Shared Flashcard Set

Details

Final
Drugs
166
Pharmacology
Graduate
12/07/2011

Additional Pharmacology Flashcards

 


 

Cards

Term
Quinidine
Definition
NA channel blockade
Decreases CV
Increases ERP + APD
Term
Procainamide
Definition
NA channel blockade
Decreases CV
Increases ERP + APD
Term
Disopyramide
Definition
NA channel blockade
Decreases CV
Increases ERP + APD
Term
Lidocaine
Definition
NA channel blockade
Little effect on CV
Decreases ERP + APD
Term
Phenytoin
Definition
NA channel blockade
Little effect on CV
Decreases ERP + APD
Term
Mexilitine
Definition
NA channel blockade
Little effect on CV
Decreases ERP + APD
Term
Moricizine**
Definition
NA channel blockade
Little effect on CV
Decreases ERP + APD

AND

Drastically decreases CV
Term
Flecainide
Definition
NA channel blockade
Drastic effect on CV
Term
Bretylium
Definition
K channel blockade
Increase APD and ERP
Term
Amiodarone
Definition
K channel blockade
Increase APD and ERP
Term
Dronedarone
Definition
K channel blockade
Increase APD and ERP
Term
Sotalol
Definition
K channel blockade
Increase APD and ERP
Term
Ibutilide
Definition
K channel blockade
Increase APD and ERP
Term
Dofetilide
Definition
K channel blockade
Increase APD and ERP
Term
What class of CCB antiarrhythmic drugs are not used?
Definition
DHP
Term
"Parin"
Definition
LMWH
Term
Fondaparinux
Definition
LMWH
Term
Inhibitor of VKOR
Definition
Warfarin
Term
What factor are LMWH drugs selective for?
Definition
10
Term
MAO of UH?
Definition
Accelerator of antithrombin III
Term
Orally effective anticoagulant (2)
Definition
Warfarin
Rivaroxaban
Term
What factor is rivaroxaban selective for?
Definition
10
Term
Direct thrombin inhibitors (3)
Definition
"Rubin"
Argatroban
Dabigatran
Term
Inhibitor of COX (antiplatelet drug)
Definition
Aspirin
Term
Inhibitor of PDE (antiplatelet)
Definition
Dipyridamole
Term
Platelet ADP receptor inhibitors (2 groups)
Definition
"clop" "grel"
EX. Ticlopidine
Clopidogrel
Prasugrel
Term
Glycoprotein IIb/IIIa inhibitors (3)
Definition
"fib" "ban"
Abciximab
Eptifibatide
Tirofiban
Term
Treatment of thrombocythemia
Definition
Anagrelide
Term
Cilostazol
Definition
Treatment for claudication (leg cramps)
Term
Sirolimus
Definition
Drug eluting stent
Term
Paclitaxel
Definition
Drug eluting stents
Term
"Plase" "kinase"
Definition
Fibrinolytic
Term
Antidote to fibrinolytic drugs
Definition
Aminocaproic acid/tranexamic acid
Term
Nitroglycerin
Definition
Organic nitrates
Variety of dosage forms
Term
Amyl nitrite
Definition
Inhalation organic nitrate
Term
Isosorbid mono/dinitrate
Definition
Long acting organic nitrate
Term
What two classes of drugs are great for angina?
Definition
CCB and BB
Term
Increased uptake of LDL by liver because of increased LDL receptor levels
Definition
statins
Term
drugs that prevent bile acid resportion
Definition
bile acid resigns ("chol")
Term
What drug along with statin increases risk for rhabdomyolysis
Definition
fibrate
Term
What drug works in intestine to block absorption of cholesterol
Definition
ezetimibe
Term
what drugs enhance lipoprotein lipase clearance
Definition
niacin
Term
SE of niacin
Definition
hyperglycemia
Term
PPAR receptors
Definition
fibrates
Term
best at lowering ldls
Definition
statins
Term
raises triglycerides
Definition
bile acid resins
Term
best at raising HDLs
Definition
niacin
Term
best on lowering triglycerides
Definition
fibrates
Term
ApoA
Definition
HDL
Term
ApoB
Definition
LDL
Term
Deficient at G6Pase?
Definition
hemolytic anemia from primaquine
Term
NAT2?
Definition
neuropathy at isonizid or drug induced lupus from hydralizine
Term
UGT1?
Definition
drug induced jaundice (decrease metabolism from APAP and lorezapam)
Term
efficacy means
Definition
maximum response (drugs with same effect but difference MAO)
Term
drug that acts by opening K channels in vascular smooth muscle
Definition
diazoxide
Term
if person has fluid in lungs what drug should you not use?
Definition
mannitol
Term
what drug produces beneficial effect on renal circulation in treatment of hypertensive crisis?
Definition
fenoldopam
Term
adverse effect of sodium nitroprusside
Definition
cyanide accumulation
Term
If k is low what drug would relieve symptoms
Definition
eplerenone (or spiralonactone)
Term
second phase asthma response in ER?
Definition
IV prednisolone
