Flashcards in Intro to Antihypertensive Agents III Deck (46)
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1
benazepril
ACE inhibitor
2
captopril
ACE inhibitor
3
enalapril
ACE inhibitor
4
enalaprilat
ACE inhibitor
-active metabolite
-used in IV
5
fosinopril
ACE inhibitor
6
lisinopril
ACE inhibitor
7
moexipril
ACE inhibitor
8
perindopril
ACE inhibitor
9
quinapril
ACE inhibitor
10
ramipril
ACE inhibitor
11
trandolapril
ACE inhibitor
12
azilsartain
angiotensin receptor blocker
13
canesartan
angiotensin receptor blocker
14
eprosartan
angiotensin receptor blocker
15
irversartan
angiotensin receptor blocker
16
losartan
angiotensin receptor blocker
17
olmesartan
angiotensin receptor blocker
18
telmisartan
angiotensin receptor blocker
19
valsartan
angiotensin receptor blocker
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clonidine
block renin secretion
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propanolol
block renin secretion
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aliskiren
renin inhibitor
23
renin
converts angiotensinogen to angiotensin I
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effects of ANG II
-kidney- Na/H2O retention
-brain - release of corticotropin and adiuretin, thirst
-adrenals - increased aldosterone secretion
-blood vessels - vasoconstriction
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altered peripheral resistance by ANG II
-vasoconstriction
-enhancement of peripheral noradrenergic transmission (NE release, vascular responsiveness, decreased NE reuptake)
-increased sympathetics
-catecholamine release from adrenal medulla
**rapid pressor response
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altered renal function by ANG II
-increase Na reabsorption in proximal tubules
-aldosterone from adrenal cortex (Na reabsorption and K excretion in distal nephron)
-altered renal hemodynamics (vasoconstriction, enhanded noradrenergic, increased renal sympathetic tone)
**slow pressor response
27
altered CV function with ANG II
-non-hemodynamic effects - increased protooncogenes, increased GFs, increased ECM proteins
-hemodynamic-mediated (increased afterload, increased wall tension)
**vascular and cardiac hypertrophy and remodeling
**connection between HTN and cardiovascular disease
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meds that block RAAS
-diuretics
-aldosterone receptor antagonist
-ACE inhibitor
-ANG II receptor blocker
-renin inhibitor
-beta-blocker
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ACE inhibitor mechanism
-inhibit conversion of ANG I to ANG II
-also prevent degradation of bradykinin and other vasodilators
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