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trueger
card & pulm pharm
103
Medical
Graduate
05/13/2006

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Cards

Term
HCTZ SE
Definition
dnK
up lips
up urea
lassitude
upCa
upGlu
Term
loop diuretic SE
Definition
K waste
met alk
hypoTN
ototox

furosemide & butamide

Term
SE: dnK
up lips
up urea
lassitude
upCa
upGlu
Definition
HCTZ
Term
SE: K waste
met alk
hypoTN
ototox
Definition
loop diuretics
furosemide & butamide
Term
MOA: pos inos for HTN
Definition
up CO
Term
MOA: B blockers for HTN
Definition
dn renin release
Term
MOA: ACE inh for HTN
Definition
dn ATII
Term
MOA: ATII inh for HTN
Definition
dn preload
dn afterload
dn remodeling
Term
MOA: diuretics & vasodilators for HTN
Definition
dn preload
dn afterload
Term
clonidine SE
Definition
dry mouth, sedn, severe rebound HTN
Term
beta blocker SE
Definition
impotence, asthma, CV SE (bradycardia, CHF, av block), CNS SE
Term
hydralazine SE & Rx
Definition
use w/ BB to avoid reflex tachy
(lupus-like & salt ret'n)
Term
captopril SE
Definition
Cough, Angioedema, Proteinuria, Taste changes, hypOtn, Preg: fetal renal dmg, Rash, Incr renin, hyperkaLemia
Term
losartan SE
Definition
fetal renal tox, hyperK
Term
hydralazine MOA
Definition
up cGMP->sm mm relax.
vasodiln>veins -> dn afterload
Term
hydralazine Rx
Definition
severe HTN
CHF
Term
what are the CCBs
Definition
verapamil
nifedipine
diltiazem
Term
verapamil
nifedipine
diltiazem
Definition
what are the CCBs
Term
CCB MOA HTN
Definition
dn contr & sm mm relax
VSM: N>D>V
heart: V>D>N
Term
CCB Rx
Definition
HTN, angina, arrhythmias (not nifedipine)
Term
nitro MOA
Definition
vasodilate (NO) ->up cGMP ->sm mm relax
veno>>vaso diln (dn preload)
Term
nitro RX
Definition
angina, pulm edema
Term
up cGMP->sm mm relax.
vasodiln>veins -> dn afterload
Definition
hydralazine MOA
Term
dn contr & sm mm relax
VSM: N>D>V
heart: V>D>N
Definition
CCB MOA
Term
vasodilate (NO) ->up cGMP ->sm mm relax
veno>>vaso diln (dn preload)
Definition
nitro MOA
Term
goal of antianginal tx
Definition
reduce myocard O2 consumption by decr EDV, BP, HR, contr or ejection time
Term
digoxin MOA
Definition
inh Na/K -> up IC Na -> up IC Ca -> pos inotropy
Term
inh Na/K -> up IC Na -> up IC Ca -> pos inotropy
Definition
digoxin MOA
Term
LOX ->?
Definition
leukotrienes
Term
?-> leukotrienes
Definition
LOX ->?
Term
LTB4
Definition
PMN chemotactant
Term
PMN chemotactant
Definition
LTB4
Term
LTC3, D4, E4
Definition
bronchocontstr
vasoconstr
sm musc contr
up vasc perm
Term
LTB,C,D
Definition
up bronchial tone
Term
up bronchial tone (factors)
Definition
LTB,C,D
Term
bronchocontstr
vasoconstr
sm musc contr
up vasc perm

