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13 Cards in this Set

  • Front
  • Back
MOA OF ACE INHIBITOR
INHIBITS ANGIOTENSIN CONVERTING ENZYME

ANGIOTENSIN 1 DOES NOT CONVERT TO 2
RAAS
LOW RENAL PERFUSION or SHOCK = KID SECRETES RENIN MEETS WITH LIVER'S ANGIOTENSINOGIN AND TURNS IT INTO 1, AT THE LUNCHS ACE TURNS 1 INTO 2.....

2 CAUSES INCREASED SYMPATHETIC ACTIVITY
NAME 6 EFFECTS OF ANGIOTENSIN 2
INC SYMPATHETIC ACTIVITY INOTROPIC AND CHRONOTROPIC (THEREFORE INC BLOOD PRESSURE)

INC SODIUM AND WATER RESORPTION FROM TUBULES

ALDOSTERONE FROM ADRENALS (AGAIN MORE SODIUM AND WATER RESORPED)

CAUSE VASOCONSTRICTION

DECREASED ANTI DIURETIC HORMONE, CAUSING BLOOD VOLUME TO INCREASE

INCREASED PLATELET AGGREGATION
UPREGULATES PRODUCTION OF PLASMINOGEN ACTIVATOR 1 &2 PAI-1 PAI-2
CLINICAL INDICATIONS
ESSENTIAL OR IDIOPATHIC HYPERTENSION
PROBABLY ETIOLOGY OF IDIOPATHIC HYPERTENSION?
SYMPATHO DOMINANT MIND/BODY

(SUBCONSCIOUS ANXIETY)
LIFESTYLE MEDICINE AND COACHING FOR HTN
MEDITATION
YOGA
REGULAR EXERCISE (cause adrenaline epinephrine and norephinerine to have LOWER LEVELS after exercise.... therefore LESS renin released from kidney)
HOW IS PLASMIN FORMED?
PLASMINOGEN IS CONVERTED TO PLASMIN BY PLASMINOGEN ACTIVATOR
PLASMIN DOES WHAT
INCREASES FIBRINOLYSIS, AKA DISSOLVES CLOTS
HOW DOES ANGIOTENSIN 2 EFFECT CLOTTING?
ANGIOTENSIN 2 INHIBITS PLASMINOGEN ACTIVATOR 1 AND 2, WHICH INCREASES FIBRINOLYSIS, AND INCREASES CLOTS
ACE INHIBITORS AND DIABETES
DECREASE THE RATE OF KIDNEY DISEASE IN DIABETICS

PREVENTION OF DIABETIC NEUROPATHY IN DIABETICS

DIABETICS WITH NORMAL BP MAY TAKE ACE INHIBITOR
WHAT IS THE LINK BETWEEN DIABETICS AND NEED FOR ACE INHIBITORS?
DIABETICS HAVE INCREASED PROPENSITY FOR PLAQUE TO FORM IN ARTERY WALLS

NARROWS THE BLOOD VESSELS IN KIDNEYS

REDUCES FILTRATION RATE IN KIDNEYS - - - - REQUIRES DIALYSIS OR KID TRANSPLANT LATER IN LIFE
LINK BETWEEN COUGH AND ACE INHIBITORS
ACE NORMALLY METABOLIZES / BREAKS DOWN BRADYKININS....

IF BRADYKININS ARE NOT BROKEN DOWN THEY IRRITATE THE BRONCHIAL TREE AND - - - DRY COUGH
HAWTHORN
NATURAL ACE INHIBITORS AND CCB'S

EFFECT ON VASODILATION (INC NITRIC OXIDE)
EFFECTS INOTROPISM