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Cardiovascular System: RAAS Medications - ACE Inhibitors & ARBs

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77 Questions

Which medication class is known for preventing calcium from entering cells, resulting in decreased heart rate and myocardial contraction?

Calcium Channel Blockers

Which medication class is primarily used for the treatment of hypertension and angina pectoris?

Vasodilators

Which medication is associated with adverse effects such as headaches, drowsiness, flushing, fatigue, dizziness, and edema?

Amlodipine

Which medication is particularly used in severe hypertension but has potential serious side effects?

Minoxidil

Which medication class is known for increasing the force of contraction, slowing conduction, and increasing the refractory period of the heart?

Cardiac Glycosides

What is the mechanism of action of Angiotensin Converting Enzyme Inhibitors (ACE Inhibitors)?

Blocking access to receptors in blood vessels

What is a common side effect of Angiotensin Receptor Blockers (ARBs) according to the text?

Dry irritating nonproductive cough

How do Angiotensin Receptor Blockers (ARBs) differ from Angiotensin Converting Enzyme Inhibitors (ACE Inhibitors)?

They have similar effects but do not inhibit Kinase II

Which condition are Angiotensin Converting Enzyme Inhibitors (ACE Inhibitors) NOT proven to decrease the risk of according to the text?

Asthma

What is a key consideration when administering the first dose of Angiotensin Converting Enzyme Inhibitors (ACE Inhibitors) especially if the patient is on a diuretic?

Lowering the initial dose or stopping the diuretic 2-3 days prior

What is a unique adverse effect associated with quinidine?

Lupus-like syndrome

What is the specific first-line use of quinidine in the African American population?

Hypertensive crisis intervention

What is a common early sign of toxicity associated with quinidine that should be monitored?

Anorexia

Which drug works directly on smooth muscle to promote vein dilation and decrease oxygen demand?

Nitroglycerin

Why is it important to handle nitroglycerin carefully, avoiding light, heat, or moisture?

To maintain its explosive properties

What is the specific use of captopril?

Treatment of heart failure and nephropathy

Which drug category can cause rebound hypertension if stopped abruptly?

ACE inhibitors

What effect does aliskirin have on the Renin-Angiotensin-Aldosterone System (RAAS)?

Suppresses the entire RAAS cascade

Which drug is a selective aldosterone receptor blocker with fewer side effects than spironolactone?

Eplerenone

For which condition is lisinopril specifically used?

Hypertension and heart failure

What is the term for a solution with the same concentration as plasma?

Isotonic

Which part of the nephron is responsible for early reabsorption of sodium and chloride?

Loop of Henle

What is the main function of diuretics in the body?

Enhance sodium and chloride secretion

Which diuretic is considered less potent and more suitable for outpatient use?

Hydrochlorothiazide

What is the action of diuretics like furosemide on sodium and chloride in the body?

Block reabsorption

Which term refers to the condition of decreased urine output?

Oliguria

What effect does blocking Na and Cl reabsorption have on urine excretion?

Increases urine production

What is the mechanism of action of spironolactone in the context of diuretics?

Inhibits the Na-K pump leading to increased potassium retention

Which adverse effect is unique to loop diuretics like furosemide compared to other diuretics mentioned?

Ototoxicity

What is a common adverse effect experienced with triamterene, another potassium-sparing diuretic?

Dizziness

How does mannitol, an osmotic diuretic, differ from loop and potassium-sparing diuretics in terms of its mechanism of action?

Creates an osmotic force without affecting Na and K

Which diuretic is known for reducing intracranial pressure and intraocular pressure as part of its therapeutic uses?

Mannitol

What electrolyte imbalance is specifically associated with loop diuretics like furosemide?

Hypokalemia

Which drug interaction concern is unique to spironolactone among the mentioned diuretics?

Increased risk of digoxin toxicity due to potassium depletion

What caution should be exercised when administering triamterene related to its side effects?

Renal or hepatic disease caution due to differing drug onset times

What is the term for a solution that has a greater concentration than plasma?

Hypertonic

Which medication is used to treat high potassium levels by avoiding foods or medications containing K?

Sodium polystyrene sulfonate

In the context of fluid volume excess therapy, what is the primary effect of diuretics on Na and Cl reabsorption?

