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trueger
cardio pharm
50
Medical
Graduate
05/10/2006

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Cards

Term
HCTZ SE
Definition
dnK
up lips
up urea
lassitude
upCa
upGlu
Term
loop diuretic SE
Definition
K waste
met alk
hypoTN
ototox

furosemide & butamide

Term
SE: dnK
up lips
up urea
lassitude
upCa
upGlu
Definition
HCTZ
Term
SE: K waste
met alk
hypoTN
ototox

furosemide & butamide

Definition
loop diutetics
furosemide & butamide
Term
MOA: pos inos for HTN
Definition
up CO
Term
MOA: B blockers for HTN
Definition
dn renin release
Term
MOA: ACE inh for HTN
Definition
dn ATII
Term
MOA: ATII inh for HTN
Definition
dn preload
dn afterload
dn remodeling
Term
MOA: diuretics & vasodilators for HTN
Definition
dn preload
dn afterload
Term
clonidine SE
Definition
dry mouth, sedn, severe rebound HTN
Term
beta blocker SE
Definition
impotence, asthma, CV SE (bradycardia, CHF, av block), CNS SE
Term
hydralazine SE & Rx
Definition
use w/ BB to avoid reflex tachy
(lupus-like & salt ret'n)
Term
captopril SE
Definition
Cough, Angioedema, Proteinuria, Taste changes, hypOtn, Preg: fetal renal dmg, Rash, Incr renin, hyperkaLemia
Term
losartan SE
Definition
fetal renal tox, hyperK
Term
hydralazine MOA
Definition
up cGMP->sm mm relax.
vasodiln>veins -> dn afterload
Term
hydralazine Rx
Definition
severe HTN
CHF
Term
what are the CCBs
Definition
verapamil
nifedipine
diltiazem
Term
verapamil
nifedipine
diltiazem
Definition
what are the CCBs
Term
CCB MOA HTN
Definition
dn contr & sm mm relax
VSM: N>D>V
heart: V>D>N
Term
CCB Rx
Definition
HTN, angina, arrhythmias (not nifedipine)
Term
nitro MOA
Definition
vasodilate (NO) ->up cGMP ->sm mm relax
veno>>vaso diln (dn preload)
Term
nitro RX
Definition
angina, pulm edema
Term
up cGMP->sm mm relax.
vasodiln>veins -> dn afterload
Definition
hydralazine MOA
Term
dn contr & sm mm relax
VSM: N>D>V
heart: V>D>N
Definition
CCB MOA
Term
vasodilate (NO) ->up cGMP ->sm mm relax
veno>>vaso diln (dn preload)
Definition
nitro MOA
Term
goal of antianginal tx
Definition
reduce myocard O2 consumption by decr EDDV, BP, HR, contr or ejection time
Term
digoxin MOA
Definition
inh Na/K -> up IC Na -> up IC Ca -> pos inotropy
Term
inh Na/K -> up IC Na -> up IC Ca -> pos inotropy
Definition
digoxin MOA
Term
dig -> ECG?
Definition
up PR
dn QT
scoop ST
twave inv
Term
dig rx?
Definition
CHF, afib (dn AV condn)
Term
class I antiarrythmics
Definition
Na: dn condn (esp in depol cells)
slow phase 4 depol (state dependent)
up threshold for firing in abnl pacemakers
Term
class Ia antiarrythmics
Definition
quinidine, procainamide, disopyramide, (amiodarone)
up AP dur'n, up refr period, up QT
effect A&V arrhyth
Term
class Ib antiarrythmics
Definition
lidocaine (mexiletine & tocainide: PO)
dn AP durn
affect isch & depol Purk & ventr
rx: ventr arrhythm esp post MI
Term
class Ic antiarrythmics
Definition
flecainide, propafenone
no effect on AP but slow condn but -> arrhythm
Rx: vtach->VF; SVT
Term
class II antiarrythmics
Definition
BB: dn cAMP, dn CA current. Suppress abnl pacemakers (phase 4) esp AV node. Up PR
may mask hypoglycemia
Term
class III antiarrythmics
Definition
sotalaol, ibutilide, bretylium, amiodarone
up AP durn, up refr period, up QT
check LFT, PFT, TFT
Term
class IV antiarrythmics
Definition
CCB: verapamil, diltiazem
AV node: slow condn, up refr, up PR
rx: prevent SVT, VT, nodal arrhythm
SE: torsades
Term
adenosine antiarrhythm
Definition
AV nodal
Term
K antiarrhythm
Definition
ectopic pacemakers (dig tox)
Term
Mg antiarrhythm
Definition
torsades, dig tox
Term
Na: dn condn (esp in depol cells)
slow phase 4 depol (state dependent)
up threshold for firing in abnl pacemakers
Definition
class I antiarrythmics
Term
up AP dur'n, up refr period, up QT
effect A&V arrhyth
Definition
quinidine, procainamide, disopyramide, (amiodarone)
class Ia antiarrythmics
Term
dn AP durn
affect isch & depol Purk & ventr
rx: ventr arrhythm esp post MI
Definition
lidocaine (mexiletine & tocainide: PO)
class Ib antiarrythmics
Term
no effect on AP but slow condn but -> arrhythm
Rx: vtach->VF; SVT
Definition
flecainide, propafenone
class Ic antiarrythmics
Term
Suppress abnl pacemakers (phase 4) esp AV node.
Up PR
may mask hypoglycemia
Definition
BB: dn cAMP, dn CA current.
class II antiarrythmics
Term
up AP durn, up refr period, up QT
check LFT, PFT, TFT
Definition
sotalol, ibutilide, bretylium, amiodarone
class III antiarrythmics
Term
AV node: slow condn, up refr, up PR
rx: prevent SVT, VT, nodal arrhythm
SE: torsades
Definition
CCB: verapamil, diltiazem
class IV antiarrythmics
Term
AV nodal arrhythmias (class v)
Definition
adenosine antiarrhythm
Term
ectopic pacemakers (dig tox) (class v)
Definition
K antiarrhythm
Term
torsades, dig tox (class v)
Definition
Mg antiarrhythm
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