Test2: Wk8: 3 Inhibitors of the RAAS - Salisbury Flashcards

1
Q

Function of RAAS

A

adaptive pathway that mediates Na and Water retention to restore BP during periods of decreased BP

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2
Q

ACEIs Mechanism

A
Prevent ATII formation 
⬇ aldosterone
⬇ ATII vasoconstriction
⬇ neuronal release of NE 
⬇ cardiac, vascular, glomerular remodeling
⬆ BK/PG
⬇ VC EA
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3
Q

ACEI effects

A
⬇ TPR
⬇ Na and H2O retention
⬆ K retention
⬇ BP
⬇ GFR
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4
Q

— have renoprotective effects

A

ACEIs

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5
Q

ANGII effects —, —, and, —

A

EA, Mesangial Cells, Mesangial Matrix

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6
Q

ACEI suffiix

A

pril

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7
Q

ACEIs are prodrugs except

A

captopril and lisinopril

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8
Q

Most ACEI are — eliminated

A

renal

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9
Q

ACEIs with hepatic and renal metabolism

A

Fosinopril

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10
Q

ACEIs uses

A

Hypertension

CHF

Post Mi

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11
Q

ACEIs renal protective effects

A

decrease intraglomerular pressure and prevent further damage

decrease mesangial proliferation, matric expansion and thickening of glomerular basement membrane

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12
Q

ACEIs adverse effects

A

Hypotension. Teratogen, Cough, Angioedema, Hyperkalemia, increase serum Creatine

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13
Q

ACEIs contraindications/ precautions

A

Pregnancy

Low renal Blood Flow

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14
Q

ACEIs compromise — contriction

A

EA

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15
Q

ACE inhibitors Contraindications/precautions

A
Hyperkalemia
•
K sparing diuretics
•
Non selective ꞵblockers
•
K supplements
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16
Q

Drug interactions with ACEIs

A

K sparing diuretics, K
supplements, non selective Beta blockers
(antagonism of ꞵ2 will ↓ K + uptake by skeletal

17
Q

— may worsen ACEIs cough

A

Capsaicin

18
Q

AT 1 Receptor antagonists suffix

A

-tan

19
Q

ARBs inhibit

A

AT1 R

20
Q

ACEIs are more likely to promote venodilation (preload) than ARBs because ACEIs increase
—.

A

bradykinin

20
Q

ACEIs are more likely to promote venodilation (preload) than ARBs because ACEIs increase
—.

A

bradykinin

21
Q

ACEIs are more likely to promote venodilation (preload) than ARBs because ACEIs increase
—.

A

bradykinin

22
Q

— only approved direct renin inhibitor

A

Aliskiren

23
Q

Aliskiren inhibits

A

Angiotensinogen conversion to Angiotensin I by Renin

24
Q

Aliskiren Therapeutic Uses

A

Hypertension