Inhibitors of RAA Flashcards

1
Q

ACE inhibitors

MOA

A

decrease ATII formation

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2
Q

What is the consequence of dec in ATII formation

A
dec aldo secretion
dec ATII-induced vasoconstriction
dec NE release -- dec vasoconstriction
dec remodeling
inc BK/PG
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3
Q

ACEI effects

A

dec TPR, sodium/fluid retention, BP

inc HR

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4
Q

ACE-I examples

A

Enalapril

Lisinopril

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5
Q

What are most ACEI

A

prodrugs

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6
Q

Which two ACEI are not prodrugs

A

Captopril

Lisinopril

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7
Q

Which ACEI are HM and RE?

A

Fosinopril

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8
Q

Therapeutic use ACEI

A

Htn
CHF
Post MI
Diabetic nephropathy

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9
Q

ADR for ACE-I

A
Fetopathic potential
Cough
Hyperkalemia
Hypotension
Hypersensitivity
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10
Q

CI - ACEI

A

Pregnancy
Hyperkalemia - renal disease, k-sparing diuretics, k-supplements
Hypersensitivity

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11
Q

AT receptor antagonist

A

Losartan

Valsartan

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12
Q

MOA AT-RA

A

competitive antagonism at AT-receptors

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13
Q

are effects of AT-RA similar to ACEI?

A

yes

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14
Q

ADR of AT-RA

A

Fetopathic potential
Hyperkalemia
Hypotension
Hypersenstivity

NO cough***

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15
Q

CI - AT-RA

A

similar to ACE-I

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16
Q

renin inhibitor

A

aliskiren

17
Q

What does inhibition of renin cause

A

dec ATI and ATII

18
Q

Therapeutic use of Renin inhibitor

A

Htn

19
Q

is there more or less cough with renin inhibitor in comparison to ACE-I

A

less

20
Q

Vasodilators and RAA system inhibitors are used for

A

Htn
Angina/Ischemia
CHF