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23 Cards in this Set

  • Front
  • Back
Which anti-hypertensive blocks Na+ reabsorption in the distal tubles?
Thiazides
Thiazide-like Diuretics
Which anti-hypertensive blocks Na+ reabsorption in the ascending loop of Henle?
Loop Diuretics
Which anti-hypertensive interferes with the K+/ Na+ exchange in the distal tuble?
Potassium Sparing Diuretics
Which anti-hypertensive directly blocks adrenergic stimulation of beta receptors?
Beta Blockers
Which anti-hypertensive inhibits the angiotensin converting enzyme from converting angiotensin I to angiotensin II?
ACE Inhibitors
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)
What is the difference between DHP calcium channel blockers and Non-DHP?
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
How are resins (hyperlipidemia) absorbed and where does metabolism occur?
Resins are not systemically absorbed

Metabolized in GI
How is Ezetimibe (Zetia) absorbed and where is it metabolized?
Zetia is not systemically absorbed

Metabolized in liver and small bowel
What is the MOA for Resins?
Bind to bile and stimulate liver to convert hepatocellular cholesterol into bile acids.

RESINS/BILE RESINS/BILE
What is the MOA for Zetia?
Inhibit cholesterol absorption in GI
Zetia is an adjunct for which other hyperlipidemia medication? It interacts on the other hand with?
Zetia + Statins = Good

Zetia + Fibrates = Bad
How are Resins eliminated?
Renal
How is Zetia eliminated?
Renal/ Fecal
Which hyperlipidemia medications could cause gall stones and should be avoided with known gall bladder disease?
Fibrates

Fibrate/ Stones/ Gall bladder
Which two drug classes used to treat hyperlipidemia could also cause heaptotoxicity?
Statins

Niacins
Which medication class used to treat hyperlipidemia is excreted via the biliary system?
Statins
Which medication class used to treat hyperlipidemia can also cause rhabdomyolysis and impotence?
Statins

Can impair the production of certain proteins
involved in muscle metabolism and function.
What is the moa for Statins?
Inhibit HMG Co-A reductase

This enzyme is responsible for cholesterol systhesis.

STATIN/ STOP SYNTHESIS/ AT NIGHT!!!!!!!
Which fruit should statins not be taken with and why?
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.
What is the 1st line of treatment for hyperlipidemia?
Statins

They will decrease LDL significantly!
What is considered 1st line treatment of isolated hypertriglyceridemia?
Fibrates
Which medication for hyperlipidemia treatment can exacerbate peptic ulcer diseae?
Niacin

not considered 1st line treatment