Day 1 slides
What are some ace inhibitors and things to know? - ANSCaptopril, lisonopril
-pril
treats htn and heart failure
rxns: assess for angioedema swelling of tounge or glottis
Bp low? ok if asymptomatic, do response if symptomatic. Orthostatic htn! First dose at
bedtime.
What is a angiotensin II blocker and things to know? - ANSLosartan
blocks angiotensin II.
watch bun, creatinine, orthostatic hyoptension.
What does digoxin do? Things to know? - ANScontrols bp and heart problems by slowing
heart rate
watch for av block.
*assess pulse, under 60 bpm or over 120 hold and call doctor* assess potassium
antidote is digibind.
What does nitroglycerin do? things to know? - ANShelps with angina pectoris and CHF.
Keep in special bottle to block out sun. DO not crush.
Education: *take a sublingual tablet as needed if pain occurs. up to 3 every 5 min if pain
continues. If so call 911.*
What are some calcium channel blockers and things to know? - ANSnifedipine (procardia),
verapamil
Monitor VS. avoid with grapefruit juice!!
What are the parameters for normal bp, prehypertension, htn stage 1, and htn stage 2? -
ANSnormal: SBP x<120, DBP x<80
prehypertension: SBP 120-139. DBP 80-89.
htn stage 1: sbp 140-159. DBP 90-99
htn stage 2: SBP 160+, DBP 100+
, True or False:
It is ok to abruptly stop antihypertensives? - ANSFalse
Do not abruptly stop antihypertensives.
True or False:
Lidocaine causes blue discoloration on the skin? - ANSYes.
Things to monitor when pt is on amiodorone? - ANSVS, INR, and QT interval. wear
sunscreen.
Things to know about warfarin? PT and INR range? Foods to avoid?? - ANSWarfarin is an
anticoagulant.
PT is 1.5-2 times the control
INR 2.5-3.5
antitode - vitamin K. avoid etoh.
*avoid leafy greens, kalem alfafa, broccoli etc*
*make sure pt has a follow up with anticoagulation clinic*.
True or False:
Heparin is never given IM? - ANSTrue.
Bleeding duh.
antidote - protamine sulfate.
avoid shaving or flossing hard! avoid bleeding!
Maximum limit for tylenol? - ANS4000 mg.
True or False:
NSAIDS can cause peptic ulcer? - ANSTrue
How to push morphine? - ANS5 min every 15 mg.
true or false:
antidepressants take 2-3 weeks to work? - ANSYes.