Cardiovascular Pharmacodynamics Flashcards
Where does the RAAS start?
when renin is released in the kidney
What does the RAAS do?
coordinates a variety of processes for regulation of blood volume and pressure
What are examples of angiotensin receptors sites?
ATR 1 and ATR 2
What is the process of angiotensin 2 production?
- Angiotensinogen is produced in the liver
- renin forms it into angiotensin I
- Angiotensin I is then converted to angiotensin II by ACE
Where does angiotensin-converting enzyme come from?
located on plasma membranes of various cells
What does angiotensin 2 do in the pituitary gland?
Release ADH, which causes water reabsorption in the kidneys
What does angiotensin 2 do in the kidneys?
causes sodium reabsorption, which water follows, increasing BP
What drugs can manipulate the RAAS?
ACE inhibitors
aldosterone blockers
What does nitric oxide do?
Inhibits angiotensin 2
vasodilation
anti-inflammatory
inhibits platelet adhesion
What four types of drugs work directly on the kidney?
loop diuretic
thiazide diuretic
potassium sparing
aldosterone antagonist
What 4 effects do calcium channel blockers have?
Vasodilation
Decreased heart rate
decreased force of contraction
What are 3 examples of calcium channel blockers?
Felodioine
verapamil
amlodipine
What is the formula for cardiac output?
Cardiac Output (CO) = Stroke Volume (SV) x Heart Rate (HR)
What are 2 effects of beta blockers?
decreased myocardial force of contraction
decreased heart rate
What are beta blockers?
bind to beta-adrenoreceptors , to prevent adrenaline and noradrenaline from binding