Pc707 Module 4 - Cardiac Study Guide Rated A+

Are angiotensin 2 receptor blockers safe during pregnancy? {Ans: Absolutely not}What conditions would we not give ACE inhibitor? {Ans: Pregnancy, renal failure, bilateral renal artery stenosis}What conditions should NSAIDs be avoided? {Ans: Pregnancy, HF, HTN (due to vasoconstriction and sodium retention)}Heparin BBW {Ans: Can cause hemorrhage, especially spinal/epidural hematoma if having spinal puncture or epidural anesthesia}Non-DHP Calcium Channel Blockers (CCBs) example {Ans: Verapamil, diltiazem}Angiotensin 2 receptor blockers (ARBS) BBW {Ans: Angioedema, do not give in patients with bilateral renal artery stenosis}What education is important in patients wanting to take Niacin for dyslipidemia? {Ans: Can cause niacin flush (flushing and pruritis). Avoid ETOH or anything spicy. Taking ASA 30 min prior to taking pill can help.}Is unfractionated heparin or low-molecular weight heparin preferred during pregnancy? {Ans: Low-molecular weight heparin (enoxaparin/lovenox)}What monitoring should be conducted for patients on HMG-CoA reductase inhibitors (statins)? {Ans: Baseline lipids and LFTs on all patients. Baseline CK if concern for myopathy. Then recheck lipids after 4-12 weeks.}Wafarin side effects {Ans: Purple toes effect, can cause hemorrhage}Loop diuretic example {Ans: Furosemide (Lasix)}Digoxin toxicity {Ans: GI effects (anorexia, n/v, abdominal pain), CNS effects (fatigue, weakness, diplopia, blurred