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pharm-cardio
| Question | |
|---|---|
| MOA of Thiazide Diuretics i.e. Hydrochlorothiazide | Inhibition of NA-Cl cotransporter in the early distal segment of the loop of henle. Also inhibition of the Ca-Mg antiport. Stimulation of RAAS pathway |
| Why does a THIGH belong to a HEN? | The clnical uses of thiazides are Hypertension, Edema (cardiogenic, nephrogenic, or hepatogenic) Nephrolithiasis (calcium), osteoporosis in pt |
| MOA of Thiazide Diuretics i.e. Hydrochlorothiazide | Inhibition of NA-Cl cotransporter in the early distal segment of the loop of henle. Also inhibition of the Ca-Mg antiport. Stimulation of RAAS pathway |
| Why does a THIGH belong to a HEN? | The clnical uses of thiazides are Hypertension, Edema (cardiogenic, nephrogenic, or hepatogenic) Nephrolithiasis (calcium), osteoporosis in pts w/hypercalciuria. Nephrogenic diabetes insipidus (what a hydro-closing thiazide! |
| Thiazide side effects | HypoNatremia, chloremia, tension, volume depletion. HypoKalemic metabolic alkalosis. HYPER-Ca, Mg, uricemia, glycemia, lipids, sensitivity. |
| What is the nonpharmacoloigcal approach to HTN | weight loss, reduction of NA intake , increase aerobic exercise, moderate consumption of alcohol |
| What is the pharmacotherapy approach to HTN? | diuretics, sympatholytic drugs, Ca channel blockers, ACE inhibitors and ARBS, vasodilators |
| What are the 3 types of diuretics | Thiazides, loop diuretics, K sparing agents |
| What diuretic has a side effect of torsades de pointes? | Benzothiadiazines |
| What are the K sparing diuretics? | Spironolactone, Triamterene, amiloride |
| Inhibit NA-Cl pump | thiazides |
| Inhibit NA channels on luminal membrane | Triamterene and Amiloride |
| Adverse effects of BB for HTN | with Avoided in asthmatic pts, pts with av nodal dysfunction. use with caution in diabetic |
| MoA for ACEI | Inhibit the production of ANG II. Blunt the effect of aldosterone. Enhance the effectsof diuretics. Help to prevent K wasting especially when used with K sparing agents. |
| MoA for ARBS | Relax smooth muscle. Increase renal salt and water excretion. Decrease cellular hypertrophy. |