Bill's Common Medication Classes

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Anonymous
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190133
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Bill's Common Medication Classes
Updated:
2012-12-23 20:56:36
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Common medication information
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Common medication classes with category, generic, brand, common SE, NC
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  1. Blood Pressure Agent Classes
    • ACE Inhibitors
    • Beta Blockers
    • Ca+ Channel Blockers
    • Vasodilators
  2. ACE Inhibitors
    What is the body system, common SE
    Body System: CV

    Common Side Effects: cough, hypotension, angioedema (swelling under skin), agranulocytosis (failure of marrow to make WBCs)
  3. Beta Blockers
    What is the body system, common SE
    Body System: CV

    Common Side Effects: fatigue, weakness, bradycardia, CHF, pulmonary edema
  4. Ca+ Channel Blockers
    What is the body system, common SE
    Body System: CV

    Common Side Effects: peripheral edema, Cardiac arrythmias, CHF
  5. Vasodilators
    What is body system, common SE
    Body system: CV

    Common Side Effects: dizziness, headache, hypotension, tachycardia
  6. ACE Inhibitors
    Generic, brand names
    • Generic      Brand
    • Captopril - Capoten
    • Enalapril -  Vasotec
    • Lisinopril -  Prinivil
  7. Beta Blockers
    Generic, brand names
    • Generic        Brand
    • Atenolol -      Tenormin
    • Metoprolol -  Lopressor
    • Propranolol - Inderal
  8. Ca+ Channel Blockers
    Generic, brand names
    • Generic        Brand
    • Amlodipine - Norvasc
    • Diltiazem-     Cardizem
    • Nifedipine -   Procardia
    • Verapamil -   Calan
  9. Vasodilators
    Generic, Brand names
    • Generic            Brand
    • Hydralazine-      Apresoline
    • Isosorbide-        Isordil
    • Nitroglycerine-  Tridil
  10. Ace Inhibitors
    NC
    • -Obtain BP before admin... hold typically if SBP is <90
    • -Change position slowly- esp with elderly due to orthostatic changes
    • -Monitor for decreased WBC count, hyperkalemia, and liver fxn, and GFR, creatine (metabolized by liver-extreted by kidneys)
  11. Beta Blockers
    NC
    • -Get BP and HR before admin meds.  Hold typically if SBP is <90, HR<60
    • -Change position slowly- esp with elderly due to orthostatic changes
    • -Contraindicated in worsening CHF, bradycardia of heart block
    • -Use with caution in diabeties, liver disease
  12. Ca+ Channel Blockers
    NC
    • -Change position slowly- esp with elderly due to orthostatic changes
    • -Measure I & O closely and fluid status due to potential for edema
    • -Monitor liver and kidney fxn (metabolized in liver-excreted by kidneys)
    • -Get BP and HR before admin meds.  Hold typically if SBP is <90, HR<60
  13. Vasodilator
    NC
    • -Tolerance potential (this is a problem) with long acting nitrates. 
    • -Nitrates lose effectiveness if transdermal patches remain on continually
    • -Patches must be removed at night and reapplied in am
    • -Contraindicated in pt taking Erectile dsysfuntion meds similar to nitrates that improve blood circ to penis (synergistic effect can cause dramatic hypotension)
  14. Cholesterol Binding Agents
    Statins

    Body System, Common SE
    Body System:  CV

    Common SE:  abd cramps, constipation, diarrhea, heatburn, rashes, rhabdomyolsis (breakdown of muscle fiber that leads to release of muscle fiber contents (myoglobin) into bloodstream. Myoglobin is harmful to kidney and often causes kidney damage)
  15. Cholesterol Binding Agents
    Statins

    Generic, Brand name
    • Generic       Brand
    • lovastatin-     Mevacor
    • rosuvastatin- Crestor
    • simvastatin-   Zocor
    • atorvastain-   Lipitor
  16. Cholesterol Binding Agents
    Statins

    NC
    • -give w or w/o food
    • -can cause liver damage... watch AST alk phos, bili levels closely
    • -can cause muscle damage.  If CPK elevated, dc use
  17. Heart Rhythm Stabilizers
    Classes
    • Class III Antiarrhythmics
    • Digitalis
  18. Class III Antiarrhythmics

    Body System, Common SE
    Body System: CV

    Common SE: dizziness, fatigue, malaise, ataxia, bradycardia, pulmnary fibrosis
  19. Digitalis

    Body System, Common SE
    Body System:  CV

    Common SE:  Fatigue, bradycardia, anorexia, N&V (nausea and vomiting), arrythmias
  20. Class III Antiarrythmics

    Generic, Brand names
    • Generic         Brand 
    • Amiodarone-  Cordorone
  21. Digitalis

    Generic, Brand names
    • Generic     Brand
    • Digoxin-     Lanoxin
  22. Class III Antiarrythmics

    NC
    • -watch for QT prolongation- can lead to VT/VF with IV
    • -assess HR bf giving-hold if <60 with IV
    • -can cause pulmonary toxicity with chronic use-assess for crackles, diminished breath sounds, fatigue, pleuritic chest pain
    • -assess for neurotoxicity (ataxia, muscle weakness, tremors, tingling in toes)
    • -assess for signs of thyroid dysfxn (HYPOthyroidism lethargy, weight gain, edema) or (HYPERthyroidism tachycardia, weight loss, nervousness)
    • -monitor liver labs (AST - ALT - bili) and thyroid labs (T3 and T4)
  23. Digitalis

    NC
    • -Take apical pulse one minute before giving-hold if <60
    • -Increases fall risk for elderly
    • -Monitor K+, Mg+, Ca+ levels closely.  If low, more likely to get dig. toxic.  
    • -Elderly more likely to become dig. toxic
    • -Assess serum levels of ditoxin (norm 0.5-2.0 ng/ml)
    • -Assess for toxicity: abd pain, anorexia, N&V (nausea and vomiting), bradycardia, visual changes

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