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pharm 4 moa
| Question | Answer |
|---|---|
| procainamide, quinidine | stabilize ventricular fibrillation |
| lidocaine, propafenone | stabilize atrial and ventricular afibrillation |
| flecainide | stabilize atrial fibrillation |
| adenosins | activates adenosine receptors (give fast) |
| digoxin | increase intracellular pressure |
| esmolol, propranolol | decrease hr, excitability, contractability |
| amiodarone, dofetilide, sotalol | blocks potassium channels which prolong action potential |
| diltiazem, veramapil | cardiac depressant |
| hydrochlorothiazide, metolazone | blocks chloride pump, keeping sodium and chloride in the distal convoluted tubule |
| bumetanide, furosemide | blocks chloride pump, keeping sodium and chloride in the loop of henle (may need k supplrements) |
| acetazolamide | slow movement of hydrogen ions, increasing sodium and bicarbonate loss in urine |
| spironolactone | lodd of sodium and water but keeps potassium |
| mannitol | increased osmotic pull in renal tube to increase fluid excretion (must bi given iv through filter) |
| fosfomycin, nitrofurantoin, trimethoprim-sulfamethoxazole | 1-time dose with unpleasant gi effects and incomplicated cystitis |
| oxybutynin, tolterodine | anticholinergic (dry mouth) |
| mirabegron | b3 agonist |
| phenazopyridine | pain relief with uti or trauma to bladder (red-orange tint) |
| pentosan polysulfate sodium | coats bladder (monitor coagulation) |
| doxazosin, prazosin, tamsulosin, terazosin | dilutes and relaxes ( - htn, tam - kidney stone) |
| dutasteride, finasteride | blocks enzyme that converts testosterone |
| cholestyramine, colesevelam, colestipol | binds with bile acids to be excreted in stool (may need fat-soluble vitamin supplements) |
| atorvastatin, rosuvastatin, simvastatin | decreased cholesterol production and LDL's in blood |
| ezetumibe | decreases absorption in small intestine |
| evolocumab | monoclonal antibody that binds to receptor and recycles it |
| fenofibrate, gemfibrozil | stimulates breakdown and removal of lipoproteins |
| vitamine b3 | decrease free fats circulating |
| omega-3 fatty acids | decrease liver enzyme which increases bleeding time |
| digoxin | stronger, slower, more efficient pump |
| milrinone | stronger contraction and prolongs effect of sympathetic stimulation |
| ivabradine | slows SA node to decrease hr which allows for ventricular filling |
| valsartan | binds to all receptor and blocks smooth muscle contraction and aldosterone |
| sacubitril | blocks breakdown of natriuretic peptide which increases sodium and water loss |
| isosorbide dinitrate, isosorbide mononitrate, nitroglycerin | increases coronary flow and decreases cardiac workload |
| nadolol, nebivolol, propranolol, sotalol | decreases hr, contractibility, excitability |
| diltiazem, verapamil | cardiac depressant |
| ranolazine | decreases myocardial workload whihc results in better perfusion |
| benazepril, captopril, enalapril, lisinopril | stops angiotensin 1 from becoming angiotensin 2 |
| losartan, valsartan | blocks smooth muscle and aldosterone |
| aliskiren | inhibits renin |
| amlodipine, nicardipine, nifedipine | blocks muscle cell contraction |
| diltiazem, verapamil | cardiac depressant |
| hydralazine, nitroglycerin, nitroprusside | muscle relaxation |
| hydrochlorothiazide, chlorthalidone, metolazone | excretes sodium and chloride |
| spironolactone | keeps potassium |
| beta blockers | decreases hr, contractibility, excitability |
| alpha- and beta-blockers | rest and digest, decrease bp |
| alpha-blockers | decreases |
| alpha2 - agonists | decrease bp |
| dobutamine, dopamine, epinephrine, norepinephrine, phenylephrine | increases bp, strengthens cardiac contraction |
| midrodrine | activates alpha to increase vascular tone |
| droxidopa | vasocontracts |