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Cardiovascular
Pharmacology
97
Pharmacology
Graduate
01/17/2014

Additional Pharmacology Flashcards

 


 

Cards

Term
Digoxin MOA
Definition
inhibits Na/K ATPase -> inc intracell Ca
Term
use of digoxin
Definition
chronic CNF, Afib
Term
digitoxin cholinergic toxicity
Definition
N/V, blurry yellow vision, diarrhea
Term
digoxin EKG toxicty
Definition
inc PR, dec QT, scooping T wave inversion, arrhythmia, hyperkalemia
Term
digoxin toxicity worsened by
Definition
renal failure, hypokalemia, quinidine
Term
digoxin antidote
Definition
normalize K, lidocain, (atropine if bradycardic) anti-dig, Mg
Term
nesiritide MOA
Definition
recombinant BNP
Term
use of nesiritide
Definition
acute decompensated heart failure
Term
nesiritide toxicity
Definition
hypotension
Term
Class IA drugs
Definition
qunidine, procainamide, disopyramide
Term
SE: cinchonism
Definition
quinidine
Term
inc AP duration
Definition
Class IA, III
Term
inc ERP
Definition
class IA, III, IV
Term
SE: drug induced lupus
Definition
procainamide
Term
SE: torsades
Definition
Class IA, sotalol, ibutilide
Term
Class IB drugs
Definition
lidocaine, mexiletine, tocainide
Term
dec AP duration
Definition
class IB
Term
acute ventricular arrhythmias
Definition
class IB
Term
SE: CNS stimulation/depression
Definition
class IB
Term
class IC drugs
Definition
flecainide, propafenone
Term
intractable SVT and Vtachs that progress to Vfib
Definition
class IC
Term
SE: proarrhythmic esp post-MI
Definition
class IC
Term
class of antiarrhytmics effected by hyperkalemia
Definition
class I
Term
class II drugs
Definition
propranolol, esmolol, metoprolol, atenolol, timolol
Term
class II MOA
Definition
dec cAMP, and Ca; dec slope of phase 4 at AV node
Term
slowing ventricular rate in Afib
Definition
Class II and IV
Term
SE of class II
Definition
impotence, exacerbation of asthma, bradycardia, AV block, CHF, sedation, sleep alterations, mask hypoglycemia
Term
SE: dyslipidemia
Definition
metoprolol
Term
Class III drugs
Definition
ibutilide, sotlol, bretylium, amiodarone, dofetilide
Term
inc QT
Definition
class IA and III
Term
SE of amiodarone
Definition
pulmonary fibrosis, hepatotoxic, hyper/hypothyroid, corneal deposits, blue/grey skin, photo dermatitis
Term
class IV drugs
Definition
verapamil and diltiazem
Term
class IV MOA
Definition
dec conduction velocity
Term
used for prevention of nodal arrhythmias
Definition
class IV
Term
SE: constipation
Definition
class IV
Term
adenosine MOA
Definition
inc K out and dec Ca in
Term
adenosine use
Definition
diagnosing/abolishing SVT
Term
blocked by theophylline
Definition
adenosine
Term
used for torsades and dig toxicity
Definition
Mg
Term
drugs for essential HTN
Definition
diuretics, ACEI, ARB, CCB
Term
drugs for HTN + CHF
Definition
diuretic, ACEI, ARB, beta blocker, spironolactone
Term
drugs for HTN + DM
Definition
ACEI, ARB, CCB, diuretics, Beta blockers, alpha blockers
Term
hydralazine MOA
Definition
inc cGMP -> smooth mm relax of arterioles -> dec afterload
Term
hydralazine clinical uses
Definition
HTN crisis, CHF, hypertension in pregnancy
Term
what is hydrazine coadministered with?
Definition
beta blocker to prevent reflex tach
Term
hydralazine toxicity
Definition
compensatory tachy; fluid retention, nausea, HA, angina, lupus-like
Term
dihydropyridine CCB names
Definition
