Antihypertensives Flashcards

1
Q

non-pharm methods of reducing blood pressure

A
weight loss
diet
stop smoking
reduce caffeine and alcohol
exercise
reduce sodium
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2
Q

meds that increase blood pressure

A

BCP
antihistamines
corticosteroids
tricyclic antidepressants

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3
Q

diuretics inhibit ___ resorption, which inhibits ___ resoprtion, which ___ blood volume

A

Na
H2O
lowers

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4
Q

Hydrochlorothiazide works in ___ ____ convoluted tubule.
AE: electrolyte imbalance
low potassium: _______

A

early distal

hypokalemia

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5
Q

Furosemide is most potent
works on ____ ____ __ ____
highest efficacy but highest adverse effects
used most for CHF

A

ascending loop of henle

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6
Q

____ inhibits Na/K exchange in ___ ____ convoluted tubule
combo w/ furosemide to prevent _____
treats hair loss
weak ____ inhibitor, feminizing for transgender

A

Spironolactone
late distal
hypokalemia
testosterone

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7
Q

drug given IV in emergencies

sets up osmotic pressure differential

A

Mannitol

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8
Q

hypertensive beta-1 blockers: ____ and ____
do not work on ____ ____ ethnicity
lower BP as surrogate outcome
lower mortality as clinical outcome

A

metropolol
atenolol
African American

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9
Q

replacements for main beta-1 blockers

A

carvedilol

nebivolol

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10
Q

ACE stands for ___ ___ ___
they inhibit angiotensin II, a potent vaso____
less effective in ___ and ___ ___
main AE: ____

A
angiotensin converting enzyme
constrictor
elderly
African americans
cough
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11
Q

most common ACE inhibitor

A

lisinopril

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12
Q

ACE inhibitor used IV in crisis

A

Enalapril

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13
Q

first ACE inhibitor on the market

absorption limited by food

A

captopril

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14
Q
\_\_\_ family of drugs inhibit angiotensin II receptors
do not cause cough
ineffective in \_\_\_\_ \_\_\_\_
all end in -\_\_\_\_\_
combo: HCTZ + valsartan: \_\_\_\_
HCTZ + losartan \_\_\_\_
A
ARA (angiotensin II receptor antagonist)
African americans 
sartan
diovan HCT
Hyzaar
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15
Q

Ca channel blockers do not reduce mortality as much as ACE inhibitors.
produce vaso_____ of vascular smooth muscle

A

dilation

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16
Q

Dihydropine Ca channel blocker ____ blocks VSM but not heart muscle
AE: gingival hyperplasia

A

Nifedipine

17
Q

Dihydropyridine Ca channel blocker _____ is best for African americans
long half life
AE: edema

A

amlodipine

18
Q

Non-dihydropyridine Ca channel blocker ____ blocks both vsm and heart
AE: constipation

A

verapamil

19
Q

Non-dihydropyridine Ca channel blocker ____ is similar to verapamil, less constipation

A

diltiazem

20
Q

___ inhibits sympathetic CNS to cause vasodilation

only one in PATCH

A

clonidine

21
Q

vasodilator used for eclampsia

AE: lupus syndrome

A

Hydralazine

22
Q

causes excessive hair growth. topically called Rogaine

A

Minoxidil

23
Q

hypertensive crisis treated IV with ____ and ____

A

diltiazem

hydralazine