drug treatment for a flutter {Ans: long term therapy with IC agent (flecanide or propafenone) or class III agent (amiodarone, dronedarone, sotalol, dofetilide)}ARBS AE {Ans: angioedema, renal failure. BBW for fetal harm}ACEI side effects {Ans: cough, increased potassium, dizziness, angioedema, hypotension. can cause renal failure in patients with bilateral renal artery stenosis. use with caution in patients taking potassium supplements or k sparing diuretics, neutropenia DDI: diuretics can intensify hypotension, antihypertensive agents can increase powered bp, risk of hyperkalemia with k sparing diuretics and k supplements, NSaids and Lithium decrease effects of ACEI BBW: can cause fetal injury in pregnancy.}effects of blockers on lipids {Ans: b blockers: increases TG, decreases HDL a blockers: decreases LDL, decreases TG, increases HDL}mannitol {Ans: osmotic diuretic caution in renal impairment Initial test dose given. repeat in 1-2 hours if necessary. if response inadequate, no more should be given If adequate UOP >50/hr, infusion may be given. monitor UOP and serum electrolytes taken BID.}Mechanism of use for Statins {Ans: decreased cholesterol production in the liver decrease LDL-C in serum which upregulares LDL receptors leading to catabolic clearance of LDL. decrease the production of apolipoprotein b-100 and decrease production of