SCRN Medications Exam Questions and Answers

drug classes - Answer- fibrinolytic antifibrinolytic anticoagulant antiplatelet -statins antihypertensives hypertensives diuretics anti epileptics fibrinolytics - Answer- clot buster, breaks down existing clots rtPA: recombinant tissue plasminogen activator - MOA: activates plasmin, breaks down clot - adverse: bleeding, angioedema anticoagulants - Answer- clot stopper, prevents clots from forming heparin enoxaparin (Lovenox) coumadin (Warfarin) direct thrombin inhibitors: - dabigatran (Pradaxa) factor Xa inhibitors: - rivaroxaban (Xarelto) - apixaban (Eliquis) antiplatelets - Answer- aspirin dipyridamole ADP receptor antagonists - clopidogrel (Plavix) - prasugrel (Effient) statins - Answer- atorvastatin (Lipitor) MOA: decreases cholesterol production, stabilized plaque, anti-inflammatory effects contra: hemorrhagic CVA, liver diseases adverse: - rhabdomyolysis (watch for tea colored urine) - DDI: cardiomyopathy w/NIACIN, altered concentration of WARFARIN - FDI: grapefruit juice antihypertensives - Answer- CCBs: - nicardipine - clevidipine BBs - esmolol ABs - nitroprusside hypertensives - Answer- dopamine - adverse: profound vasoconstriction (fluid resuscitation before admin) epinephrine - adverse: skin sloughing (give through central line only) osmotic diuretics - Answer- mannitol MOA: increase serum osmolality, pull fluid into vascular system tx: vasogenic cerebral edema adverse: hypovolemia, hypoNa anti epileptics - Answer- levatiracetam (Ke