BMS10-1030 Pharmacology & the Cardiovascular System Flashcards

1
Q

Perfusion pressure

A

Difference in pressure between arteries and veins

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2
Q

Which is the main regulator of this?

A

Sympathetic nervous system

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3
Q

What does the baroreceptor response alter? (3)

A

Cardiac, vascular and renal function

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4
Q

What may cause postural hypotension?

A

Side effect of drugs that block the SNS

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5
Q

Why do we get venous pooling?

A

The veins are more elastic

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6
Q

What 3 variables must you consider before giving drugs?

A

Arterial blood pressure
Peripheral resistance
Heart rate

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7
Q

What can changes in diastolic BP indicate?

A

Changes in peripheral resistance; it is the main factor as valves are closed in diastole so the heart isn’t pumping blood into arteries

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8
Q

What can changes in systolic BP indicate?

A

Peripheral resistance and cardiac out put as in systole blood is being pumped out into arteries so increasing both of these increases BP

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9
Q

What does noradrenaline (alpha agonist) do?

A

Constrict smooth muscles increases resistance and therefore BP so we begin bradycardia

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10
Q

What does isoprenaline (beta agonist do)

A

Relax smooth muscle so heart rate and force increases decreasing resistance but increasing CO so MABP decreases

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11
Q

What does adrenaline (beta and alpha agonist) do?

A

Mainly constrict to increase rate and force to reduce resistance and increase CO to increase mean BP

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12
Q

What will a B2 isoprnaline do?

A

Relax smooth muscle to decrease resistance

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13
Q

What do B1 and baroreceptors do?

A

Increase HR and force to increase CO

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14
Q

What are some affects of alpha agonists?

A

Relax gut
Dilate pupils
Glycogen mobilsation

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15
Q

What are some affects of beta agonists?

A

Relax bronchial
Relax gut
Glycogen and fat mobilisation

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16
Q

Why may we want to raise BP?

A

Treat hypotension or hypovolaemic shock

17
Q

How can we prolong the action of drugs?

A

Used with anaesthetics to slow absorption

18
Q

Name drugs that raise BP

A

alpha adrenergic agonists
beta adrenergic agonists
vasopressin receptor agonists

19
Q

What do alpha adrenergic agonists do?

A

Constrict smooth muscle

20
Q

What do beta adrenergic agonists do?

A

Increase CO

21
Q

What do alpha blockers do?

A

Decrease peripheral vascular tone to lower BP

22
Q

What do beta blockers do?

A

Lower blood pressure by decreasing cardiac output

23
Q

What may drugs to do lower pressure in the kidney?

A

Deactivate enzymes

24
Q

What may drugs do in muscle cells to lower BP?

A

Stop calcium entry so they cant contract or make lots of K leave so its harder to depolarise
Add NO so Ca cant enter

25
Q

What are diuretic drugs?

A

Used to reduce blood volume

26
Q

Renin angiotensin system

A

Stop constriction and reduce blood volume