| Term 
 | Definition 
 
        | (140-159/90-99) Tx: thazide diuretics
 considerations: ACEI, ARB, BB, CCB
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        | Term 
 | Definition 
 
        | (>160/>100) 2 DRUG COMBINATION:
 THIAZIDE+ ACEI
 THIAZIDE+ ARB+CCB+BB
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 | Definition 
 
        | (120-139/80-89) Tx: lifestyle changes
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        | Term 
 
        | HYPERTENSION + ANGINA  (DRUGS) |  | 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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        | Term 
 | Definition 
 
        | MANNITOL UREA
 MOA: inc. osmolarity PCT
 Indications: inc. intracranial/intraocular pressure; acute renal failure
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        | Term 
 
        | CARBONIC ANNHYDRASE INHIBITORS |  | 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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        | Term 
 | Definition 
 
        | 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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        | Term 
 | Definition 
 
        | HYDROCHLOROTHIAZIDE INDAPAMIDE
 MOA: inhibit Na/Cl transport
 HYPERCALCEMIA (TQ) and hyperuricemia--> toe pain in morning
 DCT
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        | Term 
 | Definition 
 
        | ENALA(PRIL) LISINO(PRIL)
 S/E: HYPERKALEMIA, ACUTE RENAL FAILURE
 diabetes + HT
 DRY COUGH**
 VASODILATION VIA BRADYKININ & EDRF
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        | Term 
 
        | ANGIOTENSIN II RECEPTOR BLOCKERS |  | Definition 
 
        | LO(SARTAN) VAL(SARTAN)
 CANDE(SARTAN)
 INDE(SARTAN)
 REDUCE VASOCONSTRICTION
 NO DRY COUGH
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        | Term 
 | Definition 
 
        | ATEN(OLOL) LABET(OLOL)
 CARVED(OLOL)
 mask signs of hypoglycemia
 abrupt w/d causes HYPOTENSION
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        | Term 
 | Definition 
 
        | 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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        | Term 
 | Definition 
 
        | DILTIAZEM VERAPAMIL
 ACTS ON HEART (dec contractility, possible AV block)
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        | Term 
 | Definition 
 
        | CLONIDINE (rebound HT) ALPHA METHYL DROPS (+ coombs test-hemolytic anemia)
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        | Term 
 
        | ADRENERGIC NEURONAL BLOCKING DRUGS |  | 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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        | Term 
 | 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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        | Term 
 | Definition 
 
        | direct acting vasodilator relaxes art. SM
 BW: SLE Like syndrome, hemolytic anemia
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        | Term 
 | Definition 
 
        | DAV TQ: accumulation cyanide + thiocyanate
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        | Term 
 | Definition 
 
        | DAV activate K+ channels--> SM relaxation
 S/E: hypertrichosis
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 | Definition 
 
        | activates K+ channels hyperglycemia, hypertrichosis Tx for insulinoma |  | 
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        | Term 
 | Definition 
 
        | block K+ channel TQ: treat insulinoma
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        | diuretics, ACE inhibitors |  | 
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 | Definition 
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        | Term 
 
        | increased peripheral resistance |  | Definition 
 
        | alpha 2 agonist alpha 1 blocker
 CCB
 direct acting vasodilator
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 | Definition 
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 | Definition 
 
        | REPOLARIZATION dec K current
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        | Term 
 | Definition 
 
        | resting potential Na/K atp pump
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        | Term 
 | Definition 
 
        | 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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        | Term 
 | Definition 
 
        | Class 1A na channel blockers active metabolite NAPA
 S/E: AGRANULOCYTOSIS; SLE like syndromes
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        | Term 
 | Definition 
 
        | the most anticholinergic Na channel blocker dry mouth
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        | Term 
 | Definition 
 
        | acts at Na inactivated channel lidocaine, tocamide, mexiletine
 no effect Vmax, dec APD
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        | Term 
 | Definition 
 
        | tx for Vtac after MI, or digitalis toxicity give before you shock the heart
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        | Term 
 | Definition 
 
        | 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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        | Term 
 | 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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        | Term 
 
        | class 3: K+ channel blockers |  | 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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        | Term 
 | 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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        | Term 
 | Definition 
 
        | class 3 blocker beta blocker & K channel blocker
 tx of life threatening V arrhythmia
 S/E: careful with asthmatic
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        | Term 
 | Definition 
 
        | 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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        | Term 
 | Definition 
 
        | vasodilation--> reflex tachycardia tx for PSVT
 antagonist: theophylline
 corrects hypokalemia and hypomagnesia
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