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Exam (elaborations)

Cpps 306 Final Questions With Complete Answers

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CPPS 306 FINAL QUESTIONS WITH COMPLETE ANSWERS

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- enhance renal blood flow
- block tubuloglomerular feedback (inhibit salt transport into macula densa)
- stimulate renin release


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loop diuretics effect on renal hemodynamics

,- DPP4 inhibitiors admin oral, GLP1 agonists injected
- GLP1 injected because its a peptide, which is destroyed in stomach + too large to
cross membranes (unless you have carrier)


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PK of incretins




response of the heart to changes in BP, maintains the set point of BP (high or low,
specific to the individual)


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baroreceptor reflex




- hypertension
- edema and ascites of hepatic cirrhosis
- chonric congestive heart failure
- hypercalcemia (when combined wwith isotonic saline)
- induce forced diuresis in drug overdose


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uses of loop diuretics




inhibits steps in the immune/inflammation pathways to treat ulcerative colitis, and has
modest benefit in Chron's disease

,adverse affects due to sulfapyridine - intestinal nephritis, allergic rxns, hepatitis,
pneumonitis, bone marrow suppression, etc etc


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mesalamine (drugs for IBD)




- low glucose
- fasting
- exercise
- somatostatin
- alpha adrenergic agonists


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factors that inhibit insulin release




block NK1 receptor for substance P in subthalamic nucleus


used in the delayed phase of chemo nausea/vomiting in patients recieving multiple
cycles of chemo


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substance P receptor antagonists as antiemetics




decreased plasma renin activity, Ang I, ANg II, aldosterone

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compensatory effects of renin inhibitors




- RAAS: preferred in young patients


- Ca blockers: preferred in older and black patients


- combination therapy often useful


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how to choose what antihypertensive drug to use




drugs that inhibit platelet function


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antiplatelet agents




class 1A Na+ ch blocker, preferentially binds to open state of channel.


treats supracentricular and ventricular arrhythmias


may cause lupus-like syndrome


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