Cardiovascular Drugs Flashcards

1
Q

cause unknown in hypertension

A

primary

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2
Q

cause is known in hypertension

A

secondary

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3
Q

cause smooth muscle relaxation

A

calcium channel blocker

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4
Q

Blocks the conversion of angiotensin I to angiotensin II; an angiotensin II receptor blocker; blocking effects of angiotensin on blood vessels

A

ACE inhibitors

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5
Q

Block the alpha 1 adrenergic receptors that leads to decreased blood pressure

A

ALPHA 1 BLOCKERS ( PERIPHERALLY ACTING )

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6
Q

Zosin family

A

Alpha 1 blockers

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7
Q

Treatment of hypertension

A

Alpha 1 blockers

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8
Q

a. Decreased response to decrease basal sympathetic tone that leads to decreased blood pressure
b. Decreased vascular resistance and heart rate due to blocking go beta 1 receptor

A

Beta Adrenergic Blockers

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9
Q

Lol family

A

Beta blockers

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10
Q

can potentially increase the blood glucose concentration

A

Beta blockers

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11
Q

Stimulate alpha2-adrenergic that leads to decreased blood pressure

A

Central-Acting Adrenergics

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12
Q

Examples: Central Acting Adrenergics

A

Methyldopa - drug of choice for hypertension in pregnancy

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13
Q

Adrenergic Neural blockers

A

a. Inhibit release of norepinephrine which leads to decreased blood pressure

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14
Q

Examples: Adrenergic neural Blockers (peripherally acting)

A

a. Reserpine
b. Guanadrel
c. Guanethidine

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15
Q

Side Effects: Adrenergic neural Blockers (peripherally acting)

A

a. Dry mouth
b. Drowsiness
c. Sedation
d. Constipation
e. Headache

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16
Q

Often used as first line agents for CHF and hypertension

A

ACE Inhibitors

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17
Q

Decreased systemic vascular resistance (afterload), vasodilation, and therefore decreased blood pressure

A

Angiotensin-Converting Enzyme (ACE) inhibitors

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18
Q

Examples: ACE Inhibitors

A

a. Captopril
b. Enalapril
c. Lisinopril & quinapril

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19
Q

half life of captopril

A

short

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20
Q

half life of enalapril

A

only ace inhibitor available in oral and parenteral form

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21
Q

half life of lisinopril & Quinapril

22
Q

Side Effects of ACE Inhibitors

23
Q

Angiotensin II Receptor Blocker

A

a. block the receptors that receive angiotensin II
b. Block vasoconstriction and release of aldosterone

24
Q

Sartan family

A

Angiotensin II receptor blockers

25
Blocks the binding of calcium to its receptors
Calcium channel blocker
26
Examples: Calcium channel blocker
a. diltiazem b. verapamil c. amlodipine d. bepridil e. nicardipine f. nifedipine g. nimodipine
27
half life of amlodipine
36-48 hours
28
Indications of calcium channel blockers
angina
29
Contraindications of calcium channel blockers
Heart Block
30
a. Decrease the plasma and extracellular fluid volume b. Decrease the workload of the heart, and decreased blood pressure
Antihypertensive agents: Diuretics
31
Act directly on the ascending limb of the loop of Henle to inhibit sodium and chloride resorption
LOOP DIURETICS
32
Examples: Loop Diuretics
a. Bumetanide b. Ethacrynic acid c. Furosemide
33
Potent diuresis and subsequent loss of fluid would decrease fluid volume which causes
Reduced BP
34
Side Effects: Loop diuretics
a. CNS b. GI c. Hematologic d. Metabolic
35
Side effects of furosemide
hypokalemia
36
POTASSIUM-SPARING DIURETICS
a. Work in collecting ducts and distal convoluted tubules b. Block the resorption of sodium and water usually induced by aldosterone
37
Side effects of Spironolactone
Hyperkalemia
38
Increase the osmolality (concentration) of plasma and fluid in the renal tubules resulting to = excretion of: Na, chloride, K, and water
Osmotic Diuretics
39
Most common prescribed osmotic diuretic
Mannitol
40
Use: Osmotic Diuretics
a. decreases ICP and IOP
41
Side Effects : Manittol
a. dry mouth b. excessive thirst
41
Contraindications of Osmotic Diuretics
Anuria
42
Decreased systemic vascular response, decreased afterload, and Peripheral Vasodilation occurs
Vasodilator
43
hyperstat
Diazoxide
44
Are reserved for the management of hypertensive emergencies
Sodium nitroprusside and diazoxide IV
45
Examples: Vasodilators
a. diazoxide b. hydralazine HCI c. minoxidil d. sodium nitroprusside
46
Side Effects: hydralazine HCL
a. dizziness b. headache
47
Side Effects: Sodium nitroprusside
a. bradycardia b. hypotension c. possible cyanide toxicity
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