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29 Cards in this Set

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This syst. plays an important role in reg. BP, blood vol. & fluid electrolyte balance. Exerts it effects through angiotensin II & aldosterone. Raises BP by vasoconstriction & renal retention of water & Na+.
RAAS
A small polypeptide that's the precursor of Angiotensin II & has very high biological activity.
Angiotensin I
Participates in all processes reg. by RAAS. Most prominent actions are vaso-CONSTICTION & stim. of aldosterone release. Can act on heart & vessles to cause patho change.
Angiotensin II
A small polypepetide that is formed by the degradation of angiotensin II & has moderate bio activity.
Angiotensin III
Angiotensin II most powerful action is this. Compound acts directly on vascular smooth muscle causing contraction. Acts indirectly on sympathetic neurons to promote norepi relase & adrenal medulla to promote epi release & CNS to increase sympathetic outflow of blood vessles.
Vasoconstriction
Angiotensin II acts on adrenal cortext to promote synthesis & secretion of this, which can stim. it's release. Secretion is enhanced when Na+ is lvls are low & K+ levels are high.
Aldosterone
Following the release of this from the adrenal cortext, this acts on the kidney to cause retention of Na+ & excretion of K+ & H-. Retension of Na+ increases blood vol. which increases BP. (Repeat Question)


(Repeat Question)
Aldosterone
This is produced by the juxtaglomular cells of the kidney, where it converts angiotensin into angiotensin I. Release increases in response to declines in BP blood vol. plasma, Na+ & renal perfusion pressure.
Renin
This catalyzes the conversion of angiotensin I to angiotensin II. It's loc. on the luminal surface of all blood vessels, vasculature of the lungs being especially rich with this enzyme.
ACE
Important drugs in treating HT, heart failure, diabetic neuropathy & MI. Produce beneficial effects by reducing lvls of angiotensin I & increasing bradykinin.
ACE Inhibitors
This syst. plays an important role in reg. BP, blood vol. & fluid electrolyte balance. Exerts it effects through angiotensin II & aldosterone
RAAS
A small polypeptide that's the precursor of Angiotensin II & has very high biological activity.
Angiotensin I
Participates in all processes reg. by RAAS. Most prominent actions are vaso-CONSTICTION & stim. of aldosterone release. Can act on heart & vessles to cause patho change.
Angiotensin II
A small polypepetide that is formed by the degradation of angiotensin II & has moderate bio activity.
Angiotensin III
Angiotensin II most powerful action is this. Compound acts directly on vascular smooth muscle causing contraction. Acts indirectly on sympathetic neurons to promote norepi relase & adrenal medulla to promote epi release & CNS to increase sympathetic outflow of blood vessles.
Vasoconstriction
This is produced by the juxtaglomerular cells of the kidney. It's release increases in response to a decline in BP & blood volume, Na+ content or renal pefusion pressure.
Renin
Enzyme that catalyzes the conversion of angiotensin I to II, loc. on the luminal surface of all blood vessels & vasculature of the lungs.
ACE
Important drugs for treating HT, HF, diabetic nephrpathy & MI. Adverse effects are cough, angioedema, first-dose-hypotension, & hypekalemia. Benefits result largely from suppressing angiotensin II
ACE Inhibitors
The action of this ACE inhibitor acts by blocking conversion of Angiotensin I to II while inactivating bradykinin. Also increases renin lvls & reduces aldosterone lvls. Indication are for HT, HF, LVD after
Captopril
Pharmokinetics of this drug has a half life of <2hrs. & at least 75% absorbed following oral administration.
Captopril
Hypersensitivity, Cross sensitivity among ACE Inhibitors may occur, Preganancy & Angioedema are all factors for what with Captopril.
Precautions/Contraindications
Excessive hypo-tension may occurr when Captopril is used in conjunction w/diuretics or antihypertensives. This is an example of what?
Interactions
Cough & Hypotension are what kind of effects with Captopril?
Adverse Effects
These drugs decrease the influence of angiotensin II by blocking the "actions" of angiotensin II without causing cough or hyperkalemia. All are taken orally.
ARB's
Action of this drug blocks vasoconstriction & aldosterone producing effects of angiotensin II at VSM & adrenal glands.
Losartan
NSAID may lower antihypetensive effects. Other antihypersensitive drugs may increase effects along with diuretics. Risk of hypotension. These are all indications for which drug.
Losartan
Hypersensitivity, pregnancy or laction are what considerations for Losartan.
Precautions/Contraindications
Hypotension & hyperkalemia are what kind of effect for Losartan.
Adverse Effects
Asses BP & signs of angioedema should occur at what stage of admission?
Pre-administration assessment