Question

7. SSRIS SNRIS, TCAS 8. Ranolazine for angina patients 9. Recommendations for HF stages A-D 10. Cholesterol lowering drugs and considerations for prescribing 11. Statin use in children, pregnancy, and contraindications for use 12. Diuretics- - types of and differences between diuretics 13. Antihypertensives -types, when to start, ad he rence issues, 14. decongestants and antihistamines- types, contraindications, side effects 15. Treatment of asthma - during pregnancy, stepwise approach, monitoring 16. Tobacco cessa tion -correct usage of Chantix and other drugs useful for smoking cessation, patient education, contraindications

Answer 1

7, SSRIs: Selective serotonin reuptake inhibitors increase the level of serotonin in the brain. It is a chemical messenger carry signals to brain cells.
SNRIs: Serotonin noradrenaline reuptake inhibitor by blocking the reabsorption of serotonin and norepinephrine
TCAs: Tricyclic antidepressant increases the level of norepinephrine and serotonin, it blocks the action of acetylcholine, another neurotransmitter.
8, Ranolazine is an antianginal medication used to treat angina pectoris by reducing the flow of sodium ions into heart muscle cells and reduce the calcium flow into the cells and help to relax the heart and improve blood flow.
9, Recommendation for heart failure:
-Administer diuretics and vasodilator drugs as per doctor instruction.
-digoxin can reduce heart failure symptoms.
-ACE inhibitors to reduce the symptoms and prolong the lives of people.
-Angiotensin II receptors blockers(ARBIs) prevent angiotensin II at the tissue level.
- Nitroglycerin to treat acute chest pain
-Beta blockers helps to lower the blood pressure and heart rate and reduce the workload of the heart.
-Inotropes increase the pumping ability of the heart.
-Calcium channel blockers to lower the blood pressure
-Maintain weight and dietary followup
-Do regular exercise and modify lifestyle changes
-Angioplasty, pacemaker implantable, cardioverter defibrillator, cardiac Resynchronization therapy, temporary cardiac support is recommended for stage D and E heart failure.
10, Cholesterol-lowering drugs are
- Atorvastatin
-Fluvastatin
-Lovastatin
- Pitavastatin
- Pravastatin
-Simvastatin
-Rosuvastatin calcium
This medication lowers cholesterol. The liver function test recommended to monitor the medications, it prevents heart failure. once cholesterol level goes down we can stop the medication and follow dietary changes.