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TAMMY IS MAKING US DO MED MATH + MEDSSSS :((

HTN medications + example of each

• Diuretics ex. Furosemide/ Spirnolactone - 1st line of Tx

• ARBS ( angiotensin receptor blockers) ex. losartan

• CCB ( Calcium Channel Blockers) ex. Nifedipine, Cardizem

• Beta Blockers ex. Metoprolol

• Ace Inhibitors ex. Ramipril

Diuretics ( Potassium sparing)

example: Spirnolcatone

Function:

• increases urine output

• no impact of potassium ( counteracts potassium loss)

Side effects

• Hyponatremia

• hyperkalemia

• orthostatic hypertension

Monitor

• sodium + potassium ( hyperkalemia)

• weight loss → shows that it is effective when wt decreases

• Fall risk ( rise slowly)

• monitor Liver and Kidney functions

Diuretics ( Non - potassium sparing)

example: Furosemide

Monitor

• low potassium ( serum and S+S) and sodium

• nephrotoxic

• pancreatitis

• ototoxicity

• ortho hypotension

Dopamine Antagonists

• metoclopramide

• maxeran

• haloperidol

• haldol

• domperidone

• motilium

Dopamine Antagonist Indication of Use

• GI motility

• N+V after Parkinson Medication, Diabetes

Serotonin Antagonist

Zofran/ ondasetron

Serotonin Antagonist indication of Use

• postoperative

• Chemo

• radiation

anti histamine

dimehydrinate

gravol

Anti histamine Indication of Use

• motion sickness

• vestibular stimulation

Corticosteroids

• Dexamethasone

• prednisone

• methylprednisone

• hydrocortisone

• fluticasone

• budesonide

• advair

“ ends in -sone”

Indication for use of corticosteroid

• reduce inflammation

Corticosteroids AE

• Suppression of Immune response and inflammatory response → susceptible to infections

• peptic ulcers prone

• osteoporosis

• Moodiness, hallucinations, nervous, suicidal tendency

• increase in weight and increase in blood Glucose

• myopathy

• Glaucoma and cataract

• Increase in WBC

Why should you taper off Corticosteroid

• Adrenal atrophy → adrenal crisis ( hyposecretion of corticosteroids)

Why should you wipe your mouth and rinse mouth out after using corticosteroids aerosol/ bronchodilator?

• oral thrush

• fungal infection

bronchodilators order of use

1) SABA or SAMA ( opens up airway)

2) Long acting after ( penetrates airway, need airway opened up first to treat airway inflammation)

What should you recommend people difficulty coordinating using aerosols?

Spacer

Bronchodilator MOA

• reversible airway obstruction

• opens up airway, reduces inflammation ( asthma)

SABA

USE FIRST

• Salbutamol

• Ventolin

SAMA

USE First

• ipratropium

• Atrovent

LABA

USE AFTER SABA/ SAMA

salmetrol ( flovent/ fluticasone)

LAMA

Spiriva

tiotropium bromide