Nr 566 advanced pharmacology care of the family MITERM

MITERM- NR566 1 Know what meds you would give for asthma and COPD (LABA and intermittent use)  LABA- indacaterol (Arcapta). Indacaterol is a once-daily long-acting bronchodilator that has an onset of 5 minutes and a duration of 24 hours  FORMOTEROL/ SALMETEROL/ INDACATEROL 3 What to do when a patient calls you with hypoglycemia 4 How many gms of carb is needed during hypoglycemic episode- 15 what to tell patient to do for low blood sugar 5 how many mcg of dietary intake of iodine  Dietary iodine of about 100 to 150 mcg/d is required for normal thyroid hormone production. 6 alendronate (Fosamax) patient education- osteoporosis  PO meds should be taken first thing in the morning, at least 30 mins prior to medications.  Take it with 8oz plain water  Mineral water, coffee, OJ, and other beverages greatly reduce absorption.  Remain upright for least 30 mins after taking meds, which allows for passage out of the stomach and minimizes the risk for esophageal irritation.  GI distress and dyspepsia are the most common s/e's. if needed take aluminum and magnesium containing anatacids may be taken more than 2 hours fosomax.  Patients should eat a diet that has calcium and vitamin D 7 what medication decreases the T4 and the answer was Carbamazepime/ drug increases t4 (carbamazepine) 8 First choice for hypertension – which diuretic  thiazide-type diuretic has been typically chosen because in the landmark Chlorothiazide (Diuril) Chlorthalidone. Hydrochlorothiazide (Microzide) Indapamide. Metolazone. 9 Besides hypertension, BB are indicated for (I selected MI) Angina/ HTN/ MI prophylaxis/ glaucoma / migraine prophylaxis 10 Mechanism of action of Theophylline  Treats asthma (bronchodilator)  Work directly by an unknown mechanism believed to be mediated by selective inhibition of specific phosphodiesterases. This, in turn, produces an increase in cAMP, which then leads to bronchial smooth muscle and pulmonary vessel relaxation.  Theophylline and caffeine have an impact on most of the major body systems. They are powerful CNS stimulants, often causing insomnia and excitability. Although both drugs have cardiovascular effects, theophylline has a greater effect on the cardiovascular system. Theophylline directly stimulates the myocardium and increases myocardial contractility and heart rate. By relaxing vascular smooth muscle, theophylline dilates the coronary, pulmonary, and systemic blood vessels. 11 What should you test a patient c/o muscle pain, on atorvastatin  For all reductase inhibitors, muscle tenderness or pain may indicate a serious problem that may require discontinuance of the drug.  patient C/O muscle pain on atorvastin: check cK level.