Antihypertensive Medications
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Questions and Answers

Which of the following drug classes is known to selectively block ACE (Angiotensin-Converting Enzyme)?

  • ACE Inhibitors (correct)
  • ARBs
  • Calcium Channel Blockers
  • Beta Blockers

Losartan belongs to which class of antihypertensive medications?

  • ARBs (correct)
  • Calcium Channel Blockers
  • Beta Blockers
  • ACE Inhibitors

Propranolol is categorized under which class of antihypertensive drugs?

  • Calcium Channel Blockers
  • ARBs
  • Beta Blockers (correct)
  • ACE Inhibitors

Amlodipine belongs to which class of antihypertensive medications?

<p>Calcium Channel Blockers (B)</p> Signup and view all the answers

Doxazosin falls under which category of antihypertensive medications?

<p>Alpha Blockers (C)</p> Signup and view all the answers

Minoxidil is classified under which type of antihypertensive agents?

<p>Vasodilators (D)</p> Signup and view all the answers

Which of the following is a common indication for using ACE inhibitors and ARBs?

<p>Treatment of Hypertension (A)</p> Signup and view all the answers

For what condition is nitroglycerin commonly used?

<p>Prevention (C)</p> Signup and view all the answers

Amlodipine is primarily indicated for which of the following conditions?

<p>Treatment of Hypertension (C)</p> Signup and view all the answers

What is the primary mechanism of action of ACE inhibitors like captopril in treating hypertension?

<p>Blocking ACE (A)</p> Signup and view all the answers

How do ARBs, such as losartan, lower blood pressure in patients with hypertension?

<p>Competitively blocking (D)</p> Signup and view all the answers

What is the primary mechanism through which beta blockers like propranolol reduce blood pressure?

<p>Reducing (B)</p> Signup and view all the answers

What is believed to be the underlying cause of essential hypertension?

<p>Essential Origin (D)</p> Signup and view all the answers

What is the most common side effect associated with amlodipine?

<p>Headache (B)</p> Signup and view all the answers

What specific adverse effect is frequently associated with propranolol?

<p>Bradycardia (D)</p> Signup and view all the answers

Digoxin is prescribed for heart failure due to its mechanism of:

<p>Increases intracellular calcium (B)</p> Signup and view all the answers

Which of the following is directly related to headaches and CNS related disorders?

<p>Nitroglycerin (C)</p> Signup and view all the answers

What adverse effect of amlodipine is related to effects on the heart?

<p>Hypotension (A)</p> Signup and view all the answers

Patients taking amlodipine, should avoid what substance?

<p>Grapefruit juice (C)</p> Signup and view all the answers

What serum lipids is simvastatin meant to decrease?

<p>Cholesterol (C)</p> Signup and view all the answers

Which of the following is a common adverse effect of HMG-CoA reductase inhibitors (statins) like simvastatin?

<p>Muscle cramping (D)</p> Signup and view all the answers

What is a significant consideration regarding the use of cholestyramine?

<p>Malabsorption (D)</p> Signup and view all the answers

What vitamin is important to take with iron deficient drugs?

<p>Vitamin C (D)</p> Signup and view all the answers

Epoetin alfa treats anemia by:

<p>Acts like the (A)</p> Signup and view all the answers

What is the primary action of hydroxyurea in treating sickle cell anemia?

<p>Increases amount (B)</p> Signup and view all the answers

What is a major side effect of hydroxyurea?

<p>Cancer (B)</p> Signup and view all the answers

What is the primary action of reteplase?

<p>Activating (A)</p> Signup and view all the answers

What is the primary mechanism of action of aspirin in preventing cardiovascular events?

<p>It inhibits platelet (C)</p> Signup and view all the answers

What is a main consideration for patients taking heparin?

<p>Bleeding (A)</p> Signup and view all the answers

Which of the following is a common adverse effect associated with thrombolytic medications like reteplase?

<p>Bleeding (A)</p> Signup and view all the answers

A patient taking antilipemic medications should be aware of what interactions?

<p>Interactions:Anticoagulants (C)</p> Signup and view all the answers

Which of the following best describes the mechanism of action of reteplase?

<p>Breaks down fibrin in clots (C)</p> Signup and view all the answers

What interaction is important for patients taking Bile Acid Sequestrants?

<p>Contraindicated with (B)</p> Signup and view all the answers

What adverse effect is common to both Cholestyramine and simvastatin?

<p>Rhabdomyolysis (B)</p> Signup and view all the answers

When should Nitroglycerin NOT be administered to a patient?

