drugs Flashcards

1
Q

doxazosin

A
  • reversible alpha blocker (mainly a1 subtypes)

- vasodilator

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2
Q

labetalol

A
  • alpha and beta blocker (blocks all adrenergic receptors)

- used for hypertension in pregnancy

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3
Q

carvedilol

A
  • congestive HF
  • blocks all adrenergic receptors
  • also antioxidant properties
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4
Q

nifedipine

A
  • Ca2+ channel blocker
  • acts on resistant vessels
  • decreases BP by vasodilation
  • used for hypertension and vasospasm
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5
Q

verapamil

A
  • calcium channel blocker
  • acts on conducting tissues
  • slows HR = used in rate control
  • negative inotrope
  • blocks GI channels (constipation)
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6
Q

diltiazem

A
  • Ca channel blocker
  • angina, hypertension, rate control (AF)
  • can be used w/ beta blocker
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7
Q

metoprolol or atenolol

A
  • beta blocker
  • decrease HR and cardiac work
  • given in angina
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8
Q

cilazapril

A
  • ACE inhibitor
  • used w/ hypertension and CHF
  • vasodilation, decrease BV, decrease sympathetic, and decrease cardiac & vascular hypertrophy
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9
Q

losartan

A
  • angiotensin 2 antagonist

type 1 receptors

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10
Q

norepinephrine

A
  • first choice vasopressor
  • potent a1 agonist = vasoconstriction
  • increased peripheral resistance & increased BP
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11
Q

digoxin

A
  • 3rd line tx for AF (b blocker 1st, diltiazem 2nd)
  • used in acute HF patients w/ AF
  • decrease HR, increase inotrope
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12
Q

dobutamine

A
  • B1 agonist
  • increase HR & increase contractility
  • mostly in heart
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13
Q

flusemide

A
  • loop diuretic
  • inhibits Na/K/Cl co-transporter in ascending loop
  • often used w/ ACEi (little anti-hypertensive effect alone)
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14
Q

spirolactone

A
  • K-sparing diuretic
  • antagonist of aldosterone
  • inhibit Na/K exchange in CD giving natriuresis
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15
Q

bendrofluazide

A
  • thiazide diuretic
  • inhibits tubular reabsorption in DCT causing natriuesis
    (blocks Na/Cl channel in DCT)
  • effects resistance vessels - opens k channel & hyperpolarises = vasodialtion
  • activate RAAS therefore, given w/ ACEi
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16
Q

dabigatran

A
  • direct thrombin inhibitor
  • used in AF, VTE
  • anticoagulant drug
17
Q

warfarin

A
  • anticoagulant
  • slow onset
  • inhibits vitamin K dependent enzymes
  • used in VTE, mural thrombosis, AF and metal heart valves
18
Q

low molecular weight heparin

A
  • anticoagulant
  • initial tx of VTE, non-STEMI, STEMI
  • binds anti-thrombin 3 (has anti Xa effect)