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Pharmacology Drugs that Affect the Cardiovascular System
Topics ,[object Object],[object Object],[object Object],[object Object]
Cardiac Function ,[object Object],[object Object],[object Object],[object Object]
Adequate Amounts of ATP ,[object Object],[object Object],[object Object],[object Object]
Adequate Amounts of Calcium ,[object Object]
Coordinated Electrical Stimulation ,[object Object],[object Object],[object Object],[object Object],[object Object]
A.P. SuperHighway ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Electrophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Fast Potential -80 -60 -40 -20 0 +20 RMP -80 to 90 mV Phase 1 Phase 2 Phase 3 Phase 4 controlled by Na + channels =  “fast channels”
Fast Potential ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cardiac Conduction Cycle
Slow Potential -80 -60 -40 -20 0 Phase 4 Phase 3 dependent upon Ca ++  channels =  “slow channels”
Slow Potential ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cardiac Pacemaker Dominance ,[object Object],[object Object],[object Object],[object Object]
Cardiac Pacemakers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Potential Terms APD ERP RRP relative  refractory period effective refractory period action potential duration
Dysrhythmia Generation ,[object Object],[object Object],[object Object],[object Object]
Dysrhythmia Generation ,[object Object],[object Object],[object Object],[object Object]
Reentrant Circuits
Warning! ,[object Object],[object Object]
AHA Recommendation Classifications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vaughn-Williams Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Class I: Sodium Channel Blockers ,[object Object],[object Object],[object Object],[object Object]
Class Ia Agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Class Ib Agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Class Ic Agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Class II: Beta Blockers ,[object Object],[object Object],[object Object],[object Object],[object Object]
Class II: Beta Blockers ,[object Object],[object Object],[object Object]
Class III: Potassium Channel Blockers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Class IV: Calcium Channel Blockers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Misc. Agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Misc. Agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pharmacology Antihypertensives
Antihypertensive Classes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Blood Pressure = CO X PVR ,[object Object],[object Object]
BP = CO x PVR Key: CCB = calcium channel blockers CA Adrenergics = central-acting adrenergics ACEi’s = angiotensin-converting enzyme inhibitors cardiac factors circulating volume heart rate contractility 1. Beta Blockers 2. CCB’s 3. C.A. Adrenergics salt aldosterone ACEi’s Diuretics
BP = CO x PVR Peripheral Sympathetic Receptors alpha   beta 1. alpha blockers  2.  beta blockers Local Acting 1. Peripheral-Acting Adrenergics Hormones 1. vasodilators 2. ACEI’s 3. CCB’s  Central Nervous System 1. CA Adrenergics
Alpha 1  Blockers ,[object Object],[object Object],[object Object],[object Object],[object Object]
Central Acting Adrenergics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Peripheral Acting Adrenergics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adrenergic Side Effects ,[object Object],[object Object],[object Object],[object Object],[object Object]
ACE Inhibitors  Angiotensin I ACE Angiotensin II 1. potent vasoconstrictor - increases BP 2. stimulates Aldosterone - Na +  & H 2 O reabsorbtion . RAAS
Renin-Angiotensin Aldosterone System ,[object Object],[object Object],[object Object],[object Object]
ACE Inhibitors ,[object Object],[object Object],[object Object],[object Object]
Angiotensin Converting Enzyme Inhibitors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Calcium Channel Blockers ,[object Object],[object Object],[object Object],[object Object]
CCB Site of Action diltiazem & verapamil nifedipine  (and other dihydropyridines )
CCB Action ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Side Effects of CCBs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Calcium Channel Blockers ,[object Object],[object Object],[object Object]
Diuretic Site of Action . loop of Henle proximal tubule Distal tubule Collecting duct
Mechanism ,[object Object],[object Object],[object Object],[object Object],[object Object]
Side Effects of Diuretics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diuretics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mechanism of Vasodilators ,[object Object],[object Object]
Side Effects of Vasodilators ,[object Object],[object Object],[object Object],[object Object],[object Object]
Vasodilators ,[object Object],[object Object],[object Object],[object Object]
Pharmacology Drugs Affecting Hemostasis
Hemostasis ,[object Object]
Platelet Adhesion
Coagulation Cascade ,[object Object],[object Object],[object Object],[object Object]
Platelet Inhibitors ,[object Object],[object Object],[object Object],[object Object]
Aspirin ,[object Object],[object Object]
GP IIB/IIIA Inhibitors GP  II b/ III a Inhibitors Fibrinogen GP  II b/ III a Receptor
GP IIB/IIIA Inhibitors ,[object Object],[object Object],[object Object]
Anticoagulants ,[object Object],[object Object],[object Object],[object Object]
Heparin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Heparin ,[object Object],[object Object],[object Object],[object Object],[object Object]
warfarin (Coumadin ® ) ,[object Object],[object Object],[object Object],[object Object]
Thrombolytics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Occlusion Mechanism
tPA Mechanism
Cholesterol Metabolism ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lipoproteins ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why We Fear Cholesterol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why We Fear Cholesterol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lipid Deposition
Thrombus Formation
Platelet Adhesion
Embolus Formation
Occlusion Causes Infarction
Antihyperlipidemic Agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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