Médicaments antihypertenseurs Flashcards

1
Q

Afferences centre et Efferences baroreflexe?

A

*aff:
- sinus carotidien (IX)
- crosse aortique et VG (X)
* centre : noyau tractus solitaire
*eff:
- cœur : S et PS
- vaisseaux : S

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2
Q

B bloquants à ESI

A

Acebutolol
*moins bradycardie au repos

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3
Q

B bloquants à cardio sélectivité

A

Atenolol
*moins effet bronchique, Vasculaire et metabolique

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4
Q

Vasodilatation par blocage Recep alpha ou stimulation bêta 2

A

Labetolol

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5
Q

Médicaments qui augmentent PA ?

A

*contaceptifs oraux, oestroprogestatifs
*AINS
*corticoïdes

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6
Q

B bloquants à effet stabilisant membrane

A

Propranolol
*blocage canaux Na

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7
Q

Trt trac

A

Propranolol

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8
Q

Trt ICC

A

*metoprolol
*carvedilol
*Bisoprolol

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9
Q

IEC actif

A

Captopril, lisinopril

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10
Q

Indication IEC

A

*nephropathie diabetique
*Ic
*Idm

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11
Q

Effets indésirables IEC?

A

*hypotension
*IR
*hyperkaliemie
*angieodeme
*dysgueusie (capto)
*toux seche
*HS

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12
Q

CI des IEC et ARAII

A

Grossesse (2,3)t
Déconseillé 1t

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13
Q

Inhibiteur renine

A

aliskirene

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14
Q

Antagoniste calciques

A

*BZD : diltiazem
*PhenylAlkyAmine : verapamil
*dihydropiridine : nifedipine, amlodipine

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15
Q

Vasodilatation direct à canaux K ?

A

*minoxidil (hta, alopecie)
*diazoxide (hta, hyperglycemie hyperinsulinique)

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16
Q

Vasodilatation direct relaxant muscle lisse vsx?

A

*dihydralazine (hta gravidique)
*nitroprussiate de Na (urgence)

17
Q

Anti hta centraux

A

Clonidine et méthylène dopa
*Recep alpha 2

18
Q

Interaction meds avec b bloquants?

A

*AINS
*antihypertenseurs centraux
*dihydropiridines
*insuline et sulfamide: masque hypogly
*déconseillé :diltiazem et verapamil

19
Q

Interaction meds avec IEC?

A

-précautions:
*diuretique hypokaliemiant
*AINS
-déconseillé :
*sels de li
*diurétiques hyperkaliemiants