Beta-blockers. Atenolol. Propranolol. Bisoprolol. Metoprolol. Labetalol. Carvedilol.

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1 Drugs of CVS

2 Beta-blockers Atenolol. Propranolol. Bisoprolol. Metoprolol. Labetalol. Carvedilol.

3 Atenolol.cardioselective

4 Propranolol, nonselective

5 Bisoprolol, cardioselective

6 Metoprolol

7 Carvedilol, alpha and beta blocker

8 Labetalol. Alpha and beta blocker

9 Beta blockers Drug Atenolol Bisoprolol Carvedilol. Metoprolol. Labetalol Propranolol Duaration Varies 8-12 oral, 5.5 IV 6-12 Doses 50, , 5, , 12.5, 25 50, , 40, 80

10 Angiotensin converting enzyme inhibitors. Captopril. Enalapril. Lisinopril. Adverse effects: Dry cough and hyperkalemia. Angioedema rare but fatal

11 Captopril Capocard, capoten, midopril.

12 Enalapril Lapril. Angiotec. Renitec. Vasopril.

13 Lisinopril Zestril. Inopril.

14 ACE inhibitors doses Captopril 2 hr (half-life) 25, 50 Lisinopril. 24 duaration 5, 10 Enalapril. 24 duaration 5, 10, 20

15 Angiotensin receptor blockers Losartan. Valsartan. Candesartan. Mechanism of action: block the angiotensin II receptors

16 Losartan Cozaar. Lacine.

17 Valsartan Diovan. Arbiten.

18 Candesartan, Atacand. Bloopress.

19 ARBs Losartan Valsartan. Candesartan.

20 Calcium channel blockers Verapamil. Deltiazem. Amlodipine. Nicardipine. Felodipine. Nifedipine. Block calcium channels which lead to relaxation of smooth muscles (vasodilation)

21 Isoptin. Verapamil

22 Deltiazem Delzime. Teldim.

23 Amlodipine Lowvasc. Norvasc. Amlocard. Myodipine.

24 Adalat Nifedipine

25 Fendol. Felodipine

26 CCBs Verapamil. Deltiazem. Nifedipine. Felodipine. Amlodipine.

27 Direct vasodilators Hydralazine. Sodium nitroprusside. Nitroglycerin. Isosorbide dinitrate. Isosorbide mononitrate.

28 Digoxin Used to treat HF and arrythmia Mechanism of action: inhibits sodium/potassium pump and increaes intracellular sodium, decreasing calcium expulsion and increasing cardiac contractility.

29 Lidocaine. Antiarrythmic drug Belong to group one Block sodium channels in abnormal tissues more than normal tissues. Iv, IM routes 2 hours duration

30 Adenosine. Antiarrythmic drug IV only Duration: seconds.

31 Diuretics Furosemide. Mannitol. Acetazolamide. Amiloride. Spirnolactone. Hydrochlorothiazide. Indapmide.

32 Furosemide. Lasix. Loop diuretics. Cause hypokalemia

33 Mannitol. Osmotic diuretics. Used to treat increased intracranial pressure and cerebral edema

34 Acetazolamide. Carbonic anhydrase inhibitors. Used to treat glucoma.

35 Amiloride. Potassium-sparing diuretics. Inhibit sodium influx through ion channels in the cortical collecting tubule.

36 Spirnolactone. Potassium-sparing diuretics. Direct pharmacologic antagonism of mineral corticoid receptors.

37 Hydrochlorothiazide. Thiazide diuretics. Inhibit sodium and chloride resorption from distal convoluted tubule.

38 Indapamide. Thiazide-like diuretics. Inhibit sodium and chloride resorption from distal convoluted tubule.

39 Heparin. Anticoagulant. Accelerate antithrombin action. Unfractionated heparin.

40 Enoxaparin. Anticoagulant. Low molecular weight heparin. 30 mg twice daily or 40 mg once daily Given SC.

41 Tinzaparin. Anticoagulant. Low molecular weight heparin. Given SC. Given twice or once daily.

42 Lepirudine. Direct thrombin inhibitors. Given parentrally. Can be used in heparin-induced thrombocytopenia.

43 Warfarine. Anticoagulant. Inhibit synthesis of vitamin K. Prothrombin time PT. International normalized ratio INR.

44 Aspirin. Antiplatelet. Prevent thromboxin factor synthesis.

45 Clopidogrel. Antiplatelet. Irrriverable blocking the ADP receptor on platelet.

46 Abciximab. Antiplatelet. Block of platelet glycoprotein IIb/IIIa receptors.

47 Tirofiban. Antiplatelet. Block of platelet glycoprotein IIb/IIIa receptors.

48 Alteplase. Fibrinolytic agents. Tissue plasminogen activator.

49 Streptokinase. Fibrinolytic drugs. Catalyzes the conversion of inactive plasminogen to active plasmin.

50 Aminocaproic acid. Chemically similar to amino acid lysine. Synthetic inhibitor of fibrinolysis. Competitively inhibits plasminogen activation. Orally. 6 g four times daily. Also administered IV. Adjunctive therapy in hemophilia.

51 Tranexemic acid. Analog to aminocaproic acid.

52 Antilipimic drugs Simvastatin. Rosuvastatin. Atorvastatin. Gemfibrozil. Ezetimibe.

53 Statins HMG-CoA reductase inhibitors. Simvastatins:

54 Fibric acid derivatives. Gemfibrozil.

55 Ezitimibe. Cholesterol absorption inhibitor

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