Hypertension Flashcards

1
Q

Name the ACE Inhibitors

A

Lisinopril
Enalapril
Captopril

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2
Q

Mechanism of ACE inhibitors

A

Block conversion of Ang1 to Ang2
Keep bradykinin activated

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3
Q

Uses of ACE inhibitors

A

Cardiac Failure
Hypertension
After AMI
REnal insufficiency

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4
Q

ADR of ACE inhibitors

A

Severe hypotension
Acute Renal Failure
Hyperkalemia
Angioedema, dry cough
Banned pregnancy

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5
Q

Name AT1 blockers

A

Valsartan
Losartan
Candesartan
Irbesartan
Telmisartan

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6
Q

MOA of AT1 blockers

A

Competitively block to prevent Ang2 binding to AT1 receptors

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7
Q

ADR of AT1 blockers

A

Less or no dry cough
banned pregnancy

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8
Q

Name beta blockers

A

“Non-selective:
Carvedilol
Propranolol
Pindolol

Cardioselective (Beta-1):
Bisoprolol
Metoprolol
Atenolol”

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9
Q

Uses of Beta blockers

A

“1. Hypertension
2. Cardiac Failure
3. After AMI
4. Arrythmia
5. Anxiety Disorders”

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10
Q

ADR of Beta blockers

A

Hypotension
Bradycardia
AV Nodal block
Low Exercise capacity
Bronchoconstriction
CNS e.g. depression

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11
Q

Name Diuretics - thiazides

A

Hydrochlorothiazide
Indapamide

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12
Q

MOA of thiazides

A

Inhibit NaCl reabsorption by blocking Na/Cl transporter

Thiazides enhance Ca reabsorption in PCT and distal Convoluted tubule

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13
Q

Uses of thiazides

A

Hypertension
Congestive HF
Nephrolithiasis
Nephrogenic DI

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14
Q

ADR of thiazides

A

Hypokalaemic Metabolic Alkalosis
Hyponatremia
Hyperuricaemia
Hyperglycaemia
Hyperlipidaemia
Hypercalcaemia

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15
Q

Name Calcium channel blockers

A

Nifedipine
Amlodipine

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16
Q

MOA of calcium channel blockers

A

Lower Myocardial contractility lowers CO and BP falls. Less Oxygen is needed and helps Angina.

Lower vascular smooth muscle tone, helping Anti-angina

17
Q

Uses of Ca channel blockers

A

Anti-angina
Anti-HTN

18
Q

ADR of Ca channel blockers

A

Cardiac Depression:

Bradycardia
AV blocker
Heart Failure