Hydralazine, Diuretics, CCB Flashcards

1
Q

Hydralazine long term use can cause what disease process

A

systemic lupus syndrome

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2
Q

how does hydralazine lower the blood pressure

A

direct systemic arterial vasodilator

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3
Q

why should we not give hydralazine to patients with MI or coronary disease

A

the arterial vasodilation produces a reflex sympathetic response increase HR and contractility.

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4
Q

hydralazine is effect at reducing after load -what type of disease process is this benefit used for

A

heart failure.

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5
Q

in the treatment of essential HTN, what medications are considered first line

A

diuretics continue to be first line oral agents used for essential HTN

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6
Q

what diuretics are initially prescribed

A

thiazide drugs

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7
Q

when do we start prescribing loop diuretics

A

when thiazide drugs stop working

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8
Q

what do thiazide and loop diuretics cause

A

potassium and magnesium loss requiring replacement.

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9
Q

what drug is considered successful in treating HTN in the elderly, African Americans, and salt sensitive patients

A

CCB

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10
Q

what do PDE inhibit the break down of

A

cAMP and cGMP

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11
Q

what is the effect of PDE inhibitors

A

increased inotropic effects and vasodilation

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12
Q

nitric oxide functions

A
chemical messenger
platelet regulation
neurotransmitter in the CNS
immune regulation
gastrointestinal smooth muscle relaxation
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13
Q

nitric oxide inhalation effects

A

relaxation of the pulmonary smooth muscle

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