nclex pharm
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May 3, 2016Pharmacology
1. CARDIAC MEDS: ACE INHIBITORS: meds that ends with pril-partners with diuretics.
Benazepril(lotensin)-treat HTN, avoid salt subs along with potassium. Intervention: Check BP, and check K levels. Captopril: helps with CHF and left ventricular failure
Intervention: Bronchospasm, angioedema, cough, no OTC Enalopril: helps with diabetic neuropathy. Intervention: dizziness, HA
Lisinopril: ALPHA BLOCKERS: txt of HTN-Sin at the end- relaxes smooth muscle
Doxazosin mesylate (Cardura): BPH-enlarged prostate-avoid Change in position, first dose syncope, take at time. Effects take several weeks. Terazosin(Hytrin)-Txt BPH –priapism(prolonged erection) Intervention: HA, n/v/d,
ARBS (ANGIOTENSIN RECEPTOR BLOCKERS):txt HTN, CHF, and peeps who can’t take ace inhibitors. Reduction of Mortality with Left ventricular fail or destruction from MI. Ends-Sartan. May cause hypertensive Losartan: Valsartan: with HCTZ- NSAIDS don’t go well with Diuretics, exasperate SLE (systemic lupus), tinnitus, vertigo, nasopharyngytis, gi distress, male dysfunction. Intervention: monitor creatinine, if allx with sulfa might be allx to arbs. QD for htn, BID for CHF. S/E: HA, fatigue, cough, hypotension, stomach back joint pain,vasculitis (infection blood vessels), viral infection-decrease WBC, rash,
Anti-Angina: txt of angina pectoris, CHF, PO 1 hour before food 2 after meal for max absorption, food may reduce of eliminate HA, crushable meds, sublingual. ED-if pain not relieved. No ETOH, strenuous physical activity, Isosorbide Mononitrate: Isosorbide Dinatrate: Nitrogylcerin: