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(140-159/90-99) Tx: thazide diuretics considerations: ACEI, ARB, BB, CCB |
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(>160/>100) 2 DRUG COMBINATION: THIAZIDE+ ACEI THIAZIDE+ ARB+CCB+BB |
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(120-139/80-89) Tx: lifestyle changes |
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HYPERTENSION + ANGINA (DRUGS) |
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Definition
BB (tenormin), CCB (diltiazam) |
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FUROSEMIDE BUMETANIDE TORSEMIDE ETHACRYMIC ACID MOA: Na/K/2Cl- inhibitor (metabolic acidosis) Diuretic + gentamycin= increased ototoxicity |
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MANNITOL UREA MOA: inc. osmolarity PCT Indications: inc. intracranial/intraocular pressure; acute renal failure |
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CARBONIC ANNHYDRASE INHIBITORS |
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Definition
ACETAZ(OLAMIDE) DOR(ZOLAMIDE) tx for glaucoma and overdose acidic drugs (alkalinize urine) MOA: inc. excretion Na, K, HCO3 S/E: hyperchloremia, metabolic acidosis, hypokalemia |
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SPIRONOLACTONE (aldosterone antagonist) (dec libido) TRIAMTERENE AMILORIDE (block Na reabsorption TQ: tx nephrogenic DI by Li) collecting duct ACEI +sprironolactone=inc surv HF pt |
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HYDROCHLOROTHIAZIDE INDAPAMIDE MOA: inhibit Na/Cl transport HYPERCALCEMIA (TQ) and hyperuricemia--> toe pain in morning DCT |
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Definition
ENALA(PRIL) LISINO(PRIL) S/E: HYPERKALEMIA, ACUTE RENAL FAILURE diabetes + HT DRY COUGH** VASODILATION VIA BRADYKININ & EDRF |
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ANGIOTENSIN II RECEPTOR BLOCKERS |
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Definition
LO(SARTAN) VAL(SARTAN) CANDE(SARTAN) INDE(SARTAN) REDUCE VASOCONSTRICTION NO DRY COUGH |
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ATEN(OLOL) LABET(OLOL) CARVED(OLOL) mask signs of hypoglycemia abrupt w/d causes HYPOTENSION |
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AMLO(DIPINE) NIFRE(DIPINE) NIMO(DIPINE)-> TX FOR subarachnoid hemorrhage ISRA(DIPINE) BW:DIHYDROPYRIDINES( VASCULAR TISSUE); REFLEX TACHYCARDIA (flushing, ankle edema) block L type Ca channels |
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Definition
DILTIAZEM VERAPAMIL ACTS ON HEART (dec contractility, possible AV block) |
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Definition
CLONIDINE (rebound HT) ALPHA METHYL DROPS (+ coombs test-hemolytic anemia) |
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ADRENERGIC NEURONAL BLOCKING DRUGS |
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Definition
GUANETHIDINE (binds storage ves. and prev. NE release) RESERPINE (TQ): binds storage vesicles and destroys them; psychotic effects and suicide) |
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Definition
TERA(ZOCIN) DOXA(ZOCIN) PRA(ZOCIN) for HT, BPH TQ: incontinence in women when coughing, sneezing or lifting a weight. |
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direct acting vasodilator relaxes art. SM BW: SLE Like syndrome, hemolytic anemia |
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DAV TQ: accumulation cyanide + thiocyanate |
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Definition
DAV activate K+ channels--> SM relaxation S/E: hypertrichosis |
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activates K+ channels hyperglycemia, hypertrichosis
Tx for insulinoma |
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Definition
block K+ channel TQ: treat insulinoma |
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Definition
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Definition
diuretics, ACE inhibitors |
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Definition
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increased peripheral resistance |
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Definition
alpha 2 agonist alpha 1 blocker CCB direct acting vasodilator |
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REPOLARIZATION dec K current |
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resting potential Na/K atp pump |
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class 1A activated Na channel dec Vmax and prolonged action potential duration (APD) BW: inc APD and ERP in atria, inc QT interval and torsades de pointe |
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Class 1A na channel blockers active metabolite NAPA S/E: AGRANULOCYTOSIS; SLE like syndromes |
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the most anticholinergic Na channel blocker dry mouth |
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acts at Na inactivated channel lidocaine, tocamide, mexiletine no effect Vmax, dec APD |
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tx for Vtac after MI, or digitalis toxicity give before you shock the heart |
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both Na channels dec of Vmax, but no effect on APD flecainide and miricizine increase in sudden death and cardiac arrest post MI |
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Definition
propranolol, acebutolol, esmolol (t 1/2=8 min) dec SA and AV nodal conduction prophylaxis post MI and tx for SVT |
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class 3: K+ channel blockers |
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Definition
inc APD & ERP prolong repol. and lenghten phase 2 Bretylium: tx of life threatening v arrhythmia not controlled by IA or IB causes orthostatic hypotension and reflex tachycardia |
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Definition
class 3 blocker mimics class 1,2,3,4 binds Na, K, Ca channels S/E surf skin, hypothyroidism, torsades de points |
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class 3 blocker beta blocker & K channel blocker tx of life threatening V arrhythmia S/E: careful with asthmatic |
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Ca channel blocker dec SA & AV nodal conduction (dec slope phase 4) Verapamil, Diltiazem tx of PSVT due to AV nodal activity |
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vasodilation--> reflex tachycardia tx for PSVT antagonist: theophylline corrects hypokalemia and hypomagnesia |
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