Anti-Hypertensive Drugs Flashcards
loop diuretics MOA
- inhibit Na/K/2Cl symporter in loop of henle
what HTN drugs can you treat heart failure with
- diuretics (aldosterone antagonists)
- ACEi/ARB
- beta blockers
- hydralazine + nitrates
angioedema is likely to affect which race
- african Americans
- 3x more likely
how beta blockers exacerbate asthma/COPD
- nonselective beta blocker that acts on B2
- causes bronchoconstriction and less O2 into the lungs
loop/thiazide diuretic toxicitieshow
- hypokalemia
- increased Na+ from upstream drives loss of K+ in collecting duct
drugs that reduce blood volume only
- diuretics
drugs that reduce cardiac output and vascular resistance
- sympatholytics
furosemide during pregnancy is what class
- C
how NSAIDS increase hypertension
- inhibit phase II glucouronidation of aldosterone
- prostaglandin E2 -> vasodilates
- salt water retention -> increased blood volume
beta blockers pregnancy category in 1st trimester
- B/C
what type of drug is hydrochlorothiazide
- thiazide diuretic
Nifedipine is what kind of drug
- Ca2+ channel blocker
adverse effects of Ca2+ channel blockers
- drug-induced gingival enlargement
what is the Ca2+ channel blocker of choice during pregnancy
- Nifedipine
toxicities of beta blockers
- increase/decrease blood sugar (be careful with diabetics
- exacerbate asthma/COPD
_______ have been documented to decrease mortality in patients with heart failure
- beta blockers
MOA K+ opener drugs
- hyperpolarize vascular smooth muscle cells
- inhibit contraction
what type of drug is Eplerenone
- K+ sparing diuretic aldosterone antagonist
result of hyperkalemia as toxicity of ACE inhibitors and ARBs
- risk of arrhythmias
MOA of alpha 2 agonists
- activate alpha 2 receptor which leads to vasorelaxation
in a closed circulatory system, BP is affected by
- cardiac output
- vascular resistance
- blood volume
drugs that reduce vascular resistance only
- vasodilators
MOA of vasodilators
- relax vascular smooth muscle
- reduce BP
result of hypokalemia from loop/thiazide toxidies
- hyperpolarization -> various arrhythmias
- delayed repolarization -> reentry rhythms
drugs that reduce blood volume and vascular resistance
- anti-angiotensin drugs
thiazide diuretics MOA
- inhibit Na/Cl symporter in distal convoluted tubule
Captopril and Lisinopril are- pril
- ACE inhibitors