Anti-HTN drugs Flashcards

1
Q

cardio selective CCB ??

A
  • Verapamil
    diltiazem

362

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2
Q

vessel selective CCB ??

A
  1. Amlodipine
    nicardipine
    nimodipine
    nifedipine

362

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3
Q

M/A of cardioselective CCB ??

A

363

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4
Q

M/A of vessel selective CCB ??

A

363

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5
Q

A/E of CCB??

A
  • Ankle edema
    flushing
    izziness
    headache
    reflex tachycardia
    constipation
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6
Q

why pedal edema by CCB ??

A
  1. rise in intracapillary pressure - as a result of selective dialtion by CCB of the precapillary arterioles
  2. inc capillary permeability
  3. expulsion of fluid in tissue

365

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7
Q

indications of CCB ??

A
  • HTN
    IHD
    Cardiac arryhtmia
    hypertrophic cardiomayopathy
    subarachnoid hemorrhage
    PVD
    Preganancy + HTN
    esophageal spasm
    achalasia

364

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8
Q

which CCB does not cause ankle edema ??

A

CLINIDIPIN

364

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9
Q

Pregnancy safe CCB ??

A

Nifedipine

366

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10
Q

pregnancy safe AntiHTN drugs name ??

350

A
  • alpha methyl dopa
    nifedipine
    hydralazine
    labetalol
    atenolol
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11
Q

HTN + DM = ??

A
  • D
    ACEi
    ARB
    CCB
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12
Q

HTN + Bronchail astham ??

A
  • CCB
    ARB
    D
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13
Q

HTN + Chronic renal disease ??

`

A

ACEi
ARB

351

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14
Q

Why not ACEi in HTN + BA ?

A

ACEi= bradykinin - dry cough

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15
Q

recently in pregnancy which anti-htn ??

A

labetalol

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16
Q

labetalol timeline ??

A

3rd trimester

350

17
Q

Role of ACEi ??

18
Q

indications of ACEi ??

A
  1. MI
    HTN
    Post MI
    DN
    Cardiac hypertrophy
    chronic HF

354

19
Q

role of ACEI in DM + HTN ??

A
  • Prevent progression of renal disease
    decrease albuminuria
    decrease retinopathy

355

20
Q

A/E of ACEi ??

A
  1. dry cough
    angioedema
    first dose hypotension
    hyperkalemia
    acute rernal failure
    skin rash
    teratogenesity

356

21
Q

AAlpha methyl dopa M/A ?

372

21
Q

contraindications of CCB ??

22
Q

can we give after delivery ??

A

no - CNS depression - suicidal tendency

372

23
Q

AMD in men ??

A

NO
Endocrine dysfunction

24
AMD indication ??
HTN + Pregnancy
25
A/E of AMD ??
* hypotension nightmares + coombs test hemolytic anemia hepatitis depression vertigo
26
ACEi + Loop D = ?? | i
ACEi - Hyperkalemia LD - Hypokalemia
27
ACEi + spironolactone = ??
more hyperkalaemia
28
ACEi + NSAID = ??
aspirine - block bradykinin mediated vasodilation sso ACEi - anti-HTN effect loss | 357 m
29
ACEi contraindications ??
* RF Hyperkalemia BA Bilateral renala rtery stenosis preganancy | 357
30
direct renin in hibitos name ??
aliskerin | 361
31
Why ARB >>>> ACEi ??
1. no DRY cough lower - angioedema lower - rashes
32
ARB names ??
* los-Val-telmi-oleme - SARTAN
33
ACEi name ??
* Capto-Enala-Lisino-Rami-Moexi-Quina-Rami-PRIL | 353
34
Renin release inhibiutos name ??
Beta bl;oclers name 353
35
aldosterone antagonists anme ??
spironolactone eplerenone | 353