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Kaplan Pharmacology B

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Warfarin ( anticoagulant , interferes with synthesis of Vit.K dependant clotting factors)
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Avoid drinking alcoholic beverages
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Earliest signs hypoglycemia
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irritability and hunger
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Increase risk of bleeding with Warfarin Decreases effects of Warfarin
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Gingko , Garlic , Ginger, St.Johns wort
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Client taking furosemide ( Furosemide is a loop diuretic , excretes sodium , water and potassium)
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sit on edge of bed before getting up Diuretics cause fluid loss, increase risk of orthostatic hypotension.
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After giving epinephrine in response to anaphylatic shock observe
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Bronchodilation Also pupils dilate , increase in heart rate and blood pressure
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Client taking isoniazid ( antitubercular medication causing hepatotoxicity, avoid alcohol while taking )
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Must have regular blood tests To monitor liver function and anemia
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Spironolactone is a potassium sparing diuretic , it causes excretion of sodium , water and retains potassium.
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Client must avoid salt substitutes which contain potassium chloride
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Earliest sign of Digoxin toxicity
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Nausea Late signs include halovision , green yellow vision , bradycardia
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Client taking metformin
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cannot have tests using contrast dye due to increased risk of lactic acidosis
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Sublingual nitroglycerin is given to
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decrease cardiac workload it is a vasodilator
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Client with COPD is given
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Albuterol
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Client taking simvastatin
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Must report muscle aches
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Nitroglycerin patch is used instead of a sublingual pillbecause
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The patch delivers a more constant dose