up bronchial tone

Definition
LTC3, D4, E4
Term
PGI2
Definition
inh platelet aggr
vasodiln
Term
inh platelet aggr
vasodiln
Definition
PGI2
Term
CS as resp pharm
Definition
dn PLA2
dn COX synth
beclomethasone, prednisone
via dn TNFa
Term
Zileuton MOA
Definition
inh LOX
Term
zafirlukast
Definition
inh leukotriene R
Term
montelukast
Definition
inh leukotriene R
Term
PGI
Definition
dn platelet aggr
dn vasc tone
dn bronch tone
dn uterine tone
Term
dn platelet aggr
dn vasc tone
dn bronch tone
dn uterine tone
Definition
PGI
Term
PGE&PGF
Definition
up uterine tone
dn vasc & bronch tone
Term
up uterine tone
dn vasc & bronch tone
Definition
PGE&PGF
Term
TXA
Definition
up platelet aggr
up vasc&bronch tone
Term
up platelet aggr
up vasc&bronch tone
Definition
TXA
Term
H1 blockers - 1st gen
Definition
diphenhydramine
dimenhydrinate
chorpheniramine
Term
H1 blockers - 1st gen Rx
Definition
allergy
motion sickness
sleep aid
Term
H1 blockers - 2nd gen
Definition
loratadine
fexofenadine
desloratadine
Term
allergy
motion sickness
sleep aid
Definition
H1 blockers - 1st gen Rx
Term
diphenhydramine
dimenhydrinate
chorpheniramine
Definition
H1 blockers - 1st gen
Term
H1 blockers - 1st gen SE
Definition
sedn
antimusc
anti-a-adrenergic
Term
sedn
antimusc
anti-a-adrenergic
Definition
H1 blockers - 1st gen SE
Term
H1 blockers - 2nd gen Rx
Definition
allergy
Term
loratadine
fexofenadine
desloratadine
Definition
H1 blockers - 2nd gen
Term
isoproterenol for asthma
Definition
B2ag-> relax broncSM
but tachy (B1)
Term
albuterol
Definition
B2 ag
use during acute asthma attack
Term
salmeterol
Definition
long acting B2 ag for asthma prophylaxis
SE: tremor, arrhythm
Term
B2 ag
use during acute asthma attack
Definition
albuterol
Term
long acting B2 ag for asthma prophylaxis
SE: tremor, arrhythm
Definition
salmeterol
Term
theophylline
Definition
inh phosphodiesterase -> dn cAMP hydrolysis
narrow ther window (card & neurotox)
Term
inh phosphodiesterase -> dn cAMP hydrolysis
Definition
theophylline
(methylxanthine)
narrow ther window (card & neurotox)
Term
ipratropium
Definition
blocks muscR-> prevents bronchoconstr
Term
blocks muscR-> prevents bronchoconstr
Definition
ipratropium
Term
cromolyn
Definition
prevents mast cell release of mediators
prophylactic
Term
prevents mast cell release of mediators
prophylactic
Definition
cromolyn
Term
dig -> ECG?
Definition
up PR
dn QT
scoop ST
twave inv
Term
dig rx?
Definition
CHF, afib (dn AV condn)
Term
class I antiarrythmics
Definition
Na: dn condn (esp in depol cells)
slow phase 4 depol (state dependent)
up threshold for firing in abnl pacemakers
Term
class Ia antiarrythmics
Definition
quinidine, procainamide, disopyramide, (amiodarone)
up AP dur'n, up refr period, up QT
effect A&V arrhyth
Term
class Ib antiarrythmics
Definition
lidocaine (mexiletine & tocainide: PO)
dn AP durn
affect isch & depol Purk & ventr
rx: ventr arrhythm esp post MI
Term
class Ic antiarrythmics
Definition
flecainide, propafenone
no effect on AP but slow condn but -> arrhythm
Rx: vtach->VF; SVT
Term
class II antiarrythmics
Definition
BB: dn cAMP, dn CA current.
Suppress abnl pacemakers (phase 4) esp AV node.
Up PR
may mask hypoglycemia
Term
class III antiarrythmics
Definition
sotalol, ibutilide, bretylium, amiodarone
up AP durn, up refr period, up QT
check LFT, PFT, TFT
recurrent V arrhythms
->torsades
Term
class IV antiarrythmics
Definition
CCB: verapamil, diltiazem
AV node: slow condn, up refr, up PR
rx: prevent SVT, VT, nodal arrhythm
SE: torsades
Term
adenosine antiarrhythm
Definition
AV nodal
Term
K antiarrhythm
Definition
ectopic pacemakers (dig tox)
Term
Mg antiarrhythm
Definition
torsades, dig tox
Term
Na: dn condn (esp in depol cells)
slow phase 4 depol (state dependent)
up threshold for firing in abnl pacemakers
Definition
class I antiarrythmics
Term
up AP dur'n, up refr period, up QT
effect A&V arrhyth
Definition
quinidine, procainamide, disopyramide, (amiodarone)
class Ia antiarrythmics
Term
dn AP durn
affect isch & depol Purk & ventr
rx: ventr arrhythm esp post MI
Definition
lidocaine (mexiletine & tocainide: PO)
class Ib antiarrythmics
Term
no effect on AP but slow condn but -> arrhythm
Rx: vtach->VF; SVT
Definition
flecainide, propafenone
class Ic antiarrythmics
Term
Suppress abnl pacemakers (phase 4) esp AV node.
Up PR
may mask hypoglycemia
Definition
BB: dn cAMP, dn CA current.
class II antiarrythmics
Term
up AP durn, up refr period, up QT
check LFT, PFT, TFT
Definition
sotalol, ibutilide, bretylium, amiodarone
class III antiarrythmics
Term
AV node: slow condn, up refr, up PR
rx: prevent SVT, VT, nodal arrhythm
SE: torsades
Definition
CCB: verapamil, diltiazem
class IV antiarrythmics
Term
AV nodal arrhythmias (class v)
Definition
adenosine antiarrhythm
Term
ectopic pacemakers (dig tox) (class v)
Definition
K antiarrhythm
Term
torsades, dig tox (class v)
Definition
Mg antiarrhythm
Term
class Ia antiarrythmics RX
Definition
A&V arrhyth
maintain sinus after Afib cardioversion
Term
class Ib antiarrythmics RX
Definition
ventr arrhythm esp post MI
Term
class Ic antiarrythmics RX
Definition
vtach->VF (refr)
SVT
atrial: WPW
Term
class II antiarrythmics RX
Definition
Suppress abnl pacemakers (phase 4) esp AV node

NOT CHF

Term
class III antiarrythmics RX
Definition
recurrent V arrhythms
check LFT, PFT, TFT
->torsades
Term
class IV antiarrythmics RX
Definition
prevent SVT, VT, nodal reentry
htn, angina
SE: torsades
Term
class Ia antiarrythmics phys effect
Definition
up AP dur'n, up refr period, up QT
Term
class Ib antiarrythmics phys effect
Definition
dn AP durn
Term
class Ic antiarrythmics phys effect
Definition
no effect on AP but slow condn but -> arrhythm
Term
class II antiarrythmics phys effect
Definition
BB: dn cAMP, dn CA current.
Suppress abnl pacemakers (phase 4) esp AV node
Term
class III antiarrythmics phys effect
Definition
up AP durn, up refr period, up QT
check LFT, PFT, TFT
Term
class IV antiarrythmics phys effect
Definition
AV node: slow condn, up refr, up PR
Term
class I antiarrythmics phys effect
Definition
dn condn (esp in depol cells)
slow phase 4 depol (state dependent)
up threshold for firing in abnl pacemakers
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