❤️ Pharm- ACE Inhibitors Flashcards

1
Q
Benzapril
Moexipril
Trandolapril
Captopril
Perindopril
Enlapril
Quinapril
Fosinopril
Ramipril
A

ACE Inhibitor

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2
Q

Ace inhibitors

  • 10
  • “pril”
  • target dose drug*
A

MOA: inhibit the conversion of ant1 to ant2

* no conversion= no vasoconstriction, no aldosterone. No salt/h20 retention

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3
Q

Ace inhibitors

- side effects

A
  • cough- bradykinin related
  • renal dysfunction
  • lower GFR
  • lower kidney fxn
  • risk of ARF
  • hyperkalemia
  • high in PTs with chronic kidney disease, using K sparing diuretic, K supplements
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4
Q

Ace inhibitors

Inx/risk

A
  • avoid in pregnancy
  • k supplements (hyperkalemia)
  • NSAIDs (with diuretic/ dehydration)
  • inhibit PG fxn of vasodilation of afferent arteriole-vasoconstriction of aa= increase glomerular pressure= increase filtrate* bad for kidneys
  • cyclosporine
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5
Q

How do ace inhibitors lower BP?

A

By blocking the conversion of ant 1 to ant 2.

  • blocks vasoconstriction, blocks aldosterone, inhibits sodium and water retention.
  • ⬇️ BP by: vasodilation, lower aldosterone, preventing salt and water reabsorption.
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