<p>HOLD FOR HR LESS TH (A)</p> Signup and view all the answers

When should ferrous sulfate NOT be administered to a patient?

<p>Contraindicated with (C)</p> Signup and view all the answers

Flashcards

Captopril (ACE Inhibitor)

Blocks ACE, reducing the production of angiotensin II. Used to treat hypertension.

Losartan (ARB)

Competitively inhibits angiotensin II receptors, lowering blood pressure. Used to treat hypertension.

Propranolol (Beta Blocker)

Selectively competes with beta-adrenergic receptors, lowering blood pressure and heart rate. Used to treat hypertension.

Amlodipine (Calcium Channel Blocker)

Inhibits calcium influx into vascular smooth muscle, causing vasodilation and reducing blood pressure. Used to treat hypertension.

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Doxazosin (Alpha Blocker)

Reduces peripheral resistance by blocking alpha-1 adrenergic receptors. Used to treat hypertension.

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Minoxidil (Vasodilator)

Acts directly on vascular smooth muscle, causing relaxation and vasodilation. Used to treat severe hypertension.

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Hypertension Indication

Treatment of primary hypertension, which has no known cause.

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Digoxin Action

Increases intracellular calcium, leading to increased contractility.

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Nitroglycerin Function

Dilates blood vessels, used for prevention of chest pain.

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Propranolol Action

Competitively blocks beta-adrenergic receptors, slowing the heart rate and lowering blood pressure.

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Amlodipine Function

Inhibits calcium movement reducing muscle contraction around vessels.

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Heart Failure

A syndrome that causes shortness of breath, fatigue, and fluid retention.

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Hyperlipidemia

Elevated cholesterol, triglycerides, or both in the blood.

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Statin Action

Inhibits HMG-CoA reductase to lower cholesterol.

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Cholestyramine Use

Used with statins to lower cholesterol further.

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Antiplatelets defintion

Drugs that prevent platelet aggregation.

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Anticoagulants definition

Medications that prevent the formation of blood clots.

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Thrombolytics definition

Drugs that dissolve blood clots.

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Aspirin Action

Aspirin inhibits platelet aggregation.

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How does Heparin work?

Heparin enhances antithrombin activity.

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Reteplase Action

Reteplase converts plasminogen to plasmin.

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Class of Propranolol

Block beta-adrenergic receptors.

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Indication of Digoxin

It’s for heart failure and certain irregular heartbeats.

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Indications of Losartan

Lowers blood pressure.

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Folic Acid Function

Essential for DNA synthesis and red blood cell production.

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What does ferrous sulphate accomplish?

The replacement used to treat iron deficiency.

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Function of hydroxyurea

Increases fetal hemoglobin production and dilutes abnormal hemoglobin in sickle cell anemia.

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Take iron supplements with?

Drug interactions

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What does epoetin alpha do?

Elevates the level

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What replaces ferrous sulphate?

A key element

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Dilution of B12

Essential in B12 Dilution.

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Notes on taking Iron

Take with Vitamin C.

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Study Notes

  • Antihypertensives are medication used to treat hypertension

ACE Inhibitors

  • Captopril is an example of an ACE inhibitor drug
  • ACE inhibitors are indicated for treatment of hypertension
  • They are used for essential hypertension
  • ACE inhibitors work by blocking ACE selectively

ARB (Angiotensin Receptor Blockers)

  • Losartan is an example of an ARB
  • ARBs are indicated for the treatment of hypertension
  • They are used for essential hypertension
  • ARBs Selectively Competitively

Beta Blockers

  • Propranolol (generic) is an example of a beta blocker
  • Beta Blockers are used for hypertension
  • They are used for essential hypertension
  • Beta Blockers Inhibits the

Calcium Channel Blockers

  • Amlodipine (norvasc) is an example of a calcium channel blocker
  • Calcium channel blockers are for hypertension Supraver
  • They are used for essential hypertension
  • This class Reduces to

Alpha Blockers

  • Doxazosin (generic) are examples of alpha blockers
  • Alpha blockers are indicated for the treatment of Mild to Moderate Hypertension
  • They are used for essential hypertension
  • Alpha Blockers Acts directly

Vasodilators

  • Minoxidil (generic) is an example of a vasodilator
  • Vasodilators are indicated for Severe Hypertension
  • They are used for essential hypertension
  • They act on vascular smooth to cause muscle relaxation, leading to vasodilation

Metabolic Pharmacokinetics

  • ACE Inhibitors, ARBs, Beta Blockers, Calcium Channel Blockers, Alpha Blockers and Vasodilators are all metabolized

