- Classifications 2
- Measurement of CBF
- Fick principle (Katy-schmit)
- Radioactive 133Xe
- Positron emission
- TCD
- Indwelling oximetric catheters
- Jugular bulb catheterisation
- Antihypertensives
- Centrally acting
- E.g. Clonidine, reserpine, methyldopa
- Acting on the heart and vasculature
- β-blockers
- Non-selective (eg timolol, sotolol)
- Selective (eg bisoprolol, atenolol, metoprolol)
- α-blockers
- ACE(i)
- ATIIRA
- Calcium channel blockers
- Nitrates/SNP
- K+ channel activators
- Hydralazine
- Acting on the kidney
- Diuretics
- Direct renin inhibitors
- Cardiac output measurement
- Invasive
- PA catheter
- Thermodilution
- PICCO
- Dye dilution
- Semi-invasive
- Non-invasive
- Transthoracic doppler
- MRI
- Thoracic impedance
- Ballisticocardiography
- NMJ blockers
- Drugs preventing ACh synthesis
- Drugs preventing ACh release
- Aminoglycosides, botulinum
- Drugs depleting ACh stores
- Drugs blocking ACh receptors
- NMJ monitoring devices
- Mechanical force transducers
- Accelerometers
- EMG
- Drug interactions
- Physical/pharmaceutical
- Outside the body
- Inside the body
- Penicillamine in Wilson's disease
- Pharmacodynamic
- Direct
- Flumazinil & BDZ, opiates & naloxone
- Indirect
- Neostigmine & reversal of NMBDs
- Pharmacokinetic
- Absorption
- Charcoal, metoclopramide, muscarinic antagonists
- Distribution
- Reduced c.o. By beta blockers reduces speed of absorbed drug reaching site, or drugs displacing others protein binding
- Metabolism
- Elimination
- Drug actions
- Physicochemical
- E.g. Antacids, mannitol, charcoal, chelating agents
- Enzyme inhibitors
- Receptors
- Altered ion permeability
- Ionotropic glutamate (NMDA)
- Ionotropic purinergic (PX1/2)
- Pentameric (ACh)
- Intermediate messangers
- GPCR (beta agonists, opiates)
- Tyrosine kinase (insulin, GF)
- Guanyl cyclase (eg NO/ANP)
- Regulation of gene transcription (eg cytoplasmic receptors)
- Vaughan-Williams Classification
- Class 1
- Ia
- Disopyramide, quinidine, procainamide
- Double Quarter Pounder, Lettuce & Pickles, Fries
- Ib
- Ic
- Class 2
- Class 3
- Class 4