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Exam 2
Lecture 10
36
Archaeology
Kindergarten
03/16/2013

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Term
what is unique about nitrates?
Definition
prodrugs
Term
when metabolized what do nitrates release
Definition
NO
Term
no vasodilation occurs by decreasing intracellular- and dephosphoryltaitng _
Definition
CA
MLC
Term
NO increase cyclic what
Definition
GMP
Term
low doses of nitrates dilate veins or arteries?
what is the overall BP reduction?
Definition
veins
light decrease
Term
high doses of nitrates can cause?
Definition
reflex tachycardia
Term
hgih doses of nitrates cause venous _ adn decreased aretery _
Definition
pooling
resistance
Term
to work on coronary blood flow what dose of nitratres is needed?
Definition
low to moderate
Term
low to mod dose of nitrates:
dilate the _
dont impair
decreases _
Definition
epicardial vessels
autoregulation in small vessels
BP
Term
if nitrates dilate these vein it can imporve coronary microcirculation
Definition
cardiac veins
Term
Nitrates can increase blow flow to the _
Definition
subendocardium
Term
what is the primary antianginal affect of nitrates? -2
Definition
decrease venous return
decrease O2 demand
Term
what does NO do to plateltes?
Definition
antiplatelet affect
Term
repeated high doses of nitrates can lead to-
Definition
tachyphylaxis
Term
Most common ADE of nitrates?
what are others-3
Definition
headache;
rash, dizziness, orthostatic hypotension
Term
nitrate + PDE5 inhibitor causes severe-
why?
Definition
hypotension
inhibit the degredation of cGMP
Term
which isosorbide can be oral or sublingual
Definition
isosorbide dinitrate
Term
sublingual NTG has faster_ but less _ than oral
Definition
onset
duration
Term
dose for isosorbide mononitrate
Definition
20 mg
Term
dose for isosobide dinitrate
Definition
2-5 for SL/ 5-20 oral
Term
dose for NTG Sublingual
for oral
Definition
.3
2-9
Term
NTG IV dose
Definition
.005 mg/min
Term
NTG patch dose
Definition
1 patch
Term
ALL nitrates have a large what-
Definition
1st pass metabolism
Term
all nitrates but _ have short half life and fast cleareance -2
Definition
isorbide mononitratre
NTG Patch
Term
highest conc of nitrate seen thru what admin?
lowest seen thru?
Definition
Iv
oral
Term
sublingual NTG used for- 2
Definition
angial attack
before exercise
Term
IV NTG used for
Definition
clinic for better control
Term
what admin of NTG is used for long term?- 3
Definition
chewable, oral, trnasdermal
Term
Beta blockers for these disease target what receptor?
Definition
B1
Term
blocking B1 recpotr decreases what?
Definition
O2 demand
Term
in what type of disease does ebta blocker imrpove mortality
Definition
unstable agina/ MI
Term
DHP-CCBs cause what to O2?
how?
Definition
increase in supply
vasodilation, decrease PR
Term
2 MOAs of dipyridamole
Definition
1)smooth msucle relaxation (vasodilate)
2) decrease platelet activation
Term
how does dipyridamole cause vasodilation?
Definition
inhibits PDE- increase in cGMP- then works like NO
Term
how does dipyridamole cause decrease in platelet activaiton
Definition
inhibits adenosine uptake- more on platelet surface->A2 recptor stimulated-> incr cAMP
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