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30 Cards in this Set

  • Front
  • Back
Prazosin

class of drug and mode of action?
selective alpha blocker

relaxation of smooth muscles (inhibits vasoconstriction)
Simvastatin

class of drug and mode of action?
HMG-CoA reductase inhibitor

inhibits cholesterol synthesis
Warfarin

class of drug and mode of action?
anti-cagulant (vitamin K antagonist)

Inhibits synthesis of
Vk dependent clotting factors (II VII IX X)
In dental chair what precautions to take when pt has cardiac probs?
Don't place head lower below heart level
Raise legs slightly

If unconscious:
tilt the chair back to horizontal
Place pt in recovery position
Cold towel on forehead
Classes of drugs that can cause orthostatic syncope?
Beta blockers
Diuretic
Selective alpha blocker
Hypolipidemic drugs
Anticoagulant
Why avoid grapefruit when taking simvastatin?
increase the level of simvastatin in blood and increase chances of side effects
Examples of beta blockers?
metoprolol
propranolol
examples of diuretics?
hydrochlorothiazide
amiloride
frusemide
What's hydrochlorothiazide?
diuretic
What's amiloride?
diuretic
what's frusemide?
diuretic
Name anticoagulants other than warfarin
aspirin
heparin
clopidogrel
What is tranexamic acid? how does it work?
anti-fibrolytics (inhibits clot breakdown)

Inhibits activation of plasminogen to plasmin
What's nitrate spray used for?
treatment of angina
What's contained in nitrate spray?

Mode of action?
glyceryl trinitrate

provides exogenous source of nitric oxide (vasodilator)
Hos is nitrate spray admined?
one metered dose under the tongue

if pain persists after 5min admin 2nd dose
Active ingredient of viagra?

mode of action?
sildenafil

breakdown of cGMP >> results in smooth muslce relaxation >> increased blood into corpus cavernosum
Consequence of having viagra and nitrate spray together?
extensive relaxation of smooth muscles:
decrease in BP
orthostatic syncope
How is GTN tablet are admined?
sublingually
How can u know if GTN is active?
it fizzes if active when admined
How must GTN be stored?
in original glass bottle
Example of Calcium channel blocker?
Nifepidine
Drugs that cause gingival hyperplasia?
nifepidine
cyclosporin
phenytoin
What is ACE inhibitor?
angiotensin-converting enzyme inhibitors are a group of drugs used primarily for the treatment of hypertension
What is Captopril?

ADR?
ACE inhibitor for treating hypertension

ADR: potassium retention (hyperkalaemia)
What's Digoxin?
A medication for treating heart conditions

(Increases force of myocardial contraction and decreases atrioventricular (AV) nodal conduction)
What's a common ADR of ACE inhibitor?
chronic cough
What is Hydrochlorothiazide and what's its ADR?
Diuretic drug which acts by inhibiting the kidneys' ability to retain water.

ADR: excretion of potassium
What drugs cause triple whammy and what is the consequence?
Diuretics, ACE inhibitors and NSAIDs

renal failure
What analgesics are safe for a pt who's on ACE inhibior and diuretics?
opiods and paracetamol