ACEI and ARBs Flashcards

1
Q

Neprilysin Inhibitor: Drugs

A

Sacubitril and Valsartan

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2
Q

Neprilysin Inhibitor MOA

A

Stops degradation of endogenous vasoactive peptides

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3
Q

Neprilysin Inhibitor Effects

A

Vasodilation
Natriuresis
Diuresis
Inhibited pathological growth and fibrosis

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4
Q

Neprilysin Inhibitor ADRs

A

Hyperkalemia
cough/angioedema
ARF/AKI
Hypotension

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5
Q

Valsartan (entreso)

A

Reduce risk of CV death and hospitalization
For HF patients with CHF and Reduced EF
ARNI: Angiotensin Receptor Neprilysin Inhibitor
works better than Enalapril

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6
Q

Angiotensin Converting Enzyme Inhibitors (ACEI)

A
Lisinopril
Enalapril
Quinapril
Captopril
Ramipril
Benazepril
Fosinopril
Moexipril
Perinopril
Trandolapril
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7
Q

ACEI MOA

A

inhibits angiotensin converting enzyme, which prevents the formation of angiotensin II, which stops the increase of BP

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8
Q

ACEI Therapeutic Use

A
Hypertension
Post MI
Heart Failure with reduced Ejection Fraction
Chronic Kidney Disease
Decreases Proteinuria (Renal protection)
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9
Q

ACEI ADRs

A
Dry cough and Angioedema from bradykinin buildup
Hyper K+
Acute Renal Failure
Teratogenic
Reduced efficacy in African Americans
AFI/AKI in starting medication
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10
Q

Direct Renin Inhibitor

A

Aliskiren

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11
Q

Aliskiren MOA

A

Competitive enzyme inhibitor, prevents generation of angiotensin I (stops renin)

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12
Q

Aliskiren Therapeutic Use

A

Comparable BP reduction to ACEI/ARB in HTN

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13
Q

Aliskiren ADR

A
Hypotension
Hyper K+
ARF/AKI
Rare angioedema
teratogenic
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14
Q

Aliskiren Contraindications

A

Don’t combine with ACEI/ARB (especially in Diabetes II) , it will worsen above symptoms and increase risk of angioedema, stroke, and MI

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15
Q

Angiotensin Receptor Blockers (ARBs) Drugs

A
Losartan
Valsartan
Olmesartan
Irbesartan
Candesartan
Telmisartan
Eprosartan
Azilsartan
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16
Q

ARBs MOA

A

Blocks receptors for Angiotensin II (prevents vasoconstriction and aldosterone secretion) to lower BP

17
Q

ARBs Therapeutic Uses

A
Hypertension
Post MI
Heart Failure
CKD
Renal Protection
18
Q

ARBs ADRs

A
Lower incidence for cough and angioedema
High K+
ARF/AKI
Teratogenic
Reduced efficacy in African Americans