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29 Cards in this Set
- Front
- Back
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+.
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RAAS
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A small polypeptide that's the precursor of Angiotensin II & has very high biological activity.
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Angiotensin I
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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.
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Angiotensin II
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A small polypepetide that is formed by the degradation of angiotensin II & has moderate bio activity.
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Angiotensin III
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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.
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Vasoconstriction
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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.
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Aldosterone
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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
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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.
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Renin
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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.
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ACE
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Important drugs in treating HT, heart failure, diabetic neuropathy & MI. Produce beneficial effects by reducing lvls of angiotensin I & increasing bradykinin.
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ACE Inhibitors
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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
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RAAS
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A small polypeptide that's the precursor of Angiotensin II & has very high biological activity.
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Angiotensin I
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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.
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Angiotensin II
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A small polypepetide that is formed by the degradation of angiotensin II & has moderate bio activity.
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Angiotensin III
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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.
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Vasoconstriction
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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.
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Renin
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Enzyme that catalyzes the conversion of angiotensin I to II, loc. on the luminal surface of all blood vessels & vasculature of the lungs.
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ACE
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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
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ACE Inhibitors
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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
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Captopril
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Pharmokinetics of this drug has a half life of <2hrs. & at least 75% absorbed following oral administration.
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Captopril
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Hypersensitivity, Cross sensitivity among ACE Inhibitors may occur, Preganancy & Angioedema are all factors for what with Captopril.
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Precautions/Contraindications
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Excessive hypo-tension may occurr when Captopril is used in conjunction w/diuretics or antihypertensives. This is an example of what?
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Interactions
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Cough & Hypotension are what kind of effects with Captopril?
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Adverse Effects
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These drugs decrease the influence of angiotensin II by blocking the "actions" of angiotensin II without causing cough or hyperkalemia. All are taken orally.
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ARB's
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Action of this drug blocks vasoconstriction & aldosterone producing effects of angiotensin II at VSM & adrenal glands.
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Losartan
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NSAID may lower antihypetensive effects. Other antihypersensitive drugs may increase effects along with diuretics. Risk of hypotension. These are all indications for which drug.
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Losartan
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Hypersensitivity, pregnancy or laction are what considerations for Losartan.
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Precautions/Contraindications
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Hypotension & hyperkalemia are what kind of effect for Losartan.
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Adverse Effects
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Asses BP & signs of angioedema should occur at what stage of admission?
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Pre-administration assessment
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