Week 4 and Oscar Flashcards
Aluminum hydroxide trade name
amphogel
aluminum hydroxide drug class
phosphate binder
aluminum hydroxide mechanism of action
-aluminum salts reduce amount of phosphate absorbed from intestine by physically binding to dietary phosphate extra: as antacid hydroxyl ions interact with hydrogen ions in gut
aluminum hydroxide uses
- reduce hyperphoshphatemia in patients with renal failure where dietary phosphate restriction fails to maintain serum phosphate concentration in normal range - can also be used as an antacid
aluminum hydroxide side effects
- constipation - hypophosphatemia
Epoetin alpha trade name
epogen
epoetin alpha drug class
erythropoietin receptor agonist
epoetin alpha mechanism of action
-Erythropoietin = naturally occurring substance produced in kindey = hormone that regulates erythropoiesis - stimulates erythrocyte production by stimulating differentiation and proliferation of committed red cell precursors -EPO also stimulates release of reticulocytes - recombinant Human EPO alpha serves as substitute or endogenous EPO
epoetin alpha uses
- recombinant Human EPO alpha serves as substitute or endogenous EPO primarily in patients with renal dx - uremic toxins = responsible for decreased production of EPO by kidney - use to treat anemia associated with chronic renal failure
epoetin alpha side effects
- ion dogs and cats get anti-rHuEPO antibody formation in up to 70% patents - up to 30% patients develop antibodies significant enough to cause pure red blood cell aplasia - antibodies are bc the EPO comes from recombinant of human EPO alpha bc no dog/ cat ones are not made Others: - hypertension - high blood viscosity/ polycythemia - seizures - iron depletion additional - injection site rxns - fever - arthralgia (joint pain) - musculocutaneous ulcers
Telmisartan trade name
Micardis
Telmisartan drug class
angiotensin II receptor blocker
Telmisartan mechanism of action
Selectively blocks angiotensin-II AT1-receptor -> reduction in synthesis and secretion of aldosterone -> vasodilation and decreased K+ and increased Na+ excretion
telmisartan uses
- reduction of proteinuria associated with kidney dx in cats
telmisartan side effects
- hypotension potentially possible in cats - reduction in RBC counts - GI (V+/D+) - increase liver enzyme values