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26 Cards in this Set

  • Front
  • Back
captopril
ACEI
enalapril
ACEI
lisinopril
ACEI
quinapril
ACEI
candesartan
ARB
blocks AT1 receptor, thereby blocking action of AngII and AngIII
DOES NOT REDUCE BREAKDOWN OF BRADYKININ
losartan
ARB
blocks AT1 receptor, thereby blocking action of AngII and AngIII
DOES NOT REDUCE BREAKDOWN OF BRADYKININ
valsartan
ARB
blocks AT1 receptor, thereby blocking action of AngII and AngIII
DOES NOT REDUCE BREAKDOWN OF BRADYKININ
bumetanide
loop diuretic (LH)
increase Na excretion by 25%
furosemide
loop diuretic (LH)
increase Na excretion by 25%
torsemide
loop diuretic (LH)
increase Na excretion by 25%
metolazone
thiazide-like diuretic
lesser effects, esp in renal patients
thiazide diuretics
thiazide-like diuretic
lesser effects, esp in renal patients
bisoprolol
betablocker
reduces sympathetic adaptive effects of heart failure
B1 selective
carvedilol
betablocker
reduces sympathetic adaptive effects of heart failure
B1, B2, A1 nonselective
metoprolol
betablocker
reduces sympathetic adaptive effects of heart failure
B1 selective
digoxin
cardiac glycoside
increases cardiac contraction by increasing free Ca: decreases reflex SNS activity and increases renal perfusion
inootropic benefits, effects on sympathetic nerves and kidney
ARRHYTHMIA
digitalis
cardiac glycoside
inootropic benefits, effects on sympathetic nerves and kidneyincreases cardiac contraction by increasing free Ca: decreases reflex SNS activity and increases renal perfusion
eplerenone
aldosterone antagonist
reverses structural effects, water retention
severe heart problems, lv problems after MI
HYPERKALEMIA
reduces mortalitity in III and IV with an ACEI
spironolactone
aldosterone antagonist
reverses structural effects, water retention
severe heart problems, lv problems after MI
HYPERKALEMIA
reduces mortalitity in III and IV with an ACEI
isosorbide dinitrate
vasodilator: VEINS
increases CA flow
used as combo w. hydralazine
Toxicity: headache/hypotension, tolerance
hydralazine
Vasodilator: ARTERIAL
*reduces renal vasculature resistance
combo with isosorbide dinitrate
Toxicity: GI, headahce
nitoglycerine
vasodilator: NO source
VENOUS CAPACITANCE
uses: l. sided HF due to MI
Toxicity: tolerance, headache
Dopamine
B AGONST A AGONIST (high infusion)
B: stimulated cardiac contractility
A: VC to support a dropped Pa
Toxicity: tachycardia can provoke MI in patients with CAD
Dobutamine
B-agonist (nonselective)
uses: systolic dysfunction
Iontropic effect predominates, little change in HR, VD increases flow to renal and heart.
Tolerance develops
inamrinone
cAMP phosphodiesterase inhibitor
increase cAMP: stimulate contraction and accelerate relaxation
use: advanced heart failure
milrinone
cAMP phosphodiesterase inhibitor
increase cAMP: stimulate contraction and accelerate relaxation
use: advanced heart failure
Better side effect profile, more selective for PDE3, shorter half life