HTN drugs Flashcards
What are the targets of Angiotensin 2?
Vasculature Aldosterone (sodium reuptake) Pituitary gland (ADH secretion, water reabsorption)
Recap RAS
Decrease in renal perfusion stimulates kidney renin, which converts angiotensinogen from the liver to angiotensin 1. ACE, produced from the lungs, converts Ang 1 to Ang 2.
Differentiate between diltiazem vs amlodipine
Amlodipine - works more on vessels
Diltiazem - directly targets the heart
Differentiate between diltiazem vs amlodipine
Amlodipine - works more on vessels, therefore less interference with heart conditions
Diltiazem - directly targets the heart
Problem with amlodipine?
Rebound tachycardia induced by baroreceptors
Where do thiazide diuretics work?
Sodium chloride channel in the distal tubule
SE of ACEi/ARb
Renal impairment
Hyperkalemia
Cough
Rash
SE of CCB
Ankle swelling Headaches Vasodilation Constipation Palpitations Abdo pain
SE of thiazides
Hypotension and renal impairment Hypokalemia Gout Diabetes (interfere with insulin secretion) Impotence