AANP - Walden
Beta blockers - Answer-decrease heart rate and dilate arteries by blocking beta receptors
-lol
contraindicate in asthma/copd//emphysema, masks signs of hypoglycemia, bradycardia, exercise
intolerance, fatigue
Calcium Channel Blockers (CCB) - Answer-slow calcium channels in myocardium.
promotes vasodilation.
highly protein bound. work better in AA.
do not use grapefruit
side effect is edema in ankles, arrhythmias, hypotension, headache, dizziness, constipation, flushing,
weakness, migraine prophylaxis, drug reaction with grapefruit, preferred for isolated systolic
hypertension
ARBs and ACEI - Answer-lower Hgb levels in pts with chronic diseases preferred in CHF/diabetes
patients, asses renal function, avoid in renal stenosis, hypotension, hyperkalemia
,Atorvastatin (Lipitor) - Answer-HMG-CoA Reductase Inhibitors (Statins)
perform liver function tests
side effect myalgias, myopathy, rhabdomyolysis.
Contraindicated with grape fruit juice
Thiazides - Answer-Diuretic prototype: block Na+/Cl− transporter in distal convoluted tubule; used in
HTN, CHF, chronic stone formers.
Tox: K+ wasting; increased serum lipids, uric acid, and glucose
largest studied drug, lowers potassium, increases gout, increase digoxin toxicity
Spironolactone (Aldactone) - Answer-potassium-sparing diuretic; aldosterone antagonist
side effect of gynecomastia
Diuretic side effects - Answer-- decrease in Ca++ (except thiazides), Cl, K, Mg, Na
- metabolic alkalosis (loops)
- ototoxicity (loops)
- hyperuricemia
- hyperglycemia
- hyperlipidemia
,- photosensitivity
Butterburr used for: - Answer-headaches
Ginko bilboa can help with - Answer-help with memory, circulatory disorders, contraindicated with
aspirin/warfarin
Saw Palmetto uses - Answer-BPH
St John Wort used for? - Answer-depression & menopause symptoms
Kavakava/valerian root used for? - Answer-anxiety or insomnia affects liver
Ginseng used for? - Answer-reduce stress, weight loss, sexual dysfunction, lower blood sugars
Ginger used for - Answer-anti-inflammatory, nausea GI Upset
Feverfew used for? - Answer-migraines and menstrual cramps
Echinacea used for? - Answer-builds immunity
Aspirin used for? - Answer-effect on platelets irreversible 15- 20 days, monitor for bleeding, tinnitus,
tarry stools, GI irritation
NSAIDs used for? - Answer-affect GI, renal, cardio, blunts diuretics
, Ponstel (Mefenamic acid) uses - Answer-is an NSAID for menstrual pain
Macrobid/nitrofurantoin uses - Answer-long term use associated with lung, hepatitis, renal
insufficiency, and neuropathy
Metformin uses - Answer-Oral, first line therapy in type 2 diabetes mellitus. Doesn't cause
hypoglycemia.
affects liver enzymes, weight loss, avoid in alcohol drinkers, watch for lactic acidosis, diarrhea and
flatulence
Steroids side effects: - Answer--sone
side effects osteopenia, cataracts
Potentially inappropriate drugs for elderly: - Answer-Benadryl, glipizide, glyburide,
benzodiazepines, thioridazine, mesoridazine, Seroquel, Zyprexa, Elavil, trofanil,
NSAIDS, Ambien, Reglan, mineral oil, PPI's
Potentially inappropriate drugs for pregnant females: - Answer-Tetracyclines, sulfa is iffy,
fluoroquinolones, ACE, NSAID, aspirin, any hormonal drugs, Accutane,
Loretta Ford - Answer-Co-developed 1st Nurse Practitioner in 1965.
