Antihypertensives Flashcards
The most important risk factor for stroke and heart failure, and it is also a major risk factor for renal failure and peripheral vascular disease et. al
Hypertension
If the cause of hypertension is unknown, it may be called
essential, idiopathic, or primary hypertension, comprising 90% of cases.
pheochromocytoma, preeclampsia of pregnancy, renal artery disease, sleep apnea, thyroid disease, or parathyroid disease or the use of certain medications are causes of
secondary hypertension
If untreated, hypertension can cause damage to end organs such as
The heart, brain, kidneys, and eyes.
What are the seven main categories of drugs used to treat hypertension
diuretics, adrenergic drugs, vasodilators, angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), calcium channel blockers (CCBs), and direct renin inhibitors
There are five drug subcategories of adrenergic antihypertensive drugs which act…
central action (in the brain) or peripheral action (at the heart and blood vessels).
adrenergic neuron blockers act
central and peripheral
alpha2-receptor agonists act
centrally
the alpha1-receptor blockers act
peripheral
the beta-receptor blockers act
peripheral
the combination alpha1- and beta-receptor blockers
peripheral
The centrally acting adrenergic drugs work by stimulating
the alpha2-adrenergic receptors in the brain to inhibit NE and decrease renin.
Renin is the hormone and enzyme that converts the protein precursor
angiotensinogen