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7 Cards in this Set

  • Front
  • Back
How do Thiazides work?
antihypertensive agent

block sodium uptake in the DCT - results in increased sodium excretion. Reducing blood volume and then decreasing cardiac output

hypokalemia, hypercalcemia, hyperuricemia

Hydrochlorothiazide
How do ACE inhibitors work?
inhibit the conversion of angiotension 1 to 2. Decreased angiotension 2 causes increased vasodilation and decreased water and sodium retention. Also, increased bradykinin activity augments the decrease in BP.

dry cough, rash, fever, altered taste, HPoTN, hyperkalemia, angiedema, 1st dose syncope

-pril
Should you ever give nitroprusside orally?
NOOOOOO

it is poisonous if given orally because of its hydrolysis to cyanide

It is given IV
What is HPTN emergency and what is used to treat it?
>210/150 BP

must be dropped quickly before end stage organ damage.

IV nitroprusside - VD arteries and veins - decreases preload

diazoxide - direct arteriolar vasodilator

labetalol - beta/alpha blocker
What is the MOA of spirnolactone?
aldosterone antagonist, blocking the effects of aldosterone. Prevents uptake of sodium and water at the DCT and CD of the kidney.

With sodium not reabsorbed, Potassium is retained in the body.

Causes hyperkalemia, met acid
What is sumatriptan?
5-HT1 agonist

more powerful anti-migraine than ergot alkaloids.

Useful in prevention and treatment of migraines

avoid using in SSRI, SNRI, and MAOI because of serotonin syndrome
What serotonin meds are used for anti-emetic?
Ondansetron, granisetron, dolasetron, palonosetron - 5HT3 antagonists -

metoclopramide - 5-HT4 - increases GI motility