Term
begin treatment if having an ER asthma attack?
Definition
inhaled SABA (terbutaline)
Term
What drug inhibits NE release by blocking uptake into storage vesicles in synapse?
Definition
reserpine
Term
drug that inhibits lipoxygenase
Definition
ziluten
Term
trouble focusing on magazine is because of
Definition
relaxation of ciliary muscle
Term
What drugs prevent the destruction of cateocholamines
Definition
MAO inhibitors
Term
BB effect on CO and TPR
Definition
increase TPR but decrease CO
Term
alpha antagonists effect on TPR and CO
Definition
decrease TPR but slight increase in CO (accounts for orthostatic hypotension)
Term
best CCB treatment for SVT
Definition
verapamil or diltiazem
Term
best CCB treatment for angina
Definition
DHP + BB or V or D
Term
best CCB for AV block
Definition
DHP
Term
best CCB for isolated systolic hypertension
Definition
DHP
Term
SE of verapamil
Definition
constipation
Term
depolarizing drug
Definition
succinylcholine
Term
hydralazine is a
Definition
vasodilator
Term
minoxdil is a
Definition
vasodilator
Term
Vasodilators effect on TPR and CO
Definition
decresae TPR but significantly increase CO
Term
inhibits release of NE
Definition
guanethidine
Term
DHP effect on TPR and CO
Definition
decrease in TPR but increase CO (similar to alpha blockers)
Term
Verapamils effect on TPR and CO
Definition
decrease everything
Term
diltizem effect on TPR and CO
Definition
decrease TPR and no effect on CO
Term
what CCB are contraindicated in bradyarrithymias
Definition
V and D
Term
what CCB are contraindicated in tachyarrithymias
Definition
DHP
Term
diuretic use in acute renal failure and edema
Definition
mannitol
Term
"zolamide"
Definition
CAI
Term
diuretic useful for hypercalcemia
Definition
loop (semide or bumetanide)
Term
inhibit Na K Cl
Definition
loop
Term
inhibit Na Cl
Definition
thiazide
Term
triameterene is an example of
Definition
ENaC inihibitor diuretic
Term
amiloride is an example of
Definition
ENaC inhibitor
Term
"vaptan"s are examples of
Definition
ADH antagonists
Term
ADH antagonists do what to water and Na
Definition
decrease water, increase Na
Term
Use in hyponatremia
Definition
ADH antagonists (vaptans)
Term
inihibitor of tumor necrosis factor
Definition
etanercept
Term
NE is a weak agonist at what receptors
Definition
B2
Term
There is decreased NE release at what receptor?
Definition
Alpha 2
Term
What drug would restore neuromusclar transmission?
Definition
Neostigmine, pyrostigmine
Term
Prempro increases the risk for
Definition
breast cancer
Term
Raloxefine increases the risk for
Definition
thromboembolism only
Term
Tamoxifen increases the risk for
Definition
endometrial cancer
Term
Anastrozole is an example of a
Definition
aromatase inhibitor
Term
Anastrozole increases the risk for
Definition
osteoporosis
Term
Ex of a SERM is
Definition
raloxifene
Term
Ultra short insulin
Definition
lispro
Term
Ex. of an amylin analog
Definition
Promlintide
Term
If blood sugar falls, the level of insulin will not return very quickly with what drug?
Definition
propanolol
Term
Ex of a secretoguge
Definition
sulfonylurea (glyburide)
Term
What stimulates insulin release?
Definition
secretoguges
Term
What decreases insulin resistance?
Definition
sensitizers (metformin, glitazones)
Term
Exenatide
Definition
sulfonylurea
Term
Toxicity of metformin?
Definition
lactic acidosis
Term
Toxicity of pioglitazone
Definition
liver toxicity -- check monthly
Term
What drugs act through zero order metabolism?
Definition
Aspirin, phenytoin, unfractionated heparin
Term
Does heparin have an effect on clotting times?
Definition
No
Term
What exacerbates thrombocytopenia?
Definition
Warfarin (because of protein C inhibition (factors 5 and 8))
Term
What does the 18 saccharide sequence bind to?
Definition
thrombin (not in LMWH)
Term
What is gamma carboxylation of glutamic acid unable to complex with if no vit K?
Definition
Ca
Term
What is the onset of action for warfarin?
Definition
delayed
Term
Why are prothrombin time and INR used to monitor the onset of anticoagulation for warfarin?
Definition
factor 7 turnover is the fastest
Term
What drugs are used when thrombocyopenia are present?
Definition
Direct thrombin inhibitors (rudin, argatroban, dabigatran)
Term
What class of drugs prevents thrombi in the arterial blood?
