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is a hormonal system that plays a central role in the control of Na excretion and body fluid volume
renin angiotensin system
is an enzyme secreted into the blood from specialized cells that encircle the arterioles at the entrance to the glomeruli of the kidneys
renin
primary stimulus for increased renin secretion
decreased blood flow to the kidneys
decreased blood flow to the kidneys is caused by (2)
loss of sodium and water
narrowing of a renal artery
promotes secretion of aldosterone
andiotensin II
other name of aldosterone
anti diuretic hormone
stimulates salt and water reabsorption by the kidneys and the constriction of small arteries which may cause increase in BP
aldosterone
less potent but significant regulatory effect on sodium excretion by the renal tubules
angiotensin 3
4 major types of drugs that act on the renal system
ACE inhibitor
Angiotensin II blockers
renin inhibitor
aldosterone antagonist
agents of choice for heart failure
ACE inhibitor
drugs that block the enzyme that cleaves angiotensin 1 to form the potent vasoconstrictor angiotensin 2
ACE inhibitor
receptor antagonists at the mineral corticoid receptor
aldosterone antagonist
results of aldosterone antagonist (2)
interferes with sodium/potassium exchange
reducing urinary potassium secretion
fomula for BP
BP = CO X TPR
agents that block aldosterone that may be used in the management of hypertension of HF
spironolactone (BN)
eplerenone (BN)
Author
klerandi
ID
297151
Card Set
renin
Description
scifna/
Updated
2015-03-01T06:39:20Z
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