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CV drugs-antiHTN
treating HTN
27
Pharmacology
Professional
12/02/2011

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Cards

Term
hydrochlorothiazide
Definition
thiazide
I: HTN, CHF, hypercalciruria
MOA: inhibits Na/Cl cotransporter of distal convoluted tubule so decreased Na+ reabsorption
SE: hypokalemia
sulfa allergy
Term
Loop Diuretics
Definition
MOA: inhibits cotransport of Na/K/2Cl in ascending loop of Henle
I: edema, CHF, hypercalcemia, hyperkalemia esp in renal insufficient pts
SEL ototoxic, hyperuricemia, hypokalemia, hypomagnesemia, hypocalcemia
Term
furosemide
Definition
loop diuretic
Term
ethacrynic acid
Definition
loop diuretic
MORE ototoxic
Term
torsemide
Definition
loop diuretic
Term
triamterine
Definition
k+ sparing
MOA: block Na/K antiport in collecting tubule
SE: hyperkalemia, leg cramps, hyperuricemia
Term
spironolactone
Definition
K+ sparing
MOA: steroid that antagnoizes aldosterone receptor
I: secondary hyperaldosteronism, diuretic, CHF
SE: gynecomastia, menstural irregularities
Term
amiloride
Definition
K+ sparing
Term
Sulfa allergy drugs
Definition
acetazolamide
furosemide
torasemide
hydrochlorothiazide
NOT ethacrynic acid and K+ sparing
Term
[image]
Definition
Term
hydralazine
-MOA
-I
-SE
-give with?
Definition
arterial vasodilator
MOA: activation of K channels->hyperpolarization of SM membrane->inhibited Ca influx->SM relaxation
I: HTN and pregnancy HTN
SE: reflex tachycardia, increased CO, Lupis like syndrome
give w/ a B-blocker and diuretic
Term
nitroprusside
Definition
organic nitrate-vasodilator of EVERYTHING
I: HTN emergency
SE: cyanide poisoning
Term
What 9 categories of drugs are used for HTN?
Definition
1. diuretic
2. vasodilators
3. adrenergic receptor blockade (B blockers)
4. neuronal blockade
5. NT depletion
6. CNS
7. Ca Channel Blockers
8. ACE inhibitors
9. ARBs
Term
propranolol
Definition
Non-selective B blocker; reduce CO and PVR
I: antiangina, HTN, arrythmias, migraines prophylaxis, CHF, glaucoma, MI
CI: Asthma (use metoprolol instead) and may worsen CHF
SE: mask a hypoglycemic event in diabetic
Term
prazosin
-MOA
-I
-SE
Definition
MOA: a1 selective adrenergic antagonist->decreases PVR
I: HTN and Raynaud's disease
SE: dizziness, tachycardia, palpitations, orthostatic hypotension
Term
metoprolol
-MOA
-I
Definition
MOA: B1 selective blocker; reduce CO and PVR
I: same as propranolol and better for asthmatics
Term
pindolol
-I
Definition
Non-selective B-blocker
I: HTN w/ bradycardia
Term
timolol
-I
-MOA
Definition
Non-selective B-blocker
I: HTN AND glaucoma
MOA: decreases production of aqueous humor by ciliary body, decrease IOP
Term
guanethidine
-MOA
Definition
Neuronal blockade
MOA: blocks the release of stored NE (opposite of tyramine); depletion of NE and reduced PVR and CO
Term
reserpine
-MOA
-SE
Definition
NT depletion
MOA: blocks Mg/ATP transport of NE into vesicles
SE: severe mental depression
Term
clonidine
-MOA
-I
Definition
a2 agonist
I: HTN, drug withdrawal
MOA: binds to a2 in CNS, decreasing sympathetic outflow
SE: sedation, dry mouth, rebound hypertension
Term
a-methyldopa
-MOA
-I
-SE
Definition
a2 agonist that decreases sympathetic outflow in CNS
I: HTN and HTN pregnancy
SE: sedation
Term
nifedipine
-MOA
Definition
MOA: dihydropyridine Ca channel blocker; relaxes vascular SM esp veins and coronary aa
SE: reflex tachycardia
Term
captopril
-MOA
-SE
-CI
Definition
ACE inhibitor
I: HTN, CHF, post-MI, diabetic renal protective
SE: Sulfa drug, hyperkalemia, angioedema, persistent dry cough
CI: pregnancy
Term
enalapril
Definition
ACE inhibitor prodrug
Term
enalaprilat
Definition
ACE inhibitor active form
Term
losartan
-MOA
-I
-CI
Definition
ARB
MOA: competitive antagonist of the angiotensin type 1 receptor
I: same as ACE plus good for cough
CI: pregnancy
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