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Antihyperlipidemic Drugs
Part 2
26
Nursing
Graduate
11/02/2014

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Cards

Term
WHAT IS THE PRECURSOE IN THE LIVER TO DE NOVO (LIKE NEW) CHOLESTEROL SYNTHESIS?
Definition
ACETYL-COA (HMG-COA)
Term
WHAT IS THE CATALYST FOR THE FORMATION OF MEVALONIC ACID FROM HMG COA.
Definition
HMG-COA
Term
WHAT IS THE RATE LIMITING STEP IN CHOLESTEROL BIOSYNTHESIS?
Definition
HMG-COA REDUCTASE. IMPORTANT WITH STATINS; NO REDUCTASE= NO MEVALONIC ACID= NO NEW CHOLESTEROL.
Term
ONCE CHOLESTEROL IS DELIVERED TO THE LIVER, HOW IS IT ELMINATED R/T CHOLESTEROL CATABOLISM?
Definition
BY BILIARY SECRETION BY CONVERSION OF CHOLESTEROL TO BILE ACIDS
Term
WHAT HAPPNES TO THE BILE ACIDS WITH CHOLESTEROL CATABOLISM?
Definition
THE MAJORITY OF THE BILE ACIDS ARE RECYCLED BY ENTEROHEPATIC CIRCULATION, WHILE SOME ARE EXCRETED IN THE FECES.
Term
WHAT IS ELEVATED WITH HYPERCHOLESTEROLEMIA?
Definition
ELEVATED TOTAL PLASMA CHOLESTER AND LDL. NML TRIGLYCERIDES.
Term
WHAT IS ELEVATED WITH HYPERTRIGLYCERIDEMIA?
Definition
HIGH PLASMA TRIGLYCERIDES (OVER 200MG/DL). FAMILIAL, BUT RELATED TO AGE, WEIGHT GAIN, OBESITY, DIABETES, AND METABOLIC SYNDROME.
Term
WHAT ARE 3 DISORDERS OF HDL METABOLISM?
Definition
VISCERAL OBESITY, INSULIN RESISTANCE, OR GENETIC
Term
WHAT ARE 10 DISORDERS THAT CAN CAUSE SECONDARY HYPERLIPIDEMIA?
Definition
DM, CRF, HYPOTHYROIDISM, ALCOHOL INGESTION, SEPSIS, STRESS, PREGNANCY, CHOLESTASIS, ANOREXIA NERVOSA, GLUCOCORTICOID AND CORTICOSTEROID TREATMENT.
Term
WHAT ARE HMG-COA REDUCTASE INHIBITORS ALSO KNOWN AS?
Definition
STATINS
Term
WHAT TYPE OF DRUGS ARE MOST EFFECTIVE FOR REDUCING PLASMA CHOLESTEROL LEVELS, ESPECIALLY LDL?
Definition
HMG-COA REDUCTASE INHIBITORS. THESE ARE NOT EFFECTIVE IN TREATMENT OF HYPERTRIGLYCERIDEMIA.
Term
WHAT GROUP OF DRUGS DECREASE THE OXIDATIVE STRESS AND INFLAMMATION BY STABILIZING ATHEROSCLEROSIS.
Definition
STATINS; WHICH ARE CARDIOPROTECTIVE AND USEFUL IN PREVENTION OF CORONARY ARTERY DISEASE.
Term
DECREASED FORMATION OF VLDL/LDL CAUSES UPREGULATION OF WHAT?
Definition
HEPATIC LDL RECEPTORS.
Term
DOES STATINS HAVE AN EXTENSIVE FIRST-PASS HEPATIC EFFECT?
Definition
YES
Term
WHAT TYPE OF HALF-LIVES DOWN STAINS HAVE?
Definition
SHORT. BUT MAY STILL BE TAKEN ONCE DAILY (TAKEN @ NIGHT B/C THAT'S WHEN MOST CHOLESTEROL IS MADE).
Term
WHAT IS UNIQUE ABOUT OVASARTAN AND SIMVASTATIN?
Definition
THEY ARE BOTH PRODRUGS, AND THEY BOTH CROSS THE BBB AND CAN CAUSE SLEEP DISTURBANCES IN SOME PATIENTS.
Term
WHAT IS A RARE SIDE EFFECT OF STATINS?
Definition
RHABDOMYOLYSIS
Term
WHAT ARE SOME GI UPSETS R/T STATINS? 4 ANSWERS
Definition
ABDOMINAL CRAMPS, CONSTIPATION, DIARRHEA, REFLUX
Term
WHAT IS A SIDE EFFECT OF MUSCLES R/T STATINS?
Definition
MYALGIAS (MUSCLE CELL WALLS NEED CHOLESTEROL TO FORM) MAY BE INCREASED POSTOPERATIVELY IF SUX IS USED.
Term
WHAT ARE FOR CONTRAINDICATIONS FOR STATIN USE?
Definition
HEPATIC DISEASE, PREGNANCY, LACTATION, OR FOR WOEMEN WHO HAVE AN INTENT TO BECOME PREGNANT (TERATOGENIC)
Term
HOW DOES BILE ACID-BINDING RESINS WORK?
Definition
BIND TO BILE ACIDS IN THE SMALL INTESTINE TO INCREASE THE AMOUNT OF EXCRETION. WITH LESS BILE ACIDS PRESENT, THE LIVER "LOOKS" FOR MORE CHOLESTEROL.
Term
WHAT DOES BILE ACID-BINDING RESINS DO RO RECEPTORS?
Definition
UPREGULATION OF RECEPTORS DECREASES PLASMA LEVLES OF LDL AND INCREASES HEPATIC UPTAKE.
Term
ARE BILE ACID-BINDING RESINS ABSORBED SYSTEMICALLY?
Definition
NO
Term
WHAT DOES BILE ACID-BINDING RESINS DECREASE THE ABSORPTION OF?
Definition
VITAMINS (INCLUDING VITAMIN K WHICH CAUSES BLEEDING)
Term
WHAT ARE 3 SIDE EFFECTS OF BILE ACID-BINDING RESINS?
Definition
BLOATING, CRAMPING, AND REFLUX
Term
WHAT ARE 3 BILE ACID-BINDING RESINS?
Definition
CHOLESTYRAMINE (QUESTRAN), COLESEVELAM (WELCHOL), AND COLESTIPOL (COLESTID)
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