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W09 Pharmacology
Final
66
Writing
Professional
04/14/2009

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Term
Hypertensive = >140/>90
Pre-hypertensive = 135/85
Normal = 120/80
Definition
Hypertensive = >___/>___
Pre-hypertensive = ___/___
Normal = ___/___
Term
primary
Definition
___ HTN = 92% cause is unknown
Term
secondary
Definition
___ HTN = 8% cause is known (renal disease, renovascular or primary aldosteronism induced)
Term
decrease, decrease
Definition
Decrease cardiac output = __ BP.
Decrease peripheral vascular resistance = __ BP.
Term
Amount of fluid in the body
Definition
What do the kidneys regulate?
Term
Stimulate... Propanolol inhibits beta receptors
Definition
(Stimulate/Inhibit) beta receptors on heart --> increase HR, increase CO, increase BP
Term
Angiotensin II
Definition
___ is a hormone that causes vasodilation which decreases BP.
Term
Diuretics
Definition
___ increase urine production and inhibit Na+ reabsorption.
Term
diuretics
Definition
___ increase excretion of sodium in urine leading to an decrease in plasma volume and BP.
Term
diuretics
Definition
___ are used to treat HTN, congestive heart failure, renal / endocrine diseases, glaucoma and PMS.
Term
congestive heart failure
Definition
___ ___ ___ can be seen in patients with swollen extremities, short of breath, slow moving and slow color change.
Term
furosemide / lasix
Definition
____ (aka ____) is a high ceiling / loop diuretic.
Term
hydrochlorothiazide (most common) and chlorothiazide
Definition
____ and ___ are thiazide diuretics.
Term
hydrochlorothiazide
Definition
___ is the most common thiazide diuretic.
Term
spironolactone / triamterene
Definition
____ and ___ are potassium-sparing diuretics.
Term
thiazide diuretic used with propanolol
Definition
hydrochlorothiazide is the most common ____ diuretic that is used alone or with ____.
Term
increase
Definition
Thiazide diuretics (increase/decrease) plasma levels of uric acid and glucose.
Term
thiazide diuretics
Definition
____ increases Na+/water excretion --> decrease BV, decrease CO, decrease PVR, decrease BP.
Term
Thiazide
Definition
___ is used to treat HTN, edema (CHF) or diabetes insipidus.
Term
diabetes insipidus
Definition
___ ___ is excessive urine production treated paradoxically with thiazide diuretics.
Term
thiazide diuretics
Definition
___ may cause hypokalemia (loss of K+ leading to irregular heart beat), hyperuricemia (elevated uric acid), hyperlipidemia (elevated lipid) and hyperglycemia.
Term
NSAIDs
Definition
_____ decrease antihypertensive effects of thiazide diuretics.
Term
furosemide
Definition
___ may cause hyperglycemia, hyperuricemia, tinnitis and electrolyte imbalances.
Term
furosemide
Definition
___ is the most effective of all diuretics. It increases Na+/Cl-/water retention.
Term
furosemide
Definition
___ may cause dehydration and hypotension.
Term
potassium-sparing diuretics
Definition
___ ___ diuretics can either block epithelial Na channel or aldosterone receptors.
Term
triamterene
Definition
____ is an epithelial Na+ channel blocker type of potassium sparing diuretic.
Term
spironolactone
Definition
___ is an aldosterone receptor antagonist type of potassium sparing diuretic.
Term
antihypertensive
Definition
Potassium-sparing diuretics are not very effective as _____. They are given with other drugs to balance K+ levels because they cause hyperkalemia instead of hypokalemia.
Term
spironolactone
Definition
___ blocks the action of aldosterone which decreases Na+ reuptake and increases K+ retention. It is used to treat PMS.
Term
hirsutism
Definition
___ is hair growth in females caused by spronolactone.
Term
spironolactone
Definition
___ may cause gynecomastia, impotence, menstrual irregularities, hirsutism and deepening of the voice.
Term
triamterene
Definition
____ inhibits Na+/K+ channel exchange. It is fast acting and may cause hyperkalemia.
Term
atenolol and metoprolol
Definition
___ and ___ are cardioselective (beta-1) beta blockers.
Term
propanolol / timolol / nadolol / pindolol
Definition
___ / ___ / ____ / ___ are all nonselective beta (beta-1/2) blockers.
Term
labetalol / carvedilol
Definition
___ and ___ are nonselective beta(1/2) blockers w/alpha(1) blocking activity.
Term
propanolol / timolol / nadolol / pindolol
Definition
___/___/___/___ decrease BP by decreasing CO by decreasing renin production.
Term
0.04mg, 2 carpules of 1:100,000
Definition
When using non-selective beta blockers such as propanolol / timolol / nadolol / pindolol, ___ mg of epinephrine should not be exceeded.
