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30 Cards in this Set

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