Exam 2 Drugs Flashcards
furesomide (Lasix) What is the class of medicine of:
loop diuretics
furesomide (Lasix)
what is it used for
HTN
furesomide (Lasix)
MOA?
acts on ascending loop of Henle by inhibiting reabsorption of Na, K, Cl which prevents reabsorption of water
furesomide (Lasix)
AEs?
dehydration, hypocalcemia, hyponatremia, hypokalaemia, ototoxicity, hyperglycaemia, increased LDL
hydrochlorothiazide (HCTZ) class of medicine?
thiazide diuretics
hydrochlorothiazide (HCTZ)
used for?
HTN
hydrochlorothiazide (HCTZ)
MOA?
acts on early part of convoluted tubule by inhibiting mechanism that favour Na reabsorption resulting in Na and K excretion and Ca reabsorption (so decrease water reabsorption)
hydrochlorothiazide (HCTZ)
AE?
hypercalcemia, significant loss of K
other similar to loop diuretic
spironolactone
class ?
potassium sparing diuretic
spironolactone
Use
HTP
spironolactone
MOA
limit reabsorption of Na and excretion of K
limit osmotic gradient which drives reabsorption go H2O from late distal convoluted tubule
spironolactone
Ae?
hyperkalemia, nausea, lethargy, mental confusion
amlodipine
class
calcium channel blockers - dihydropyridine
amlodipine
MOA
block Ca entrance into vascular smooth muscle = vasodilation
amlodipine
AE
bradycardia, tachycardia (due to reflex), sweating, tremor, hypotension
diltiazem
class
calcium channel blockers - benzothiazepine
diltiazem
MOA
block Ca entrance into vascular smooth muscle = vasodilation
diltiazem
bradycardia, tachycardia (due to reflex), sweating, tremor, hypotension
metoprolol
class
beta blockers - B1 specific
metoprolol
MOA
selectively block B1 receptors without causing bronchoconstriction (B1= heart and kidney)
metoprolol
AE
bradycardia, OH, dizziness
propranolol
class
beta blocker - non selective
propranolol
MOA
block B1 and B2 adrenoreceptors
propranolol
AE
bradycardia, bronchoconstriction, OH, dizziness
carvedilol
class
beta blocker - B1 selective AND
non selective A1 and B1 antagonist
carvedilol
MOA
selectively block B1 receptors without causing bronchoconstriction (B1= heart and kidney)
carvedilol
AE
bradycardia, OH, dizziness
lisinopril
class
ACE inhibitor
lisinopril
MOA
block conversion of angiotensin 1 to angiotensin 2 = increase vasodilation and decrease aldosterone secretion which decrease water retention
lisinopril
AE
common: Dry cough, hypotension/dizziness, hyperkalemia
rare: angioedema, acute renal failure
enalapril
class
ACE inhibitor
ramipril
class
ACE inhibitor
losartan
class
ARB
losartan
MOA
antagonist at AT1 receptors = block binding of angiotensin 2 = decrease in vasoconstriction, aldosterone release, constriction of efferent arterioles
losartan
AE
similar to ACE except no dry cough
common: hypotension/dizziness, hyperkalemia
rare: angioedema, acute renal failure
valsartan
class
ARB
clonidine
class
central acting alpha agonist - alpha 2
clonidine
AE
dizziness, drowsiness, fatigue, headache
nitroglycerin
class
nitrate
nitroglycerin
use
angina
nitroglycerin
MOA
reduces the amount of intracellular calcium available for contraction
decrease preload and afterload –> reduce workload of heart –> reduce O2 demand