nifedipine, amplodipine
Term
nondihydropyridine CCB names
Definition
verapamil, diltiazem
Term
CCB on vascular smooth mm
Definition
nifedipine > diltiazem > verapamil
Term
CCB on heart mm
Definition
verapamil > diltiazem > nifedipine
Term
CCB clinical use
Definition
HTN, angina, arrhythmias, rinzmetal's raynauds
Term
CCB toxicity
Definition
cardiac depression, AV block, peripheral edema, flushing, dizziness, constipation
Term
N nitroprusside
Definition
inc cGMP via direct release of NO; can cause CN toxicity
Term
fenoldopam
Definition
D1 agonist, relaxes renal vascular smooth mm
Term
diazoxide
Definition
K channel open -> hyper polarize and relaxes vascular smooth mm; can cause hyperglycemia
Term
NG MOA
Definition
vasoculate by inc cGMP -> more in veins -> dec preload
Term
NG clinical use
Definition
angina, pulmonary edema
Term
NG toxicity
Definition
reflex tachy, hypotension, flushing, HA, "monday disease"
Term
minoxidil MOA
Definition
K efflux -> hyperpolarization -> dec TPR
Term
minoxidil SE
Definition
pericardial effusion, hypetrichosis, salt and water retention
Term
nitrates effect on: EDV
Definition
dec
Term
nitrates effect on: BP
Definition
dec
Term
nitrates effect on: contractility
Definition
inc (reflexive)
Term
nitrates effect on: HR
Definition
inc (reflexive)
Term
nitrates effect on: ejection time
Definition
dec
Term
nitrates effect on: MVO2
Definition
dec
Term
beta blocker effect on: EDV
Definition
inc
Term
beta blocker effect on: BP
Definition
dec
Term
beta blocker effect on: contractility
Definition
dec
Term
beta blocker effect on: HR
Definition
inc
Term
beta blocker effect on: ejection time
Definition
inc
Term
beta blocker effect on: MVO2
Definition
dec
Term
nitrates + beta-blocker effect on: EDV
Definition
no effect/ dec
Term
nitrates + beta-blocker effect on: BP
Definition
dec
Term
nitrates + beta-blocker effect on: contractility
Definition
little/no effect
Term
nitrates + beta-blocker effect on: HR
Definition
dec
Term
nitrates + beta-blocker effect on: ejection time
Definition
little/no effect
Term
nitrates + beta-blocker effect on: MVO2
Definition
dec a lot
Term
best effect on LDL
Definition
statins
Term
best effect on HDL
Definition
statins
Term
best effect on trig
Definition
fibrates
Term
SE: hepatotoxic and rhabomyolysis
Definition
statins and fibrates
Term
red, flush face with what drug? how prevented?
Definition
niacin; ASA
Term
SE: hyperuricemia
Definition
niacin
Term
SE: hyperglycemia
Definition
niacin
Term
SE: bad tase
Definition
bile acid binding resins
Term
SE: cholesterol gallstones
Definition
bile acid binding resins, vibrates
Term
statin MOA
Definition
inhibit HMG-CoA reductase
Term
niacin MOA
Definition
inhibits lipolysis in adipose tissue; reduces heptic VLDL secretion
Term
BABR MOA
Definition
prevent intestinal reabsorption of bile acids
Term
ezetimibe MOA
Definition
prevent cholesterol reabsorption at small intestine brush border
Term
fibrate MOA
Definition
upregulate LPL via PPAR-alpha
Term
ezetimibe effects on cholesterol
Definition
dec LDL
Term
statin effects on cholest
Definition
dec LDL and tric
inc HDL
Term
niacin effects on cholesterol
Definition
dec LDL and tric
inc HDL
Term
BABR effect on cholesterol
Definition
dec LDL
slightly inc HDL and trig
Term
fibrates effect on cholesterol
Definition
dec LDL and trigs
inc HDL
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