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Week 2

Week 2: Respiratory & Cardiovascular

GenericBrand Drug Class Side Effects Common Indication/ UseBBWCounseling
Levalbuterol Xopenex HFA Selective B2 agonist Headaches, nervousness, tachycardia, paradoxical bronchospasm Bronchodilator for asthma Chamber or spacer is recommended for those with poor technique. Mask for pt <3 or 4 yrs of age
Fluticasone HFA Flovent HFA or Flovent Diskus ICS Nasopharyngitis, candidiasis, respiratory infection Asthma Increased risk of pneumonia in some long term studies (>6 months) Rinse and spit mouth out water. Do not swallow
Budesonide Pulmicort ICS Nasopharyngitis, candidiasis, respiratory infection Asthma Increased risk of pneumonia in some long term studies (>6 months) Rinse and spit mouth out water. Do not swallow
Montelukast Singular Leukotriene receptor antagonist Various neuropsychiatric adverse reactions, atopic dermatitis, abdominal pain Allergic rhinitis, asthma Serious neuropsychiatric events Monitor for signs of sucidal thinking and aggressive behavior
Felodipine Plendil Dihydropyridine CCB Peripheral edema, headache HTN and Angina Symptomatic hypotension with or without syncope can rarely occur. Edema (dose dependent ) within 2-3 weeks of therapy CI: grapefruit juice
Quinapril Accupril ACE inhibitor AKI (increased BUN & SCr) resulting in oliguria. Angioedema (high risk in black pt 4-5 fold). Dry mouth, hyperkalemia HTN and HF Fetal toxicity Monitor: BP, BUN,SrCr, K Need to space from sacubitril for 36 hours.
Fosinopril Monopril ACE inhibitor AKI (increased BUN & SCr) resulting in oliguria. Angioedema (high risk in black pt 4-5 fold). Dry mouth, hyperkalemia HTN and HF Fetal toxicity Monitor: BP, BUN,SrCr, K Need to space from sacubitril for 36 hours.
Candesartan Atacand Angiotensin II receptor antagonist (ARB) Hypotension, altered kidney fxn, hyperkalemia HTN Fetal toxicity Monitor: BP, BUN, SrCr, K
Labetalol Normodyne A/B adrenergic blocker Hypotension, nausea, dizziness HTN and hypertensive emergency Monitor: BP, HR Continuous cardiac monitoring (IV only), Periodic LFT CI: Severe sinus bradycardia
Nebivolol Bystolic Cardioselective B-blocker Hypotension, dizziness HTN Monitor: BP, HR , Serum glucose with diabetes CI: Severe bradycardia, decompensated heart block
Terazosin Hytrin A-1 adrenergic Blocker Orthostatic hypotension, floppy iris syndrome (pt with cataract surgery) BPH, HTN, stone expulsion If therapy is D/C for several days, begin with initial dose and re-titrate due to orthostatic hypotension
Tolvaptan Samsca Vasopressin antagonist Increased thirst, dry mouth, diarrhea Hyponatremia Initiated and reinitiated in pt only in a hospital where NA can be monitored. Too rapid correction of hyponatremia (12mEq/L per 24 hours) can cause osmotic demyelination, dysarthria, mutism, dysphagia, lethargy Ingest fluids in response to thirst, D/C in those who have signs and symptoms of hypovolemia CI: CYP3A inhibitors
Doxazosin Carder A-1 adrenergic Blocker Orthostatic hypotension, floppy iris syndrome (pt with cataract surgery) BPH, HTN, stone expulsion If therapy is D/C for several days, begin with initial dose and re-titrate due to orthostatic hypotension
Created by: angelicap
 



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