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Ch. 28 BP
BP drugs
| Question | Answer |
|---|---|
| Role of Renin-Angiotensin-Aldosterone System | Renin produces Angiotensin 1 which is inactive until converted to Angiotensin 2 by ACE inhibitor. Angiotensin 2 stimulates the production of Aldosterone which increases the retention of H2O and Na which in turn increases the circulating volume. The increa |
| Lotensin | ACE inhibitor |
| Cardura | An alpha-1 blocker which causes vasodilation of retention and capacitance cells, thus, decreasing BP mainly diastolic. First-dose effect is orthostatic hypotension. Alpha-1 blockade causes increase in urine flow rate due to the relaxation of the smooth mu |
| Drugs for hypertensive crisis | Nitroprussidde Nitropress, Diaxozide Hyperstat IV, Phentolamine Regitine |
| Effect of Diuretics in BP | Promotes excretion of H2O and Na, decreasing circulatory volume, decreasing peripheral resistance, decreasing BP. Low-dose thiazide plus beta blocker and calcium channel blocker controls BP. Diuretics increase the efficacy of other antihypertensives. |
| Vasopressors | Increases BP in hypovolemic shock to help support tissue perfusion. |