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30 Cards in this Set
- Front
- Back
What is clonidine?
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Alpha 2 (vascular) agonist in the brain. Methyldopa is also a centrally acting sympathetolytics
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Name two periperhal acting sympathetolytics.
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Guanathedine, resperpine
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Guanathedine and reserpine interfere with _______
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catechlomaines (SNS)
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What two sympathetolytics are permeable to the blood brain barrier?
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Clonidine, Reserpine
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What is the site of action of prazosin?
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alpha 1 specific--blocks receptors at the tissues
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What are the side effects of prazosin?
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First dose effect (should be taken at night), edema
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What is the site of action of propranolol?
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Non-specific beta blocker; acts on tissues themselves.
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What effects does propranolol have?
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vasodilator, decrease cardiac output
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What adverse effects does propranolol have?
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Rebound hypertension, asthma.
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Does propranolol cause an increase or decrease in receptors?
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Increase
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Does clonidine cause more or less receptors to be produced?
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Less (due to overstimulation of alpha 2 receptors in brain)
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What is the site of action of nitroprusside?
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Arterial smooth muscles (on receptors)
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What are the adverse effects of nitroprusside?
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cyanide poison
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What is the method of action of minoxidil?
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Potassium Channel Opener--prevents influx of calcium to prevent contraction.
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What's an adverse effect of minoxidil?
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Hirsutism
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What are some general adverse effects of vasodilators?
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Edema, hypotension, increased heartrate
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What type of vasodilator is contraindicated for pregnant women?
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ACE inhibitors
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What is the name of a common ACE inhibitor?
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Captopril
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What is the method of action of ACE inhibitors?
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Inhibits conversion of Angiotensin 1 to angiotensin II.
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What effects do ACE inhibitors have?
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Decrease fluid volume by decreasing aldosterone
Relax smooth muscles |
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What are the adverse effects of captopril?
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not appropriate for infants, dry cough, renal failure
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What's the method of action of Losartan?
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Angiotensin II antagonist
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What is the main adverse effect that varies between Losartan and Captopril?
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Losartan does not produce a dry cough.
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What effects does digitalis produce?
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increases contractility, cardiac output, relieves edema by inhibiting sodium/chloride ATPase
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Which cardiovascular heart failure drugs increase lifespan?
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diuretics, vasodilators, ace inhibitors, beta antagonists
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What are some adverse effects of digitalis?
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arrythmia, low K+ serum levels, nausea, visual disturbances, halos
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Does digitalis have a long or short half life?
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Digitalis has a long half life.
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What is the method of action of phosphodiesterase inhibitors and what do they do?
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They increase the force of contraction by increasing calcium in the cell (raises cAMP)
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How does propranolol treat heart failure?
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Propranolol is a beta antagonist, which reduces sympathetic activity and cardiac output
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What is the main adverse effect of calcium channel blockers?
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Tachycardia
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