Metanalysis is - Answer-combines data from multiple studies resulting in higher statistical power and
single conclusion, gold standard for research evidence in EBM
Beta blockers - Answer-decrease heart rate and dilate arteries by blocking beta receptors
-lol
contraindicate in asthma/copd//emphysema, masks signs of hypoglycemia, bradycardia, exercise
intolerance, fatigue
Calcium Channel Blockers (CCB) - Answer-slow calcium channels in myocardium.
promotes vasodilation.
highly protein bound. work better in AA.
do not use grapefruit
side effect is edema in ankles, arrhythmias, hypotension, headache, dizziness, constipation, flushing,
weakness, migraine prophylaxis, drug reaction with grapefruit, preferred for isolated systolic
hypertension
ARBs and ACEI - Answer-lower Hgb levels in pts with chronic diseases preferred in CHF/diabetes
patients, asses renal function, avoid in renal stenosis, hypotension, hyperkalemia
,Atorvastatin (Lipitor) - Answer-HMG-CoA Reductase Inhibitors (Statins)
perform liver function tests
side effect myalgias, myopathy, rhabdomyolysis.
Contraindicated with grape fruit juice
Thiazides - Answer-Diuretic prototype: block Na+/Cl− transporter in distal convoluted tubule; used in
HTN, CHF, chronic stone formers.
Tox: K+ wasting; increased serum lipids, uric acid, and glucose
largest studied drug, lowers potassium, increases gout, increase digoxin toxicity
Spironolactone (Aldactone) - Answer-potassium-sparing diuretic; aldosterone antagonist
side effect of gynecomastia
Diuretic side effects - Answer-- decrease in Ca++ (except thiazides), Cl, K, Mg, Na
- metabolic alkalosis (loops)
- ototoxicity (loops)
- hyperuricemia
- hyperglycemia
- hyperlipidemia
,- photosensitivity
Butterburr used for: - Answer-headaches
Ginko bilboa can help with - Answer-help with memory, circulatory disorders, contraindicated with
aspirin/warfarin
Saw Palmetto uses - Answer-BPH
St John Wort used for? - Answer-depression & menopause symptoms
Kavakava/valerian root used for? - Answer-anxiety or insomnia affects liver
Ginseng used for? - Answer-reduce stress, weight loss, sexual dysfunction, lower blood sugars
Ginger used for - Answer-anti-inflammatory, nausea GI Upset
Feverfew used for? - Answer-migraines and menstrual cramps
Echinacea used for? - Answer-builds immunity
Aspirin used for? - Answer-effect on platelets irreversible 15- 20 days, monitor for bleeding, tinnitus,
tarry stools, GI irritation
NSAIDs used for? - Answer-affect GI, renal, cardio, blunts diuretics
, Ponstel (Mefenamic acid) uses - Answer-is an NSAID for menstrual pain
Macrobid/nitrofurantoin uses - Answer-long term use associated with lung, hepatitis, renal
insufficiency, and neuropathy
Metformin uses - Answer-Oral, first line therapy in type 2 diabetes mellitus. Doesn't cause
hypoglycemia.
affects liver enzymes, weight loss, avoid in alcohol drinkers, watch for lactic acidosis, diarrhea and
flatulence
Steroids side effects: - Answer--sone
side effects osteopenia, cataracts
Potentially inappropriate drugs for elderly: - Answer-Benadryl, glipizide, glyburide,
benzodiazepines, thioridazine, mesoridazine, Seroquel, Zyprexa, Elavil, trofanil,
NSAIDS, Ambien, Reglan, mineral oil, PPI's
Potentially inappropriate drugs for pregnant females: - Answer-Tetracyclines, sulfa is iffy,
fluoroquinolones, ACE, NSAID, aspirin, any hormonal drugs, Accutane,
Loretta Ford - Answer-Co-developed 1st Nurse Practitioner in 1965.
Metanalysis is - Answer-combines data from multiple studies resulting in higher statistical power and
single conclusion, gold standard for research evidence in EBM
