NUR 245 Exam 1 medications ACTUAL UPDATED QUESTIONS AND CORRECT
ANSWERS
, Lipid lowering drugs STATINS
Lipitor (atorvastatin), Zocor( simvastatin), Crestor (Rosuvastatin)
LIFE LONG THERAPY
-inhibit synthesis of cholesterol
-treats CAD
TAKE AT NIGHT
AVOID WITH CIRRHOSIS
DO NOT ADMINISTER WITH ANTICOAGULANTS
Crestor (rosuvastatin) Most potent statin
Liver enzymes monitored and rechecked with any increased dosage
Lipid lowering drugs side effects Headache
nausea/diarrhea
abdominal pain
dizziness
muscle cramps
arthralgia
vomiting
insomnia
paresthesia
rash
Crestor adverse effects -Liver damage
-myalgia
-rhabdomyolosis ( high creatinine kinase and muscle pain)
Zocor (simvastatin) adverse increased risk for rhabdomyolysis
(high creatinine kinase levels, muscle pain)
PTT may increase in patients taking warfarin
Lipid lowering drugs education Educate patients to take at night
Life long treatment
use with lifestyle changes not just by self
Serum lipids reassessed after 6 weeks of therapy
avoid Grape fruit and ST.johns wort
Nitroglycerin Nitrate used for CAD/MI
Decreases AFTERLOAD/ PRELOAD through vasodilation
1st line of action before morphine
-relieves pain as well as lowers BP
short acting nitrates Sublingual or spray 1st line for acute episode of angina
-placed under tongue
-take every 5 minutes up to 3 doses
-can be taken prophylactically
ANSWERS
, Lipid lowering drugs STATINS
Lipitor (atorvastatin), Zocor( simvastatin), Crestor (Rosuvastatin)
LIFE LONG THERAPY
-inhibit synthesis of cholesterol
-treats CAD
TAKE AT NIGHT
AVOID WITH CIRRHOSIS
DO NOT ADMINISTER WITH ANTICOAGULANTS
Crestor (rosuvastatin) Most potent statin
Liver enzymes monitored and rechecked with any increased dosage
Lipid lowering drugs side effects Headache
nausea/diarrhea
abdominal pain
dizziness
muscle cramps
arthralgia
vomiting
insomnia
paresthesia
rash
Crestor adverse effects -Liver damage
-myalgia
-rhabdomyolosis ( high creatinine kinase and muscle pain)
Zocor (simvastatin) adverse increased risk for rhabdomyolysis
(high creatinine kinase levels, muscle pain)
PTT may increase in patients taking warfarin
Lipid lowering drugs education Educate patients to take at night
Life long treatment
use with lifestyle changes not just by self
Serum lipids reassessed after 6 weeks of therapy
avoid Grape fruit and ST.johns wort
Nitroglycerin Nitrate used for CAD/MI
Decreases AFTERLOAD/ PRELOAD through vasodilation
1st line of action before morphine
-relieves pain as well as lowers BP
short acting nitrates Sublingual or spray 1st line for acute episode of angina
-placed under tongue
-take every 5 minutes up to 3 doses
-can be taken prophylactically
