Statins
Rhabdomyolysis Hepatotoxicity HMG-CoA reductase inhibitors Decrease LDL Decrease Triglycerides Increase HDL Gemfibrozil (Fibrates)
Decreases Triglycerides Increase in HDL Slight Decrease in LDL Hypertriglyceridemia Hepatotoxicity Cholesterol Gallstones Myopathy Do Not Combine with Statins Warfarin Toxicity Bile Acid Resins
Hyperlipidemia Bile Acid Reabsorption Prevented Decrease LDL Colestipol (Colestid) Cholestyramine (Questran) Colesevelam (Welchol) GI Distress Cholesterol Gallstones Decreased Absorption of Fat-soluble Vitamins Warfarin (Coumadin)
Inhibits Clotting Factors Atrial Fibrillation Venous Thrombosis Pulmonary Embolism PT/INR Levels Observe for Bleeding Pregnancy Vitamin K and Fresh Frozen Plasma Prolonged Therapeutic Onset Maintain Same Diet Heparin (Unfractionated)
Suppresses Coagulation Deep Vein Thrombosis (DVT) Pulmonary Embolism Hemorrhage Heparin-Induced Thrombocytopenia (HIT) Monitor aPTT Preferred (Safe) During Pregnancy Protamine Sulfate Heparin Induced Thrombocytopenia (HIT)
5-10 Days After Heparin Exposure Heparin-Platelet Factor 4 Complex Autoantibodies Form Against Complex Heparin-Platelet Factor 4-Antibody Complex Binds Platelets Platelet Aggregation Procoagulant Release Thrombocytopenia Serotonin Release Assay (SRA) Stop Heparin, Start Direct Thrombin Inhibitor Enoxaparin (Lovenox)
Inhibits Clotting Factors Factor Xa Clot Formation Prevention Heparin Induced Thrombocytopenia (HIT) Bleeding Medication Education Subcutaneous Injection 2 Inches from Umbilicus or Incisions Protamine Sulfate Aspirin (Acetylsalicylic Acid)
Inhibits Platelet Aggregation NSAID Thrombotic Event Prevention General Pain Inflammatory Conditions Fever Pancytopenia GI Ulcers Bleeding Withhold Before Surgery 7-10 Days Reye's Syndrome Clopidogrel (Plavix)
ADP Receptor Antagonist Prevent Platelet Aggregation Acute Coronary Syndrome (ACS) Prevention of Thrombotic Events Bleeding Thrombotic Thrombocytopenic Purpura (TTP) Pancytopenia Abdominal Pain Withhold Before Surgery Alteplase
Tissue Plasminogen Activator Thrombosis Bleeding Intracranial Hemorrhage Internal Hemorrhaging Minimize Bleeding Monitor for Shock Aminocaproic Acid Mannitol (Osmitrol)
Osmotic Diuresis Reducing Intracranial Pressure Reducing Intraocular Pressure Renal Failure Prophylaxis Edema Fluid and Electrolyte Imbalance Avoid Use in Cardiac Patients IV Administration Loop Diuretics
Thick Ascending Limb of Loop of Henle Inhibits Na+-K+-2Cl- Sulfa Drug Furosemide Lasix Ototoxicity from Rapid Injection Gout Dehydration Hypocalcemia Hypokalemia Orthostatic Hypotension Hydrochlorothiazide HCTZ
Inhibits Reabsorption NaCl and H2 O Edema Mild to Moderate Hypertension Hypokalemia Hyponatremia Dehydration Hyperglycemia Gout Sulfa Allergy Pregnancy and Breastfeeding Spironolactone (Aldactone)
Inhibition of Aldosterone Potassium Retention Hypertension Edema Heart Failure Hyperkalemia Endocrine Effects Avoid Potassium Supplements Hypertension Medications
Diuretics ACE Inhibitors Angiotensin Receptor Blockers (ARBs) Beta Blockers Dihydropyridine Calcium Channel Blockers Angiotensin-Converting Enzyme (ACE) Inhibitors
"-pril" Suffix Block Renin Angiotensin-Aldosterone System (RAAS) Hypertension Heart Failure Dry Non-productive Cough Hypotension Dizziness Possible Hyperkalemia Angioedema Slowly Change Position Do Not Stop Abruptly Angiotensin II Receptor Blockers (ARBs)
Ends in "-sartan" Blocks Angiotensin II Receptor Hypertension Angioedema Renal Artery Stenosis Pregnancy Beta Blockers
"-olol" suffix Decreases Heart Rate and Contractility Decreases Peripheral Vascular Resistance Decreases Renin Release Hypertension Heart Failure Angina Pectoris Asthma and Heart Block Patients Assess Blood Pressure and Heart Rate Masking Signs of Hypoglycemia Do Not Stop Abruptly Prazosin (Minipress)
-osin suffix Selective Alpha-1 Receptor Blocker Hypertension Benign Prostatic Hyperplasia (BPH) Nightmares Orthostatic Hypotension Tachycardia Priapism / Inhibition of Ejaculation Nasal Congestion First Dose Effect Administer at Bedtime Hydralazine (Apresoline)
Severe Hypertension CHF Reduced Afterload Pregnancy Vasodilates Arterioles Drug-induced Lupus Reflex Tachycardia Hypotension Combined with Diuretic and Beta Blocker View More
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