ACEI Flashcards

1
Q

Lotensin

  • Dose
A

Benazepril

  • D: 10mg QD or BID - 80mg QD
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2
Q

Capoten

  • Administration
  • Frequency
A

Captopril

  • Take on Empty stomach
    Short t1/2 => TID
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3
Q

Vasotec

  • Form:
A

Enalapril

  • The only comes in IV for this class
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4
Q

Monopril

  • Elimination:
  • Safer in renal/hepatic impairment?
A

Fosinopril

  • 50 and 50% in renal and hepatic
  • Safer in renal impairment
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5
Q

Prinivil

Zestril

A

Lisinopril

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6
Q

Univasc

  • Elimination:
  • Safer in renal/hepatic impairment?
A

Moexipril

  • 50 and 50% in renal and hepatic
  • Safer in renal impairment
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7
Q

Aceon

A

Perindopril

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8
Q

Accupril

A

Quinapril

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9
Q

Altace

  • Form
A

Ramipril

  • Only come in gel capsules. May mix with water, apple juice and apple sauce.
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9
Q

Only ACEI come in gel capsules. May mix with water, apple juice and apple sauce.

A

Ramipril - Altace

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10
Q

Mavik

A

Trandolapril

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11
Q

ACEI ADEs

A
CAPTOPRIL
C: Cough
A: Angioedema
P: Proteinuria
T: Taste change: metallic, sweet, salty
O: Orthostatic, hypoTN
P: Pregnancy (C = 1st Tri/D = 2nd & 3rd Tri)
R: Rash
I: increase K
L: leukocytosis (captopril)
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12
Q

ACEIs are less effective in which population? Are refer in which disorders?

A
  • African American. AA refers CCB and thiazide

- lipid disorders and sexual dysfunction

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13
Q

What is the MOA of ACEI?

A
  • Block the generation of angiotnesin II (a potent vasoconstrictor)
  • Blocker of aldosterone secretion
  • Decrease afterload due to aterial vasodilation
  • Decrease pre-load
  • Decrease intraglomerular capillary pressure
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15
Q

What some cautions to ACEI?

A
  • SCr > 3 mg/dL or CrCl < 30 mL/min
  • SCr > 2.5 if DM
  • HyperK
  • Renal artery stenosis => hyperK
  • Preg Cat D (All RAAS Med)
  • Avoid K substitution, ARBs, and DRI
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16
Q

What are ACEI Drug interactions

  • Li
  • K+ sparing diuretics
  • ARBs: additive effect
  • Salt substitutes (KCL)
  • Azathioprine/6PM
  • NSAIDs
A
  • Increase Li => Toxicity
  • K+ sparing diuretics => HyperK
  • ARBs: additive effect => HyperK
  • Salt substitutes (KCL) => HyperK
  • Azathioprine/6PM toxicity
  • NSAIDs
17
Q

CI of ACEIs

A
  • Pregnancy: do not use in 2nd & 3rd trimester
  • Bilateral renal artery stenosis: inc K+
  • SCr > 2.5 mg/dL
  • Angioedema
18
Q

Require renal dosing adjustment except

A
  • Fosinopril

- Moexipril