Decrease Na and Cl reabsorption

What is the main classification of diuretics that blocks Na and Cl in the loop of Henle and distal convoluted tubule?

Thiazide diuretics

Which term refers to a condition characterized by abnormally low urine output?

Oliguria

What percentage of water reabsorption occurs in tubular secretion?

99%

Which term describes a solution with a concentration less than that of plasma?

Hypotonic

What is the mechanism of action of spironolactone as a diuretic?

Blocks aldosterone receptors

Which electrolyte imbalance is NOT commonly associated with spironolactone use?

Hypokalemia

What is the unique adverse effect of triamterene among the mentioned diuretics?

Endocrine effects

Which drug interaction concern is common to triamterene and spironolactone as potassium-sparing diuretics?

Electrolyte imbalances

How does mannitol differ in mechanism of action compared to loop and potassium-sparing diuretics?

Creates osmotic force

Which condition is NOT listed among the therapeutic uses of loop diuretics like furosemide?

Hyponatremia

What is a common adverse effect of loop diuretics like furosemide that sets them apart from potassium-sparing diuretics?

Hypokalemia

What is the primary site of sodium absorption and diuretic action in the kidneys?

Loop of Henle

Which term describes a condition of abnormally low urine output?

Oliguria

What is the mechanism through which diuretics like furosemide impact urine excretion?

Increasing Na excretion

Which diuretic is less potent and more suitable for outpatient use?

Hydrochlorothiazide

What is the term for a solution that has a concentration greater than that of plasma?

Hypertonic

In the context of diuretics, what does the term 'nephron' primarily refer to?

Reabsorption process

What is the main classification of diuretics that blocks sodium and chloride in early reabsorption within the loop of Henle?

Potassium-sparing diuretic

Which electrolyte imbalance is NOT commonly associated with loop diuretics like furosemide?

Hyperkalemia

What is a common adverse effect associated with the potassium-sparing diuretic spironolactone?

Hyperkalemia

What is a unique adverse effect of triamterene among the mentioned diuretics?

Hyperkalemia

What electrolyte imbalance is specifically associated with spironolactone use?

Hyperkalemia

What is a common adverse effect experienced with mannitol, an osmotic diuretic?

Headache

What caution should be exercised when administering triamterene related to its side effects?

Electrolyte monitoring

Which drug interaction concern is common to triamterene and spironolactone as potassium-sparing diuretics?

Digoxin toxicity

What is the mechanism of action of spironolactone as a potassium-sparing diuretic?

Inhibiting the Na/K exchange directly

Which medication is known for reducing intracranial pressure and intraocular pressure among the listed diuretics?

Mannitol

What electrolyte imbalance is specifically associated with loop diuretics like furosemide?

Hypokalemia

Which diuretic directly inhibits Na/K exchange, causing side effects such as dizziness, headache, and diarrhea?

Triamterene

What is a unique endocrine effect associated with triamterene among the mentioned diuretics?

Endocrine effects

Which electrolyte imbalance is NOT commonly associated with spironolactone use?

Hypokalemia

What is a common adverse effect experienced with mannitol, an osmotic diuretic?

Headache

Which term describes a condition of abnormally high urine output?

Polyuria

What electrolyte imbalance is specifically associated with the use of sodium polystyrene sulfonate or dialysis for treating high potassium?

Hyperkalemia

Where does urine formation primarily involve filtrations, reabsorption, and tubular secretion?

Kidneys

What is the most suitable diuretic for outpatient use due to being less potent compared to others?

Hydrochlorothiazide

Which term refers to a solution that has a greater concentration than plasma?

Hypertonic

What effect does blocking Na and Cl reabsorption have on urine excretion?

Increases urine excretion

Which classification of diuretics blocks Na & Cl in the early reabsorption in the loop of Henle and distal convoluted tubule?

Thiazide diuretic

Study the Renin-Angiotensin-Aldosterone System (RAAS) medications including Angiotensin Converting Enzyme Inhibitors and Angiotensin Receptor Blockers. Learn about the mechanisms of action which involve reducing angiotensin II levels, dilating blood vessels, and their effects on receptors and bradykinins.

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