Direct vasodilators Flashcards

1
Q

List the direct vasodilators

A

Monday Night Football in HD: Minoxidil, Nitroprusside, Fenoldopam, Hydralazine, Diazoxide

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2
Q

Minoxidil’s mech of action and effect

A

Opens K+ channels which relaxes vascular smooth muscle

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3
Q

Does Minoxidil vasodilate arterioles, veins, or both?

A

Arterioles ONLY!!!

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4
Q

Important side effects of Minoxidil?

A

reflex tachycardia, and POWERFUL renin release!! Like holy shit, thats a lot of renin!!

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5
Q

Nitroprusside is a prodrug that is metabolized into?

A

NO- nitrous oxide

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6
Q

Does nitroprusside vasodilate arterioles, veins, or both?

A

BOTH!

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7
Q

Mech of action of nitroprusside

A

increases intracellular cGMP

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8
Q

side effects of nitroprusside?

A
  1. Reflex tachycardia
  2. Hypotension
  3. NO is metabolized to cyanide which is toxic
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9
Q

Clinical use for nitroprusside?

A

HTN emergency!!

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10
Q

Fenoldopam’s mech of action?

A

Dopamine receptor agonist

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11
Q

Fenoldopam half life?

A

10 minutes

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12
Q

Clinical uses of fenoldopam?

A

IV drip for HTN emergency!!

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13
Q

Side effects of fenoldopam?

A

reflex tachycardia, increased intraocular pressure (contraindicated in glaucoma)

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14
Q

Hydralazine side effects

A
  1. Palpitations
  2. Reflex tachycardia
  3. Autoimmune reactions
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15
Q

Which direct vasodilator would you use for HTN emergency from pregnancy (eclampsia)

A

Hydralazine

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16
Q

Which direct vasodilator would you give with BBB antihypertensives and a diuretic because you are concerned about reflex sympathetic responses?

A

Hydralazine

17
Q

Diazoxide mech of action?

A

Opens K+ channels (just like Minoxidil)

18
Q

Clinical use for Diazoxide?

A

HTN emergency!!

19
Q

side effects of Diazoxide?

A
  1. Reflex tachycardia
  2. Hypotension
  3. Hyperglycemia (cuz diazoxide inhibits insulin release)