pharm 1 exam

• do not give estrogen to

  anyone who is in a hypercoaguable state
• contraindicated in combined hormone contraception

  thrombophlebitis
• CHC missed doses 1 day

  miss 1 pill = take as soon as you remember
• CHC missed doses 2 days

  miss 2 pills = take 1 as soon as you remember and one the next day (use back up method for rest of cycle)
• CHC missed doses 3 days

  miss 3 pills = discard pack
• progestin 3 generations

  newer generations are better = higher efficacy and fewer effects
• Yasmin (oral CHC) caution

  may increase potassium levels
• Yasmin (oral CHC) do not use

  in pts in hypercoaguable states
• NuvaRing if falls out

  need to put back in within 3 hours
• NuvaRing back up method contraception

  needed for 1st 7 days after inserted
• NuvaRing risks

  VTE risk is less than oral CHC, but increased if pt is a smoker
• Progestin only pills

  use this when women cannot take estrogen
• who cannot take estrogen

  history of vte, heart disease, breast feeding, smokers over 35, HTN
• terbutaline indications

  stops pre-term labor by reducing uterine contractions
• terbutaline side effects

  tachycardia and SOB in mother and fetus
• Magnesium sulfate

  safer than terbutaline - less instance of tachycardia
• calcitonin indications

  treat osteoporosis
• calcitonin contraindications

  allergy to salmon
• teriparatide (forteo)

  treatment of osteoporosis
• Alendronate (Fosamoax) indication

  most commonly used. treatment and prevention of osteoporosis
• Alendronate (Fosamoax) adverse effect

  esophageal burns
• Alendronate (Fosamoax) when to drink water

  drink water with the med and after the med. sit upright for 30 mins
• Menostar (estradiol transdermal patch)

  low dose estrogen, once a week patch for prevention of post menopausal osteoporosis
• Menostar (estradiol transdermal patch) do not give

  pts in a hypercoaguable state
• hypertension

  systolic bp > 140 , diastolic bp > 90
• hypertension african americans

  cant use beta blockers. need to use alpha blockers, calcium channel blockers, or diuretics
• hypertension asians

  need to use lower dose of beta blockers
• hypertension indians

  need to use higher dose of beta blockers
• hydrochlorothiazide

  diuretic. only can be used in mild HTN with no comorbidities
• alpha 1 adrenergic blocker

  safe for DM patients. does not affect glucose metabolism
• verapamil and diltiazem


  lower HR and lower BP. calcium channel blocker
• amlodipine and nifedipine

  lower BP ONLY. calcium channel blocker
• Metoprolol (beta 1 adrenergic blocker) indications

  used to treat HTN (also angina and MI)
• Metoprolol (beta 1 adrenergic blocker) caution

  diabetes. can mask hypoglycemia symptoms
• Metoprolol (beta 1 adrenergic blocker) nursing considerations

  must taper dose, orthostatic hypotension, vital signs prior to administering
• methyldopa (aldomet) alpha 2 agonist indications

  treat pregnancy induced HTN or chronic HTN
• methyldopa (aldomet) alpha 2 agonist monitor

  LFTs
• clonidine (catapress) alpha 2 agonist indications


  treat HTN in conjunction with other medications
• prazosin (minidress) indications

  treat HTN, refractory HF, BPH
• prazosin (minidress) nursing considerations

  monitor vital signs and creatinine, report sudden decrease of BP, orthostatic hypotension