hormones)

  • Balances estrogen
  • Used in hormone replacement therapy and to prevent miscarriage in certain pregnancies
  • Contraindicated in liver disease, blood clots, and pregnancy-related conditions
  • Adverse effects: Headache, breast tenderness, changes in menstrual cycle
  • Take as prescribed and monitor for any signs of blood clotting
  • Available in oral and intramuscular injection routes
  • Often combined with estrogen in therapy to balance effects

Sildenafil (Androgens)

  • Increases blood flow to the penis by relaxing blood vessels
  • Treats erectile dysfunction
  • Contraindicated in nitrates and severe heart or liver problems
  • Adverse effects: Headache, flushing, dizziness, vision changes
  • Take as needed, avoid alcohol, and report any vision or hearing changes
  • Administered orally
  • Often known by the brand name Viagra

Finasteride (Androgens)

  • Reduces the size of the prostate by blocking the conversion of testosterone
  • Treats benign prostatic hyperplasia (BPH) and male pattern baldness
  • Contraindicated in pregnancy (can harm a male fetus)
  • Adverse effects: Sexual dysfunction, breast tenderness, depression
  • Women should not handle crushed tablets; may take several months for full effect
  • Administered orally
  • Can also help reduce the risk of prostate cancer

Testosterone (Androgens)

  • Replaces or supplements testosterone
  • Used for testosterone replacement therapy in men with low testosterone levels
  • Contraindicated in prostate cancer and severe liver disease
  • Adverse effects: Increased red blood cell count, liver issues, mood changes
  • Monitor for signs of aggression or mood changes, avoid using in women or children
  • Available in injection, transdermal patch, and gel routes

Dipivefrin (Mydriatics)

  • Dilates the pupils to allow better access to the back of the eye
  • Used for eye exams and to reduce eye pressure in glaucoma
  • Contraindicated in glaucoma with narrow-angle
  • Adverse effects: Eye irritation, headache, blurred vision
  • Use as directed, avoid touching the tip of the dropper to avoid contamination
  • Administered via eye drops
  • Often used in ophthalmic procedures

Latanoprost (Prostaglandin Agonists)

  • Increases fluid drainage from the eye to lower eye pressure
  • Treats glaucoma
  • Contraindicated in eye infection and pregnancy
  • Adverse effects: Eye irritation, eyelash growth, change in iris color
  • Use at the same time every day and remove contact lenses before applying
  • Administered via eye drops
  • Helps lower intraocular pressure to prevent vision loss

Dorzolamide (Carbonic Anhydrase Inhibitors)

  • Reduces the production of fluid in the eye, lowering eye pressure
  • Treats glaucoma
  • Contraindicated in severe kidney disease
  • Adverse effects: Eye irritation, bitter taste, headache
  • Apply as directed, avoid contact with the dropper tip
  • Administered via eye drops
  • Often used in combination with other glaucoma medications

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