cardio 6 Flashcards

1
Q

why are diuretics used in heart failure

A

to relieve oedema and work load on heart

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2
Q

which two drugs cause K loss

A

thiazides and furosemide

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3
Q

what is a K sparing diuretic

A

spironolactone

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4
Q

how does spironolactone act

A

aldosterone antagonist

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5
Q

what does spironlactone cause

A

K retention, Na loss, H2o loss

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6
Q

how do vasodilators work on a normal subject, do they increase or decrease heart rate

A

dilate veins: decrease preload & cardiac output
dilate arteries: decrease arterial pressure decrease afterlaod
decreased cardiac output = decrease BP
baroceptors = increased HR
hypotension and tachycardia

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7
Q

how do vasodilators work on heart failure subject

A

decrease afterload and increase cardiac output
BP does not fall

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8
Q

what physiological effects does angiotensin II have

A

vasoconstriction and fluid rentetion via aldosterone

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9
Q

what do ACE inhibitors do

A

inhibit angiotensin II
vasodilation
Na loss
K retention
preventt catabolism of bradykin (NO)

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10
Q

what csauses the dry cough associated with ACE inhibitors

A

bradykin

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11
Q

what are the two ace inhibitors of interest

A

enalapril captopril

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12
Q

why are ACE inhibitors thought to worsen covid

A

increase ACE2

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13
Q

what can ACE inhibitors be combined with and why

A

thiazides or diuretics
balance out K

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14
Q

what are the ARBs of interest

A

losartan candesartan telmisartan

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15
Q

what is a sympatholytic agent

A

beta blocker

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16
Q

how do sympatholyric agents help with hypertension

A

decrease NA release, decrease angiotensin
possible reduction of sympathetic outflow

17
Q

what is hydralazine

A

vasodilator, lowers

18
Q

what is hydralazine

A

vasodilator, lowersBP, reflex tachycardia, combines with b blocker

19
Q

what is nitropusside

A

hypertensive emergencies