Pharmaceutical Care of CV patients I (Role of Pharmacist in Commmunity) Flashcards Preview

PM2D Spring Amy L > Pharmaceutical Care of CV patients I (Role of Pharmacist in Commmunity) > Flashcards

Flashcards in Pharmaceutical Care of CV patients I (Role of Pharmacist in Commmunity) Deck (53)
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1

List 5 red flag symptoms for CV conditions

Chest pain
Breathlessness
Oedema
Fast heart rate
Dizziness/collapse

2

How can you differentiate that pain is cardiac pain?

Central or band-like
Radiation to jaws/arms/back
Fast pulse
May be relieved by GTN/rest

3

How can you differentiate that pain is respiratory?

Fast respiratory rate
Persistent localised pain
Pain worsens on breathing deeply or coughing
"Knife-like"

4

How can you differentiate that pain is gastro-intestinal?

Sub-sternal "burning" pain
Often after food or at night
Relieved by antacid
Difficulty swallowing
Tenderness

5

How can you differentiate that pain is due to infection?

High temperature
Previous viral illness
Fast pulse
Infected sputum

6

List 5 types of drug to avoid in patients with CV disease?

Drugs that:
Have a high sodium content
Increase BP
Increase risk of falls
Cause fluid retention (e.g. NSAIDs)
Increase heart rate

7

Why should NSAIDs be avoided in patients with CVD?

NSAIDs cause fluid retention, renal impairment and interfere with platelet effect of low dose aspirin

8

Why should triptans be avoided with patients in CVD?

Triptans cause vasoconstriction
(Treatment of migraines and cluster headaches)

9

What could be the cause of general pain in patients with CVD?

Statins - possible side effect = myopathy

10

What type of pain should paracetamol be taken for in CVD patients?

For more severe pain
Take regularly for best control

11

What two drugs can CVD patients take for pain

Paracetamol
Low dose opioids

12

Why should low dose opioids be avoided if possible in CVD patients?

Can increase the risk of falls in the elderly (can cause drowsiness)

13

What should CVD patients use to treat a fever in colds/flu?

Paracetamol

14

What should CVD patients use to treat blocked sinuses in colds/flu?

Steam inhalation
Avoid decongestants (increase workload of heart)

15

What should CVD patients use to treat a cough in colds/flu?

Steam inhalation
Simple linctus
Pholcodine linctus - if insistent

16

What should CVD patients use to treat headaches/migraines?

Paracetamol - however often tried already
Codeine - good for headaches, watch with the elderly (increases risk of falls)
Migraleve - contains codeine ^^

17

What should CVD patients NOT USE to treat headaches/migraines and why?

Triptans - cause vasoconstriction
NSAIDs - increase fluid retention
Midrid - contains sympathomimetic = may increase heart rate and BP

18

Why should some CVD patients restrict their fluid consumption?

Help prevent symptoms e.g:
Swelling
Weight gain
Shortness of breath

19

How should CV patients with no fluid restriction treat constipation?

Bulk forming laxatives
Lactulose
Encourage fluid intake
Encourage fresh fruit and vegetables, high fibre

20

How should CV patients with fluid restriction treat constipation?

Use stimulant laxatives short term - e.g. senna, docusate sodium
Encourage fresh fruit and vegetables, high fibre

21

What treatments should not be recommended for patients on warfarin?

Miconazole gel (antifungal)
Glucosamine (nutritional supplement)
NSAIDs
St John's Wort
Omeprazole (PPI inhibitor)
Many cold and flu preparations

22

Why should antihistamines be avoided in patients with CVD?

Prolong QT interval and may lead to arrhythmias

23

Why should miconazole gel be avoided by patients on warfarin?

Causes increase in INR
(Antifungal, often prescribed for oral candidiasis)

24

Why should glucosamine be avoided by patients on warfarin?

It delays the breakdown of and repairs damaged cartilage
(Nutritional supplement)

25

Why should NSAIDs be avoided by patients on warfarin?

Enhances warfarin's effects = prone to excessive bleeding

26

Why should St John's Wort be avoided by patients on warfarin?

SJW reduces anticoagulant effect of warfarin
(Increased dose of W may be required)

27

Why should omeprazole be avoided by patients on warfarin?

Omeprazole can prolong the elimination of warfarin
(Reduction in dose of W may be required)
PPI inhibitor

28

Why may CV patients present with tiredness?

Drug related - e.g. beta blockers, verapamil (calcium channel blocker)
Worsening of symptoms e.g. heart failure
Anaemia caused by GI bleed (aspirin)

29

Why may CV patients present with constipation?

Drug related - e.g. diuretics, verapamil (arrhythmias, angina)
Dehydration - fluid restriction

30

Why may CV patients present with nausea?

Side effects of drugs - e.g. digoxin
General malaise associated with condition e.g. heart failure, atrial fibrillation
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