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DNCA 27-29

Terms in this set (17)

Atorvastatin (HMG-Coa Reductase inhibitor)
* Lipitor * Lowers total cholesterol. Can have adnominal pain, rash, liver enzyme raise, myopathy. Cannot be taken with oral anticoagulants.
Simvastatin (HMG-Coa Reductase inhibitor)
Lowers total cholesterol but raises HDL higher than Atrovastatin does*** Everything else symptom wise the same as atrovastatin.
HMG-CoA Reductase Inhibitors
Also known as Statins, They inhibit the body's cholesterol production and usually have the suffix "STATIN".
Bile Acid Sequestrants (only 1 on test)
Bind bile, prevent reabsorption from the small intestines.
Cholestryamine
Treats hyperlipidemia, complete biliary obstruction and pts with constipation. PO **Powder must be diluted.
Niacin (Niactonic acid)
Vitamin B3
Niacin
Treats all types of hyperlipidemia. Patients with liver disease or peptic ulcer should not use bc it increases risk of myopathy.
Gemfibrozil
Treats IV and V hyperlipdemia and lowers VLDL. It will interfear with warfarin and statins**
Ezetimibe
Treats basic hyperlipidemia **not specific type. Do not give to to pts with liver disease.
Acetazolamide (D)
Treats edema secondary to heart failure that is resistant to other diuretics. PO/IV. Side effects are acidosis. Interfears with pts with hyperkalemia, renal function.
Furosemide (d)
Lasix** Used for pulmonary edma, liver and nephortic disease + hypertension cause by MI. IV/PO or soultion. Cannot be given to patients with anuria, hypersensitivity, NSAIDS.
Mannitol (D)
Prevents kidney damage during renal failure + reduces intracranial pressure/head edema + toxic secretions. ** Only IV w/ filtered warm water. Side effects are convuslsions. Dont give to pts with extreme renal or pulmonary disease.
Triamterene (D)
Treats hyperaldosteronism and children with heart failure**. Side effects reduce folic acid. It could lead to lithium toxcitiy.
Hydrochlorothiazide (D)
Treats edema, dibeties, hepatic cirrhosis. Side affects lower **blood K+, high CA and effects lipids/gluclose. Dont give to patients with anuira.
Metolazone
Better for pts with renal dysfunction than hydrochlorothiazide. Causes dizziness and vertigo. Interacts with pts in comas.
Crystalloids
Maintain osmotic gradient. IV injection to supply water and sodium.
Sodium Chloride
Be aware of the concentrations- normal vs hyptonic vs hypertonic. Route is ONLY IV. Can leak into tissues and cause edema. Do not give to pts with hypovolemia and severe electrolyte disturbance.
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