pharm final Flashcards
Causes vasodilation by blocking L-type calcium channels
Felodopine
Movement of sodium with what phase of cardiac AP
Phase 0
positive of statin
Improves endothelial function
Sildenafil
Phosphodiesterase 5 inhibitor
On ACE inhibitor that gives cough, what can they swith to so no cough
ValsartaN
epi
neurotransmitter
Drug with zero order kinetics
phenytoin
Catalyzes rate limiting step
lovastatin
First step in atherogenesis
endothelial dysfunction
Blocks angiotensin II at At1 receptor:
Candesartan
Morphine can produce diff responses in diff tissues because:
heterogeneity of G proteins allows diff actions on downstream effectors
Intracellular concentration key in smooth muscle tone
calcium
organ responsible for first pass?
liver
depolarizing paralytic
succinylcholine sh
70% of drug is bound
70% of drug is bound: 30% is unbound
dose response curve when add compet antag
shifts right
Inhibits COX1 preventing formation of thromboxane A?
Aspirin
alpha -1 receptor =
ncreases sympathetic tone
FDA definition of drug
intended for use in diagnosis, cure, treatment or prevention of
disease
lipoprotein with lowest portion of triglycerides
HDL
gynecomastia in men caused by
spironolactone
1 transmembrane span in resting state
insulin receptor
irreversible bond
covalent
Prevents prothrombin to thrombin
factor Xa inhibitor
.HMG co A good target because
rate limiting step in synthesis of cholestorl
. Basic drug in basic PH
non ionized, deprotonated
amount of drug absorbed per amount administed
bioavailability
Area between min effective concentration and min toxic concentration
therapeutic window
Optimal level for triglycerides?
<150
Opioid receptor competitively antagonized by
naloxone
Prevents conversion of prothrombin to thrombin by factor Xa =
factor Xa inhibitors
Vasodilator that increases intracellular nitrci oxide concentration?
Sodium Nitroprusside
Exaggerated immunological response
allergic reaction
half life =
.693/ ke
Arythmia >100 beats per minute
tachycardia
Beta blocker
atenolol
Drug must be bound to protein to elicit effect
true
Beta blocker safest for severe asthma?
Metoprolol
Severe cholinergic toxicity, what is atropine NOT effective in treating?
Paralysis
What binds to diff site than the agonist?
Allosteric antagonist
Alpha adrenergic antagonists that can occur if patient gets up to quickly from chair
alpha 1
blockade: orthostatic hypotension
Side effect of hair growth
minoxidil
Lipoprotein lipase is what role in exogenous pathway?
Metabolized chylomicrons to release triglycerides
MTC
minimum toxic concentration
Ligand binding domain on the inside of cells-
steroid receptors
Plasma proteins are good targets for:
monoclonal antibodies
Testosterone induces:
gene transcription and translation to increase protein synthesis
Dry mouth and sedation
Diphenhydramine (benadryl)
Insulin receptors form homodimers that phosphorylat intracellular proteins at sites
containing
tyrosine
alpha agonist can be used as nasal decongestant and for short term hypotension
phenylephrine
IV doses, bioavailability =
100%
Positive pleiotropic effect of statins
improved endothelial function
Medication inhibits the final common pathway in platelet aggregation
eptifibatide
Aspirin overdose, to get it to leave you
alkalinize the urine
myocardial oxygen demand determinant
heart rate
Which is not an NOAC
warfarin
Weak base trapped in ___ weak acid in ____?
Acidic, alkaline
sympathetic, post ganglion neuron release
norepi
7 transmembrane receptor
opioid mu receptor
acidic drug, acidic ph - non ionized, protonated
acidic drug, acidic ph - non ionized, protonated
Beta 2 adrenergic receptors
- triggers bronchodilation
1994 DSHEA :
prohibited full FDA review on supplements and botanicals as drugs
Quaternary amine:
glycopyrrolate