Cardio pharm Flashcards
How do thiazides work?
Inhibit reabsorbtion of K in the distal tubule!
List the three types of diuretics.
Thiazides, loop, potassium sparing.
Thiazides good for? Bad for?
Good HTN , heart failure, DI
AVOID in gout!
Where do loop diuretics work?
Ascending loop of henle.
Who gets loop diuretics?
Severe HTN, CHF, never alone. lasix is a loop.
Side effect of loop diuretic?
Ototoxicity.
What is potassium sparing diuretics used for?
CHF/ post MI. Don not use with ACE/ARBS. Causes gynecomastia.
What is midamor?
Potassium sparing diuretic.
What is the drug of choice in HTN with DM?
Ace inhibitor. Pril!
Who are ACEI contraindicated and the most common side effect?
Prege, cough.
What are the alpha blockers?
Zosins.
Side effect of alpha blockers?
First dose hypotension or syncope. Dry mouth dizziness.
What’s are the non cardiac use of alpha blockers (zosins)?
BPH, pheochromocytoma give alpha before beta blocker!
Who do CCB work best on?
Blacks and elderly
Most favorable non dihydropyridine?
Diltiazem, good for a fib and a flutter
What are the CCB? Who are they the best for?
Pines. Blacks and elderly.
Side effect of hydralazine?
Lupus
What med is ok for HTN treatment in pregnancy?
Methyl dopa.
When do you use clonadine?
HTN crisis, must taper and in opiate withdrawal.
Do not use nitroglycerin when?
SBP less than 80, with Viagra.
What is digitalis used for?
Treatment of left sided heart failure.
In loop diuretics what allergy can cause a problem?
Sulfa allergy.
Who are bb used for?
HTN, CHF, post MI
Who does not get bb?
Asthma, 2nd or 3rd degree heart block.
