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13 Cards in this Set
- Front
- Back
MOA OF ACE INHIBITOR
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INHIBITS ANGIOTENSIN CONVERTING ENZYME
ANGIOTENSIN 1 DOES NOT CONVERT TO 2 |
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RAAS
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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 |
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NAME 6 EFFECTS OF ANGIOTENSIN 2
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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 |
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CLINICAL INDICATIONS
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ESSENTIAL OR IDIOPATHIC HYPERTENSION
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PROBABLY ETIOLOGY OF IDIOPATHIC HYPERTENSION?
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SYMPATHO DOMINANT MIND/BODY
(SUBCONSCIOUS ANXIETY) |
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LIFESTYLE MEDICINE AND COACHING FOR HTN
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MEDITATION
YOGA REGULAR EXERCISE (cause adrenaline epinephrine and norephinerine to have LOWER LEVELS after exercise.... therefore LESS renin released from kidney) |
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HOW IS PLASMIN FORMED?
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PLASMINOGEN IS CONVERTED TO PLASMIN BY PLASMINOGEN ACTIVATOR
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PLASMIN DOES WHAT
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INCREASES FIBRINOLYSIS, AKA DISSOLVES CLOTS
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HOW DOES ANGIOTENSIN 2 EFFECT CLOTTING?
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ANGIOTENSIN 2 INHIBITS PLASMINOGEN ACTIVATOR 1 AND 2, WHICH INCREASES FIBRINOLYSIS, AND INCREASES CLOTS
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ACE INHIBITORS AND DIABETES
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DECREASE THE RATE OF KIDNEY DISEASE IN DIABETICS
PREVENTION OF DIABETIC NEUROPATHY IN DIABETICS DIABETICS WITH NORMAL BP MAY TAKE ACE INHIBITOR |
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WHAT IS THE LINK BETWEEN DIABETICS AND NEED FOR ACE INHIBITORS?
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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 |
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LINK BETWEEN COUGH AND ACE INHIBITORS
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ACE NORMALLY METABOLIZES / BREAKS DOWN BRADYKININS....
IF BRADYKININS ARE NOT BROKEN DOWN THEY IRRITATE THE BRONCHIAL TREE AND - - - DRY COUGH |
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HAWTHORN
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NATURAL ACE INHIBITORS AND CCB'S
EFFECT ON VASODILATION (INC NITRIC OXIDE) EFFECTS INOTROPISM |