Exam 1 - Antihypertensives Flashcards
Antihypertensive drug classes (4)
- diuretics
- sympatholytics
- vasodilators
- ACE inhibitors
Diuretics overview
- reduce total sodium and water in person
- total fluid goes down
- often first line, simple way to treat high BP
- most documented in prolonging people’s lives
Sympatholytics overview
- less used
- blunt the sympathetic nervous system’s effects
- affect heart b1 and a1 receptors on vessels
Direct acting vasodilators overview
- work directly on the smooth muscle that regulates the vessels
ACE inhibitors overview
stop angiotension II production
Kidney receives __% of the CO
25%
medulla of kidney: high or low osmolarity?
- very high
___ ml/min of fluid is filtered in the kidney
125 ml/min
2 gal/hr
what % of filtered volume is reabsorbed?
- 99%
what is important about 99% of filtered volume being reabsorbed?
- if even 1% change, that’s now double the output
resorption is driven by:
active transport
water movement is driven by
osmotic potential
some compounds are pumped INTO the urine via
active transport
kidneys have fenestrations
yes
what is the max dalton for molecules to get through bowman’s capsule basement membrane podocytes?
- 5,000 dalton
- AA, salt, water, small molecs, some drugs, urea all filtered through