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what is unique about nitrates? |
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when metabolized what do nitrates release |
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no vasodilation occurs by decreasing intracellular- and dephosphoryltaitng _ |
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low doses of nitrates dilate veins or arteries? what is the overall BP reduction? |
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high doses of nitrates can cause? |
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hgih doses of nitrates cause venous _ adn decreased aretery _ |
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to work on coronary blood flow what dose of nitratres is needed? |
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low to mod dose of nitrates: dilate the _ dont impair decreases _ |
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epicardial vessels autoregulation in small vessels BP |
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if nitrates dilate these vein it can imporve coronary microcirculation |
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Nitrates can increase blow flow to the _ |
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what is the primary antianginal affect of nitrates? -2 |
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decrease venous return decrease O2 demand |
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what does NO do to plateltes? |
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repeated high doses of nitrates can lead to- |
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Most common ADE of nitrates? what are others-3 |
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Definition
headache; rash, dizziness, orthostatic hypotension |
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nitrate + PDE5 inhibitor causes severe- why? |
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Definition
hypotension inhibit the degredation of cGMP |
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which isosorbide can be oral or sublingual |
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sublingual NTG has faster_ but less _ than oral |
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dose for isosorbide mononitrate |
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dose for isosobide dinitrate |
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dose for NTG Sublingual for oral |
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ALL nitrates have a large what- |
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all nitrates but _ have short half life and fast cleareance -2 |
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Definition
isorbide mononitratre NTG Patch |
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highest conc of nitrate seen thru what admin? lowest seen thru? |
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sublingual NTG used for- 2 |
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angial attack before exercise |
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clinic for better control |
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what admin of NTG is used for long term?- 3 |
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chewable, oral, trnasdermal |
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Beta blockers for these disease target what receptor? |
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blocking B1 recpotr decreases what? |
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in what type of disease does ebta blocker imrpove mortality |
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DHP-CCBs cause what to O2? how? |
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increase in supply vasodilation, decrease PR |
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Definition
1)smooth msucle relaxation (vasodilate) 2) decrease platelet activation |
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how does dipyridamole cause vasodilation? |
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Definition
inhibits PDE- increase in cGMP- then works like NO |
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how does dipyridamole cause decrease in platelet activaiton |
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Definition
inhibits adenosine uptake- more on platelet surface->A2 recptor stimulated-> incr cAMP |
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