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UTA NURS 4581 Adults with Complex Needs Exam 1 Meds

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Answer
show HMG-CoA Reductase Inhibitor (Statin); used to treat hyperlipidemia by restricting lipoprotein production  
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fluvastatin (Lescol) classification and use   show
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lovastatin (Mevacor) classification and use   show
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show HMG-CoA Reductase Inhibitor (Statin); used to treat hyperlipidemia by restricting lipoprotein production  
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show HMG-CoA Reductase Inhibitor (Statin); used to treat hyperlipidemia by restricting lipoprotein production  
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show HMG-CoA Reductase Inhibitor (Statin); used to treat hyperlipidemia by restricting lipoprotein production  
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rosuvastatin (Crestor) classification and use   show
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show Niacin; used to treat hyperlipidemia by restricting lipoprotein production  
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show Niacin; used to treat hyperlipidemia by restricting lipoprotein production  
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fenofibrate (TriCor) classification and use   show
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gemfibrozil (Lopid) classification and use   show
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cholestyramine (Questran) classification and use   show
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colesevelam (WelChol) classification and use   show
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colestipol (Colestid) classification and use   show
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ezetimibe (Zetia) classification and use   show
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HMG-CoA Reductase Inhibitors (Statins) Mechanism of Action and Effects   show
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HMG-CoA Reductase Inhibitors (Statins) Nursing Considerations   show
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Niacin Mechanism of Action and Effects   show
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show Most side effects subside with time; decreased liver function may occur with high doses. Taking aspirin or NSAID 30 min before drug may prevent flushing; take drug with food. Treat elevated homocysteine levels with folic acid.  
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Fibric Acid Derivatives Mechanism of Action and Effects   show
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Fibric Acid Derivatives Nursing Considerations   show
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show Bind with bile acids in intestine, forming insoluble complex and excreted in feces, resulting in removal of LDL and cholesterol; ↓ LDL  
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show Effective and safe for long-term use; side effects diminish with time. Interfere with absorption of many drugs (e.g., digoxin, thiazide diuretics, warfarin, some antibiotics [e.g., penicillins]).  
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Cholesterol Absorption Inhibitor Mechanism of Action and Effects   show
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Cholesterol Absorption Inhibitor Nursing Considerations   show
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Simvastatin (Zocor) Drug Alert   show
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Niacin (Niaspan) Drug Alert   show
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show May increase the risk of bleeding in patients taking warfarin (Coumadin). May increase the effects of antihyperglycemic drugs (e.g., repaglinide [Prandin]).  
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Nitrates mechanism of action   show
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show Inhibit sympathetic nervous stimulation of the heart. Reduce heart rate, contractility, and blood pressure. Decrease afterload.  
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show Prevent calcium entry into vascular smooth muscle cells and myocytes (cardiac cells). Coronary and peripheral vasodilation. Reduce heart rate, contractility, and blood pressure.  
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ACE Inhibitor mechanism of action   show
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Sublingual nitroglycerin (Nitrostat, NitroQuick) classification and use   show
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show Nitrate; used to treat chronic stable angina and acute coronary syndrome  
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show Nitrate; used to treat chronic stable angina and acute coronary syndrome  
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show Nitrate; used to treat chronic stable angina and acute coronary syndrome  
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show Nitrate; used to treat chronic stable angina and acute coronary syndrome  
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Isosorbide dinitrate (Isordil, Sorbitrate) classification and use   show
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IV nitroglycerin (Nitro-Bid IV, Tridil) classification and use   show
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atenolol (Tenormin) classification and use   show
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carvedilol (Coreg) classification and use   show
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esmolol (Brevibloc) classification and use   show
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metoprolol (Lopressor) classification and use   show
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show β-Adrenergic Blockers; used to treat chronic stable angina and acute coronary syndrome  
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show β-Adrenergic Blockers; used to treat chronic stable angina and acute coronary syndrome  
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amlodipine (Norvasc) classification and use   show
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diltiazem (Cardizem) classification and use   show
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show Calcium Channel Blocker; used to treat chronic stable angina and acute coronary syndrome  
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nifedipine (Procardia) classification and use   show
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show Calcium Channel Blocker; used to treat chronic stable angina and acute coronary syndrome  
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show Calcium Channel Blocker; used to treat chronic stable angina and acute coronary syndrome  
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show ACE Inhibitor; used to treat chronic stable angina and acute coronary syndrome  
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show ACE Inhibitor; used to treat chronic stable angina and acute coronary syndrome  
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Nitroglycerin Drug Alert   show
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recombinant plasminogen activator (rPA; reteplase [Retavase]) classification and use   show
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tissue plasminogen activator (tPA; alteplase [Activase]) classification and use   show
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TNK-tPA (tenecteplase [TNKase]) classification and use   show
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show If signs and symptoms of major bleeding occur (e.g., drop in BP, an increase in HR, a sudden change in the patient's level of consciousness, blood in the urine or stool), stop the therapy and notify the physician.  
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