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23 Cards in this Set
- Front
- Back
Which anti-hypertensive blocks Na+ reabsorption in the distal tubles?
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Thiazides
Thiazide-like Diuretics |
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Which anti-hypertensive blocks Na+ reabsorption in the ascending loop of Henle?
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Loop Diuretics
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Which anti-hypertensive interferes with the K+/ Na+ exchange in the distal tuble?
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Potassium Sparing Diuretics
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Which anti-hypertensive directly blocks adrenergic stimulation of beta receptors?
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Beta Blockers
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Which anti-hypertensive inhibits the angiotensin converting enzyme from converting angiotensin I to angiotensin II?
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ACE Inhibitors
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Which anti-hypertensive diuretics are ineffective in patients with a CrCl of less than 30mL/min?
What is the exception? |
Thiazides and Thiazide like diuretics
exception: Metolazone (Zaroxolyn) |
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What is the difference between DHP calcium channel blockers and Non-DHP?
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DHP Calcium Channel Blockers
work on the vasculature and decrease peripheral vascular resistance Anti- Hypertensives NON-DHP work on the myocardium and decrease heart rate and cardiac output Angina/ Arrhythmia |
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How are resins (hyperlipidemia) absorbed and where does metabolism occur?
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Resins are not systemically absorbed
Metabolized in GI |
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How is Ezetimibe (Zetia) absorbed and where is it metabolized?
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Zetia is not systemically absorbed
Metabolized in liver and small bowel |
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What is the MOA for Resins?
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Bind to bile and stimulate liver to convert hepatocellular cholesterol into bile acids.
RESINS/BILE RESINS/BILE |
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What is the MOA for Zetia?
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Inhibit cholesterol absorption in GI
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Zetia is an adjunct for which other hyperlipidemia medication? It interacts on the other hand with?
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Zetia + Statins = Good
Zetia + Fibrates = Bad |
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How are Resins eliminated?
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Renal
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How is Zetia eliminated?
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Renal/ Fecal
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Which hyperlipidemia medications could cause gall stones and should be avoided with known gall bladder disease?
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Fibrates
Fibrate/ Stones/ Gall bladder |
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Which two drug classes used to treat hyperlipidemia could also cause heaptotoxicity?
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Statins
Niacins |
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Which medication class used to treat hyperlipidemia is excreted via the biliary system?
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Statins
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Which medication class used to treat hyperlipidemia can also cause rhabdomyolysis and impotence?
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Statins
Can impair the production of certain proteins involved in muscle metabolism and function. |
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What is the moa for Statins?
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Inhibit HMG Co-A reductase
This enzyme is responsible for cholesterol systhesis. STATIN/ STOP SYNTHESIS/ AT NIGHT!!!!!!! |
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Which fruit should statins not be taken with and why?
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When taken at the same time,
Grapefruits grapefruits can prevent the metabolism of statin, creating accumulation. Accumulation at these levels could lead to liver damage and/or rhabdomyolysis. |
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What is the 1st line of treatment for hyperlipidemia?
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Statins
They will decrease LDL significantly! |
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What is considered 1st line treatment of isolated hypertriglyceridemia?
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Fibrates
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Which medication for hyperlipidemia treatment can exacerbate peptic ulcer diseae?
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Niacin
not considered 1st line treatment |