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50 Cards in this Set

  • Front
  • Back
Site of action of loop diuretics
Thick ascending limb
SE of loop (furosemide) diuretics (3)
Hyperuricemia, hypokalemia and ototoxicity
Aminoglycosides used with loop diuretics potentiate adverse effect
Ototoxicity
Loops lose and thiazide diuretics retain
Calcium
MOA of thiazide diuretics
Inhibit Na+/Cl- cotransport
Site of action of thiazide diuretics
Work at early distal convoluted tubule
Class of drugs that may cause cross-sensitivity with thiazide diuretics
Sulfonamides
SE of thiazide (HCTZ) diuretics (3)
Hyperuricemia, hypokalemia and hyperglycemia
Potassium sparing diuretics inhibit
Na+/K+ exchange
Diuretic used to treat primary aldosteronism
Spironolactone
SE of spironolactone (3)
Gynecomastia, hyperkalemia, and impotence
Osmotic diuretic used to treat increased intracranial pressure
Mannitol
Section: Antidiuretic hormone (ADH) agonist and antagonist
ADH agonist used for pituitary diabetes insipidus
Desmopressin (DDAVP)
Used for SIADH
Demeclocycline
SE of demeclocycline
Bone marrow and teeth discoloration for children under 8 years of age
Antiarrhythmic agents
MOA of class I A (eg. Procainamide), class IB (eg. Lidocaine), and class IC (eg. Flecainide) antiarrhythmics
Sodium channel blockers
SE of procainamide
Lupus-like syndrome
Limiting side effect of Quinidine
Prolongs QT interval
Other side effects of Quinidine (2)
Thrombocytopenic purpura, and CINCHONISM
Major drug interaction with Quinidine
Increases concentration of Digoxin
DOC for management of acute ventricular arrhythmias
Amiodarone
DOC for digoxin induced arrhythmias
Phenytoin
SE of phenytoin
Gingival hyperplasia
Class of anti-arrhythmics that has a pro-arrhythmic effect (CAST trial), therefore are used as last line agents
Class IC (flecainide, propafenone, moricizine)
Class II antiarrhythmics are
B-blockers
Antiarrhythmic that exhibits Class II and III properties
Sotalol
Side effect of sotalol
prolongs QT and PR interval
Used intravenously for acute arrhythmias during surgery
Esmolol
Anti-arrhythmics that decrease mortality
B-blockers

B savin your life
MOA of class III antiarrhythmics
Potassium channel blockers
Class III antiarrhythmic that exhibits properties of all 4 classes
Amiodarone
Specific pharmacokinetic characteristic of amiodarone
Prolonged half-life, up to six weeks
Antiarrhythmic effective in most types of arrhythmia
Amiodarone
SE of Amiodarone (6)
Cardiac dysfunction,
photosensitivity, skin (blue smurf syndrome),
Pulmonary fibrosis,
thyroid and corneal deposits
MOA of class IV antiarrhythmics
Calcium channel blockers
Life threatening cardiac event that prolong QT leads to
Torsades de pointes
Agent to treat torsades de pointes
Magnesium sulfate
Drug used supraventricular arrhythmias
Digoxin
DOC for paroxysmal supraventricular tachycardia (PSVT)
Adenosine
Adenosine's MOA
Activation on an inward K+ current and inhibition of Ca++ current resulting in marked HYPERPOLARIZATION
Anti-arrhythmic with 15 second duration of action
Adenosine
Vasodilators and treatment of angina
MOA of sildenafil (Viagra)
Inhibits phosphodiesterase-5, enhancing effects of nitric oxide-activated increases in cGMP
Drugs used in the management of angina (4)
Aspirin, Nitrates, CCB, and Beta blockers
Aspirin reduces mortality in unstable angina by
Platelet aggregation inhibition
MOA of nitrates (3 parts)
Relax vascular smooth muscle,
at low doses dilate veins and
at high doses dilate arterioles
Nitrate used for acute anginal attacks
Nitroglycerin sublingual tablets
Nitrate used to prevent further attacks
Oral and transdermal forms of nitroglycerin