ANTIHYPERTENSIVE-Angiotensin Antagonists Flashcards

1
Q

What are the angitensin antagonist

A

ACEi

ARBs

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2
Q

What are the effects of ACEi

A

Vasodilation
☝🏻️bradykinin
☝🏻️PG effect (from bradykinin effect)

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3
Q

Which is more potent?

ACEi
Or
ARBs

A

ACEi

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4
Q

ACEi is C/I with?

A

NSAIDs

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5
Q

What are the acute ACEi?

A

Captopril
Lisinopril
Enalaprilat

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6
Q

What are the prodrugs of ACEi

A

The rest of -prils

Enalapril–> enalaprilat
Perindipril–> perindoprilat

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7
Q

What is the MOA of ARBs

A

Inhibit binding of angiotensin II to its receptor causing vasodilation

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8
Q

What are the drugs in ARBs

A

Losartan
Candesartan
Irbesartan

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9
Q

SE in ACEi

A

Idiosyncratic cough
–bec of bradykinin
Angioedema

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10
Q

What are the remedy in idiosyncratic cough

A
  • 👇🏻dose
  • stop tx and restart at lower dose

-if intolerance and recurrent:
Shift to ARBs

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11
Q

Remedy for angioedema

A

Stop right away and shift to ARBs

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12
Q

SE in ARBs

A
  • hyperkalemia
  • interstitial nephritis
  • hypotension
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13
Q

First line mgngt of HTN

A

ACEi and ARBs

according to JNC 8

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14
Q

First line in the …

A

HTN + CKD
HTN + DM
HTN + DM + CKD

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15
Q

Whar are the drugs used in the mngt of uncomplicated HTB

A

Thiazides
Arb
Acei
CCBs

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