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Part 2 II of CV drugs
Part 2 starting from Indirect Adrenergic agonist
24
Pharmacology
Professional
04/25/2011

Additional Pharmacology Flashcards

 


 

Cards

Term

 

Methylphenidate and Amphetamines 

MOA??

 

Tx: ADHD, ADD 

 

 

Definition

 

Release catecholamine and block uptake 1

 

S/Es: depression, insomnia, decreased appetite and linear growth rate

Term

 

phentolamine, prazosin, phenoxybenzamine

 

=3 Ps

Definition

 

Alpha blockers

Term

 

Phentolamine/PBZ ____ HR via baroreflex

 

Prazosin _____ HR

Definition

 

increases; no effect

Term

 

What is the major S/E of alpha blocker?

Definition

 

Orthostatic Hypotension

Term

 

Tamsulosin

Definition

 

blocks α1a receptors in the GU tract in pts w/ BPH to enhance voiding

Term

 

Tx for Pheochromocytoma

Definition

 

Phentolamine --> ↓BP (EPI reversal)

Term

 

Nifedipine & amlodipine  have a greater ___ BP than diltiazem & verapamil

Definition

 

Fall

Term

 

Verapamil and Distiazem ___ AV conduction via ____ in ERP and HR

Definition

 

decrease, increase

Term

 

Ang II

Definition

 

↑ BP, ↑SNS activity via CNA, presynaptic enhancement of NE release, blocks NE uptake, release ADH, release of aldosterone, decreases mesenteric BF.

Term

 

ACE inhibitors have what effect on TPR, BP, HR, CO

Definition

 

↓TPR and BP

NO change on HR, and CO

Term

 

What causes the cough of ACE inhibitors 

Definition

 

Bradykinin (BK) and PG 

Term

 

What is a type of carbonic anhydrase inhibitor? 

Definition

 

Acetazolamide

Term

 

What drug enhances digoxin toxicity via hypokalemia? 

Definition

 

Furosemide & ethacrynic acid

and the thiazides

Term

 

What is one main difference btw the loop diuretics (furosemid) and thiazides (HCTZ) in regards to Ca+?

Definition

 

HCTZ actually ↓excretion of CA+ in hypercalcinuria --> used to ↓ formation of kidney stones. 

Term

 

What class of drugs? 

 

Amiloride, Triamterene, and Spironolactone? 

Definition

 

K+ Sparing diuretics. 

Term

 

Aldo antagonist, partial agonist at androgen/progesterone receptors

Definition

 

Spironolactone 

Term

 

Main effects of digoxin in the heart: 

Definition

1) Positive inotropic effect --> ↑SV, and ↑CO

 

2) Increase Vagal tone --> ↓HR, atrial contraction, and AV node

Term

 

On what phase or the AP cycle does quinidine work on? 

Definition

 

↓ Phase 4 --> decrease automaticity

 

↓ phase 0 --> ↓conduction velocity and widen the QRS

Term

 

Lidocaine

 

what phase and why

 

what for

Definition

 

↓Phase 4 --> to prevent automaticity

 

tx for PVCs

Term

 

Sotalol

 

what phase? 

 

Definition

 

phase 3

 

inhibits outward K current --> delays repolarization and ↑APD and ERP in atria, AV node 

Term

 

Sotalol tx for? 

Definition

 

Cardiovert a.fib and a.flutter to sinus rhythm

 

*** main S/E torsade de pointes

Term

 

Amiodarone

 

what phase? 

Definition

 

↓phase 4  --> decreases automaticity (blocks Na+) channels

 

 

Term

 

Amiodarone

 

tx for what?

Definition

 

acute (i.v.) and recurrent (p.o) ventricular tachycardia/fibrillation

Term

 

Verapamil and Beta-blockers 

 

Tx for what? 

Definition

 

AVNRT 

 

bc: ↓HR, ↓conduction velocity, ↑ERP

myocardium: ↓dp/dt, ↓CO

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