Cardiovascular System Flashcards

1
Q

drugs used for HTN in pregnancy

A

hydrazine
nifedipine
methyldopa
labetolol

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2
Q

calcium channel blocker used for subarachnoid hemorrhage to decrease vasospasm

A

nimodipine

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3
Q

ca blocker used fro HTN emergency and urgency

A

Clevidipine

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4
Q

Hydrazine

MOA
USE
UDE

A
  • vasodilator arterioles more then veins. increases cGMP
  • severe HTN
  • Lupus like symptoms
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5
Q

Nitroprusside

MOA
USE
UDE

A
  • short acting increases in cGMP and release of NO
  • HTN emergency
  • cyanide toxicity
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6
Q

Fenoldapam

MOA
USE
UDE

A

D1 agonist, vasodilation. decrease in BP and increases in naturesis

  • post op use for antiHTN
  • hypotension
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7
Q

drug of choice for malignant HTN

A

nitroprusside

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8
Q

Nitroglycerin, Isosorbie di/mono nitrate

MOA
USE
UDE

A
  • vasodilator by increasing NO (dilates veins more)
  • Angina and Pulmonary Edema
  • Monday Diseases (loss of tolerance to the vasodilation effect over the weekend)
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9
Q

Ranolazine

MOA
USE
UDE

A
  • inhibits the late phase of sodium current reducing diastolic wall tension
  • angina
  • QT prolongation
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10
Q

Statins

MOA
USE
UDE

A
  • inhibit conversion of HMG-CoA to mevalonate. decreases LDL
  • lipids
  • hepatotoxic
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11
Q

Cholestryramine
Colestipol
Colesnvelam

MOA
USE
UDE

A
  • prevent intestinal reasobrption of bile acid. deceases LDL
  • lipid
  • GI upset
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12
Q

Ezetimibe

MOA
USE
UDE

A
  • prevent absortion in the small intesinte (decreases LDL)
  • lipid
  • diarrhes
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13
Q

Gemifibrozil, Bezafibrate, Fenofibrate

MOA
USE
UDE

A
  • activate PPAR alpha to induce HDL synthesis and increases TG clearance
  • lipid
  • myopathy and gall stones
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14
Q

Niacin

MOA
USE
UDE

A
  • inhibits lipolysis (HSL) and reduces VLDL synthesis
  • lipid
  • flushed, hyperglycemia, hyperuricemia
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15
Q

Digoxin

MOA
USE
UDE

A
  • inhibition of sodium potassium atpase and blocks sodium calcium pump so calcium remains inside and causes contraction of the heart
  • HF
  • hyperkalemia
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16
Q

Quinidine, Procainamide and Disopyramide (class 1A)

MOA
USE
UDE

A
  • increases action potential duration
  • atrial and ventricular arrhythmia
  • cinconhism, SLE like, heart failure
17
Q

Lidocaine, mexilitine, Phenytoin (class 1B)

MOA
USE
UDE

A
  • decreases action potential
  • Acute ventricular arryhtmias, post MI
  • cardiovascular depression
18
Q

Flecainide, Propefenone (class 1c)

MOA
USE
UDE

A
  • prolongs ERP in AV node (same AP duration)
  • SVTs
  • proarryhtmic
19
Q

metoprolol, propranolol, esomlol, atenolol, timolol, carvediol (class 2)

MOA
USE
UDE

A
  • decreases SA and Av nodal activity by decreasing cAMP
  • SVT
  • impotence
20
Q

Amiodarone, Ibutilide, Dofetilide, Sotalol

MOA
USE
UDE

A
  • increases AP duration, increases QT, increases ERP
  • atrial fib, atrial flutter, vent, tacky
  • torsades de pointes and Amiodarone (pum fibrosis)