In this type of peripheral vascular disease, we may see brown discoloration and varicosities.
Peripheral Vascular Disease (PVD)
Name 3 modifiable risk factors for hypertension
Smoking, alcoholism, high sodium diet, obesity, sedentary lifestyle, chronic stress.
This is a thrombolytic medication used to dissolve blood clots in conditions like acute ischemic stroke, myocardial infarction, or pulmonary embolism.
Alteplase
In this type of peripheral vascular disease, we may see intermittent claudication and cold extremities.
Peripheral Artery Disease (PAD)
What does erythropoietin do? What organ secretes it?
Erythropoietin is secreted by the kidneys, it prompts production of RBCs. Patients with kidney disease are at risk of becoming anemic.
What does spironolactone inhibit the action of? What does it do to potassium?
Spironolactone inhibits the action of Aldosterone, lowering blood pressure. It is also a K+ sparing diuretic!
How did Kayleigh's lisinopril lower her blood pressure? What type of medication is lisinopril?
Lisinopril is an Angiotensin-Coverting Enzyme inhibitor- blocking ACE promotes vasodilation, decreasing BP
What class of medication is metoprolol and what does it treat? When do we hold it?
Metoprolol is a beta blocker, used to treat hypertension and tachycardia. Hold if HR is less than FIFTY.
If the left side of the heart is struggling to pump blood, where will blood back up?
Blood will back up into the lungs, causing symptoms like shortness of breath and a cough that produces frothy pink sputum.
Why do we hesitate to give an asthmatic patient a betablocker like metoprolol?
Because it can induce bronchospasm.
What is the difference between stable and unstable angina?
Stable angina occurs with exertion and is relieved by resting, whereas unstable angina occurs at rest.
Pantoprazole is in this class of medication, what is it used to treat?
This is a Proton Pump Inhibitors (PPI), used to treat Peptic ulcer disease, GERD.
This is the buildup of plaque in arteries, leading to reduced blood flow and increased risk of heart attack & stroke
Atherosclerosis.
A patient who doesn't make enough intrinsic factor will have a hard time absorbing this, leading to this kind of anemia.
Vitamin B-12, leading to Pernicious anemia.
Compare and contrast Crohn's disease and ulcerative colitis.
Crohns: Can affect any part of the GI tract & is often found in "patches" throughout. UC is confined to the colon/rectum, characterized by cont. inflammation.
Your patient, who is on several different meds to treat heart disease and HBP reports muscle aches and dark brown urine. What are they experiencing? What med is the likely culprit?
Rhabdomyolysis, caused by a statin. What do statins treat?
The antidote to this medication is vitamin K. What labs should be monitored while on this medication?
Warfarin! Check your INR!
Kayleigh has been given lisinopril (true story). Give her two pieces of education regarding taking this medication.
Can cause angioedema, which is an emergency. It can also cause a dry, nonproductive cough that is REALLY annoying.
Your patient presents with JVD and ascites. What side heart failure is your patient experiencing?
This is indicative of right-sided heart failure.
Name 3 things to avoid while taking atorvastatin
Pregnancy, grapefruit, alcohol.
Infection with Helicobacter pylori may cause you to develop this, so don't drink from test tubes!
Peptic ulcers!
What does Aliskiren inhibit? What is the end result?
Aliskiren inhibits renin, which further inhibits the actions of angiotensin I & II and aldosterone, lowering blood pressure.
You suspect that your patient has hyperkalemia. Name 2 signs/symptoms they may be experiencing.
What education do you want to provide a patient prescribed nitroglycerin?
Can cause ortho. hypotension, a throbbing headache, can develop tolerance, store in a cool, dark location to avoid degradation, etc.
This medication inhibits calcium influx in vascular smooth muscles, promoting vasodilation.
Amlodipine
If your patient's heart needed help producing stronger contractions, they might be placed on this cardiac glycoside with a very narrow therapeutic index.
Digoxin. What are some signs and symptoms of digoxin toxicity?
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