Adverse Effects

  • ACE Inhibitors causes related to the
  • ARBs causes headaches, dizziness, anxiety, and headache
  • Beta Blockers causes headache, bradycardia
  • Alpha Blockers causes changes in blood pressure - dizziness, anxiety, and headache
  • Calcium Channel Blockers related to headache
  • Vasodilators have side effects related to the

Cautions

  • Calcium Channel Blockers interacts with grapefruit juice
  • Vasodilators Act directly on vascular smooth muscle to cause muscle relaxation,leading to vasodilatation

Cardiac Glycosides

  • Digoxin (Lanoxin) is a Cardiac Glycosides drug
  • They are used for the treatment of heart failure
  • Side effects of Cardiac Glycosides are bradycardia, headache
  • HF( Heart Failure) is a syndrome in

Nitrates

  • Nitroglycer is Nitrates
  • Nitrates are used for Prevention
  • They are indicated with CAD
  • Adverse effects includes headache

Antianginals

  • Antiangials helps restore
  • Is Related effects on c

Lipid Lowering Agents

  • Bile Acid Sequestrants and HMG-CoA Reductase Inhibitors (Statins) are Lipid Lowering Agents

HMG-CoA Reductase Inhibitors

  • Atorvastatin (Lipitor) and Simvastatin (Zocor) are HMG-CoA Reductase Inhibitors
  • HMG-CoA Reductase Inhibitors are Adjunct to diet in the treatment of elevated cholesterol, triglycerides,
  • Are used in hyperlipidemia—an increase in the level of lipids in the blood
  • They Inhibit HMG-CoA, decreases serum cholesterol levels

Drugs to treat anemias:

  • Includes Erythropies, Iron Deficiency AgentsFor, Agents For Sickle Cell Anemia
  • Treatment Replaceme

Erythropies:

  • Epoetin alf is Erythropies
  • Anemia car

Iron Deficiency Agents:

  • Ferrious suli, ferrous glu are examples of iron deficiency agents
  • Anemia car

Agents for Sickle Cell Anemia:

  • Includes Folic Acid: Folic acid ( Leucovorin , B 12 ,Hydroxoco, Cyanocoba; and Hydroxyurea (Droxia)
  • Treats Sickle Cell Anemia
  • Sickle cell disease is an inherited
  • Hydroxyurea (Droxia) increases the amount of fetal hemoglobin
  • Hydroxyurea (Droxia) Dilutes formation of the abnormal

Adverse effects

  • CNS - Headache
  • Oral - GI irrita
  • Causes Pain and di
  • Parental - irritation
  • Nasal irritation
  • Headache, dizziness, disorientation

Cautions

  • Take this agent with vitamin C
  • Sickle cell disease is characterized by a genetically inherited hemoglobin S, that gives s the RBCs sickle-shaped appearance.

Drugs Affecting Coagulation

  • Includes Platelets, Anticoagulant and Thrombolytic drugs

Antiplatelet

  • Aspirin is in this class

Anticoagulant

  • Heparin is in this class
  • Treatment is Heparin, which have Interactions with Anticoagulants, and antiplatlets

Antiplatelets treat/affect the following:

  • Acute Myocard
  • Left Ventric
  • Atrial Fibrill
  • Left Ventric
  • Prosthetic failure
  • Venous Thr

Thrombolytics

  • Reteplase (Retavase) is in this class is and is a treatment for:
  • Acute MI
  • Pulmonary Emboli
  • Ischemic Stroke
  • Thromboembolic disorders are medical condit

Action

  • Heparin Interfere with
  • Reteplase Activating plasminogen to plasmin, which in turn breaks down fibrin threads in a clot to dissolve a formed clot.
  • Inhibit plat
  • Activating plasminogen
  • Side effects include: Bleeding, Cardiac arrhythmias and Hypotension
  • Drugs used should be injected and are cleared from t

Antiplatelets

  • Interacts with Anticoagulants, antiplatelets
  • Note: Thromboembolic disorders involves the formation of thrombi resulting in decreased blood flow through igh or total occlusion of a blood vessel. These conditions are marked by the signs and symptoms of hypoxia, anoxia, or even necrosis in areas affected by the decreased blood flow. Pieces of the thrombus, called emb Doli, can break off and travel through the CV system until they become lodged in a tiny vessel, plugging it up.

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Description

This resource covers antihypertensive medications such as ACE inhibitors, ARBs, beta blockers, calcium channel blockers, and alpha blockers. It discusses their usage in treating hypertension, essential hypertension, and their mechanisms of action. Examples include Captopril, Losartan, Propranolol, Amlodipine and Doxazosin.

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