Definition
antiplatelets
Term
What does COX inhibition in platelets prevent? (aspirin)
Definition
TxA2 formation
Term
What does COX inhibition in endothelial cells prevent? (aspirin)
Definition
PGI2
Term
In dipyridamole, what does increasing cAMP do to platelets?
Definition
makes it so they won't release their contents
Term
Examples of ADP receptors
Definition
"clop" grel"
Term
What antiplatelet drug binds to plasma proteins?
Definition
Ticlopidine
Term
What antiplatelet drug causes potential life threatening neutropenia and blood dyscrasias?
Definition
Ticlopidine
Term
Examples of 2B 3A glycoprotein inhibitors?
Definition
"Fib" "ban" "mab"
Term
Treatment for thrombocythemia?
Definition
anagrelide
Term
What does anagrelide inhibit the development of?
Definition
megakaryocytes
Term
A protease that degrades fibrin?
Definition
plasmin
Term
What drugs are plasminogen activators?
Definition
fibrinolytic drugs
Term
Are first generation fibrinolytic drugs fibrin specific?
Definition
No
Term
What antifibrinolytic drug forms a 1:1 complex with plasminogen, exposing an active site that activates additional plasminogen into plasmin?
Definition
Streptokinase
Term
What antifibrinolytic drug activates plasminogen directly?
Definition
urokinase
Term
What antifibrinolytic drug is converted to a two chain t-PA dimer upon exposure to fibrin?
Definition
alteplase
Term
What binding interactions do antifibrinolytic drugs block?
Definition
lysine
Term
What are antifibrinolytic drugs used for?
Definition
dental procedures in hemophiliacs to control bleeding
Term
What is coronary blood flow determined by?
Definition
Heart rate
Term
3 passive factors of angina
Definition
venous/arterial pressure gradient, duration of diastole, LVEDP
Term
The intrinic ability of the coronary bed to maintain constant CBF in presence of changes in perfusion pressure is called
Definition
autoregulation
Term
3 autoregulation factors
Definition
PO2, adenosine, NO
Term
3 determinants of MVO2?
Definition
Wall tension, heart rate, contractility (all increase your need for O2)
Term
Does an increased pO2 cause vasodilation or constriction?
Definition
vasodilation
Term
What pathway shunts blood from the normal zone to the ischemic zone in angina
Definition
coronary artery dilation
Term
Does venous dilation (preload reduction) increase supply or decrease demand? (angina)
Definition
decrease demand of O2
Term
Does arterial dilation in angina decrease demand or increase supply of O2
Definition
increase supply
Term
3 main classes of drugs in treat angina
Definition
CCB, BB, nitrates
Term
Where are the two main places L type Ca channels are found?
Definition
Heart tissue (stable) and vascular smooth muscle (Variant angina)
Term
AV node >> myocardium >> VSM
Definition
Verapamil (Stable)
Term
VSM >> myocardium >> some AV node effect
Definition
diltiazem (Variant)
Term
VSM >> myocardium >> no AV node effect
Definition
DHP (Variant)
Term
What other angina drug should be combined with verapamil to offset drastic reduction in contractility
Definition
Nitrates
Term
What antianginal drug blocks late Na channels
Definition
Ranolazine
Term
For anti arrhythmic drugs, what are the better effects, direct or indirect?
Definition
Direct
Term
In cardiac glycosides, what are the better effects, indirect or direct?
Definition
Indirect
Term
What two drugs can treat digitalis induced arrhythmias?
Definition
lidocaine and phenytoin
Term
What antiarrthymic drug has proarrithymic effects?
Definition
flecainide
Term
What CCB are not used with arrythmias
Definition
DHP
Term
What group of drugs inhibit Na K ATPase to increase Na and therefore Ca
Definition
cardiac glycosides
Term
What do cardiac glycosides do to SV
Definition
Increase it
Term
When you increase SV, what effect is that?
Definition
+ inotropic effect
Term
inamirinone and milrinone are examples of
Definition
phosphodiesterase inhibitors
Term
Two examples of adrenoceptor agents used in treating CHF?
Definition
dopamine and dobutamine (inotropes)
Term
What CCB is not used in CHF?
Definition
verapamil
Term
A-G steps in CHF therapy
Definition
Diuretics, ACE, BB, vasodilators, glycosides, nesiritide, inotropes
Term
Cardiac glycosides are contraindicated in people with
Definition
ventricular tachycardia
Supporting users have an ad free experience!