Gruetter Flashcards
Verapamil and diltiazem
Ca channel blockers - nondihydropyridines
Minoxidil
K channel activators
Nitroprusside, nitroglycerin, isosorbide dinitrate,NO, hyralazine
Guanylate cyclase activators
Fenoldopam
Dopamine D1 receptor agonists
Sildenafil, tadalafil
PDE inhibitor
Lisinopril, Enlapril
ACEi
Losartan, valsartan
AT2 receptor inhibitor
Aliskrein
Renin inhibitor
Arterial dilation decreases
AFterload, TPR
Venous dilation decreases
CO and venous return
Dihydropyridines (amilodipine) mainly causes vasodilation of _________ by decreasing influx of Ca via __________ Ca channels
Arteries
L-type
In heart, L type Ca channels mainly inhibited by
Verapamil
Verapamil inhibits phase ____________ of AP in muscle, to decrease Ca entry and decrease contractility
2 (plateau)
Verapamil inhibits phase ________ of AP in SA and AV nodes. Decrease firing of SA node to decrease HR. Decrease conduction of AV to cause AV block.
0 (depolarization)
Dihydropyridines (Amlodipine) mainly cause
Vasodilation
Verapamil (nondihydropyridines) mostly affects
Heart
All Ca channel blockers have __________ metabolism
Hepatic
_____ can be used for chronic stable and variant angina, hypertension
All ca channel blockers
____ can be used for supraventricular tachyarrhythmias and to terminate paroxysmal supraventricular tachycardia
Verapamil
Increased risk of mortality and MI with _____________
Short acting dihydropyridine a
Amlodipine
Ca channel blocker - dihydropyridine
Adversely cause hypotension, edema, and headaches
Dihydropyridines ca channel blockers
Adversely causes edema
Diltiazem
Adversely causes hypotension, CHF, AV block, headaches, and constipation
Verapamil
Avoid giving _____ if pt already has CHF or AV block
Verapamil
Avoid ______ if pt already has hypotension or severe hepatic disease
All ca channel blockers
Can interact with CYP3A4 drugs, concurrent beta blockers, and digoxin
Ca channel blockers
Increased efflux of K will ______ the cell causing ___________ TPR
Hyperpolarize
Decreased