Pharm 2 Flashcards
Losartan
Angiotensin II Receptor Blocker - HTN and heart failure
Less side effects the ACE, newer,
Lisinopril
Ace Inhibitor
HTN and blood flow, wide use esp heart failure, nephropathy
Don’t take with diuretics
Cough, hyperkalemia
Face edema is adverse (angioedema)
Diltiazem
Calcium Channel Blocker
BP and Angina,
slow heart rate and output, Not for Heart Failure, can make edema worse
Amlodipine/Nifedipine
stable chronic angina
Calcium Channel Blocker
BP and Angina,
slow heart rate and output, Not for Heart Failure, can make edema worse
Doxazosin
BPH and HTN
Alpha Adrenergic Blockers
Can cause Orthostatic Hypotension and Impotence
Tamsulosin
Only BPH
Alpha Adrenergic Blockers
Can cause Orthostatic Hypotension and Impotence
Metoprolol
Beta Blockers - Decreased cardiac output resulting in stabilization and angina relief, many other uses like MI. Watch for AV block
Clonidine
Centrally Acting Alpha 2 Agonists - Lowers HTN, minimal orthostatic effect, Some CNS depression
Carvedilol
Alpha/Beta Blocker - Lowers HTN and HR
Hydralazine
Arterial Vasodilator - BP dilation including pre/eclampsia
Digoxin
Cardiac Glycoside - Increases cardiac output in mild heart failure. Controls HR and rhythm, decrease edema, narrow therapeutic range. Na K pump, adverse hypokalemia
Order
Diuretics come first. Hold inhaler in for 10 sec
Angiotensin & Aldosterone
constriction and retention. Increase either and increase BP
Bronchodilators
Can cause blood vessels to constrict and reflex tachycardia
Albuterol
Short Acting Beta Adrenergics SABA Airways smooth muscle relaxes, for rescue situations
BP changes, tachycardia. Headache, tremor