Term
True!! Also have an advantage in HTN patients with asthma history.
Definition
T/F: Atenolol and metoprolol have similar action to propanolol but do not interact with epinephrine.
Term
vasodilate, should not exceed 0.04 mg epinephrine
Definition
Labetalol and carvedilol vaso(constrict/dilate).
Term
calcium channel blockers
Definition
___ ___ ___ are vasodilators an are used to treat cardiac arrhythmias, heart failure, HTN, angina and migraines.
Term
calcium
Definition
___ causes contraction of smooth muscle. When it is blocked, it interferes with smooth muscle in the heart and blood vessels, decreasing HR, cardiac force and CO.
Term
calcium channel blockers
Definition
Nifedipine, amlodipine, isradipine, verapamil and diltiazem are all ___ ___ ___.
Term
nifedipine
Definition
___ is the classical calcium channel blocker.
Term
verapamil and diltiazem
Definition
___ and ___ are calcium channel blockers that cause constipation due to inhibition of GI smooth muscle and gingival overgrowth.
Term
captopril, enalapril, fosinopril, lisinopril, ramipril
Definition
___, ___ , and all other drugs ending in --pril are Angiotensin-converting enzyme (ACE) inhibitors.
Term
losartan, valsartan, candesartan and libesartan
Definition
___, ___ and all other drugs ending in ---sartan are angiotensin receptor blockers (ARB).
Term
Renin-angiotensin aldosterone systems
Definition
_____ systems regulate BP, BV/fluid, and electrolytes.
Term
II, III
Definition
Angiotensin ___ is the major mediator in the RAASystem. It is degraded to angiotensin ___.
Term
angiotensin II --> III
Definition
Angiotensin converting enzymes convert ____ to ____.
Term
angiotensin I --> II
Definition
Angiotensin converting enzymes convert ____ to ____.
Term
angiontensin II
Definition
___ promotes water retention and renal vasoconstriction, increases plasma volume, BP, and stimulates aldosterone.
Term
ACEs
Definition
___ metabolize bradykinin to inactive products in blood vessels, increasing bradykinin, decreasing PVR and decreasing BP.
Term
hypertrophy and remodeling
Definition
Angiotensin II causes changes in blood vessels and heart tissues resulting in ____ and ____, increasing thickness of blood vessel walls.
Term
AT1
Definition
AT__ activation results in synthesis/release of aldosterone and vasoconstriction.
Term
Captopril (--pril)
Definition
_____ is used to treat hypertension. It inhibits the production of angiotensin II and causes vasodilation --> decrease PVR/BP.
Term
captopril
Definition
___ decreases sodium retention/water resorption and increases potassium retention leading to hyperkalemia.
Term
captopril
Definition
ACE inhibititors such as ____, may cause a dry irritating, persistent cough, and metallic taste.
Term
NSAIDs
Definition
___ inhibit ACE inhibitors.
Term
in 2nd/3rd trimesters
Definition
ACE inhibitors are contraindicated when?
Term
ARBs
Definition
___ are similar to ACE inhibitors except that there are no major adverse effects. They are still contraindicated during the 2nd/3rd trimester.
Term
prazosin
Definition
___ is a selective alpha-1 blocker. It has anti-hypertensive effects by blocking alpha-1 receptors on blood vessels --> vasodilation. PVR/BP decrease
Term
clonidine and methyldopa
Definition
___ and ___ are centrally acting agents that decrease sympathetic outflow from the brain resulting in a decrease in BP.
Term
clonidine and methyldopa
Definition
___ and ___ are centrally acting agents that may cause postural hypotension, taste disturbances and xerostomia.
Term
hydralazine
Definition
____ causes vasodilation by acting on arterioles. It may also cause orthostatic hypotension and cardiac palpitation.
Term
dilators
Definition
ACE inhibitors, ARBs, calcium channel blockers and organic nitrates are vaso(constrictors/dilators).
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