click below
click below
Normal Size Small Size show me how
Stack #185898
| Question | Answer |
|---|---|
| Hyperlipidemia & disease states it causes... | Coronary artery disease |
| Where are lipoproteins synthesized? | found in the plasma--transport Triglys & Cholesterol. Syth in intestinal mucosa and liver. |
| Know comp of lipoproteins | IN terms of: Triglys: CH>VLDL>LDL>HDL Protein: HDL>LDL>VLDL>CH Cholesterol: LDL>HDL>VLDL>HDL |
| MOA of Gemfibrozil | Inhibits VLDL synth and increases lipoprotein lipase activity. Lipoprotein lipase stops production of cholesterol in the liver. |
| MOA of Lovastatin | HMG-CoA reductase inhibitor (produces cholesterol in the liver) |
| MOA Cholestraymine | Decreases LDL-Resins that to (-) charged bile acids in the small intestines complex is excreted in the feces. |
| SE if Niacin | fluching/itching |
| Eg of a HmG CoA reductase inhibitor: | Simvastatin, Lovastatin |
| What occurs in the clotting cascade: | St.1: 2 pathways come to the same point: Create/activate factor10-->10A-->prothrombinase St.2: Prothrombinase converts prothrombin to thrombin St. 3: Thrombin--> converts fibrinogen to fibrin=clot. |
| Where does Heparin work on the clotting cascade? | Intrinsic pathway-complexes with naturally occurring antithrombin 3 to enhance its activity. *Protamine is the anitdote. |
| How does warfarin work? | Blood thinner. Prevents DVT, PE and MI. Mimics VK causes body to make abnormal clotting factors. Will lead to excessive bleeding. Low VK foods/no NSAIDS. |
| Low molecular weight Heparins do what? | Accelerates the inhibition of factor 10A. Used to prevent and treat thromboembolisms. Advantages compared to heparin: Long 1/2 life, better SC availibility, home use, reduced monitoring |
| Thrombolytics | Degrades clots that are already formed. Streptokinase-MOA activates plasminogen to plasmin. Also inhibits the formulation of fibrin. |
| Class of Clopidogrel? | Antithrombotic "Plavix" MOA inhibits ADP induced platelet aggregation. |
| How to anticoagulants work? | They inhibit coagulation by antagonizing Vit K in the synthesis of Prothrombin and factors 7,9, and 10 in the liver. (extrinsic) |
| Know the different classes of anticoagulation drugs? | Thrombolytics-clot busters Antithrombotics-Prevent platelet agregation Anticoagulants-Mimics VK |
| Define COPD | COPD-Chronic obstructive pulmonary disease. Obstruction in the respiratory tract. Fibrotic changes in the in the lining of the lungs. No cure |
| Define Emphysema | destruction of the alveolar walls causing holes in lungs. No cure |
| Which system effects GMP & cAMP? | SNS activates stimulation of cAMP PNS activates stimulation of cGMP |
| Theophylline | Xanthine compound found in coffee, tea, cocoa. INhibits an intracellular enzyme Phosphodiesterase. Results in increased levels of cAMP = Broncholdilation |
| Cromolyn sodium | INtereres with the antigen/antibody rxb to release mast cell mediators. Prophylactic-not a bronchodilator. for asthma |
| Mucolytics | chem agents that liquefy bronchial mucus. Acetylcysteine. |
| Expectorants | agents that stimulate the production of respiratory secretions, which then decrease the irritation and cough caused by dryness of the airways . OUtput of respiratory secretion s increased and cough is suppressed. |
| Beta agonists | adrenergic drugs that selectively stimulate the B2 receptors. Eg. albuterol/salmeterol |
| Corticosteroids | for acute inflammation & allergic conditions. MOA inhibit the inlfammatory response that occur in the respiratory airways. |
| What agents stimulate the parietal cell to produce acid? | Gastric acid secretion is stimulated when food enters the stomach--> more acid is secreted by the acid hormone gastrin--> stimulates parietal cells to produce acid. G, ACH. Histamine enter Parietal cell receptors to produce acid. |
| Which drugs are considered GI stimulants? | For treatment of GERD. Metoclopromide-MOA induce contraction in the upper GI tract. Prevents reflux in the esophagus. other MOA: stimulates contraction of the lower esophageal sphincter. |
| Factors that create ulcers | emotional stress, smoking, spicy foods, bacteria, alcohol |
| how do antispasmotics work | For abdominal cramping. Don't exhibit ACH activity. They are used for their ability to relax intestinal smooth muscle. If this works--the cause is emo stress. Dicyclomine |
| How do antacids work? | Pain reliever. MOA neutralized gastric activity. Reacts with hydrochloric acid to form H2O and salt. The H+ ions are used to form water gastric acidity decreases & the pH of the stomach juices increase. |
| name 2 types of ulcers | Duodenal ulcers-food relieves painq Gastric ulcers-food exacerbates pain |
| What are H2 blockers? | H2 blockers-block H2 receptors to prevent activation of parietal cell. |
| Cimetadine/Famotadine | H2 Blockers |
| Sucralfate | "stomach band-aid" Neither an antacid nor an antisecretory drug. Liquid/tablet/suspension. MOA enhances mucosal defense by a local action at the site of the ulcer. |
| Kaolin/pectin | absorbent to treat simple diarrhea |
| Bella donna alkaloids | Anti ACH simple diarrhea |
| Loperimide | Narcotic derivative simple diarrhea |
| Opiates | opium Simple diarrhea |
| How do stimulant laxitives work? Who should not use them? | Directly irritate the mucosal lining of the intestines. Ulcer pts? |