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Exam 2
Lecture 8- mostly in notes, these are just key points
21
Archaeology
8th Grade
03/17/2013

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Cards

Term
after how mnay NTGS do you need to titrate up chronic stable angina therapy?
Definition
4 a week
Term
what are the first line agents for stable angina-2
Definition
BB
Non DH-CCB
Term
what class of beta blockers is avoided
Definition
sympathetic activty
Term
what meds do you titrate to HR?
which to BP?
Definition
BB and NonCCB
DHP CCB and ranalozine
Term
what do BB do when added tp DHPCC or nitrate ?
Definition
blunt refelx tachycardia
Term
which med combo with BB doesnt cause side affect?
Definition
ranolazine
Term
when are Non -DP CCBs used over BB for chronic stable angina-3
Definition
asthma, COPD, PVD,
Term
Non DP CCBs are not used in pateint with-
but are used with this type of anigna-
Definition
Heart failure
Prinzmetal's
Term
what do Non DHP CCBs do when +
DHP CCB
nitrate
ranolazine
Definition
first two: blunts reflex tachycardia
limit to 500 BID
Term
what are the interactions of DHP CCBs w/
Nitrtes
ranolazine
Definition
none
Term
which short acting nitrate is the spray?
what is the tablet?
Definition
Nitrolingual
Nitrostat
Term
shorting acting nitrates use _ min before physcial acitivty.
its affects last how long?
Definition
5
30 min
Term
you avoid long acting nitrates bc they can caus- 2
Definition
tacyphylaxis
tachycardia
Term
long acting nitrates give how muhc coverrage?
why?
Definition
1/2 day
need 8-12 hr free to prevent tachyphylaxis
Term
look at dosing on onenote!!!
Definition
Term
what are the only long acting NTG that can be given 1x daily-2
Definition
Imdur- sustained monnonitrate
Isochron- sustained dinitrate
Term
avoid giving nitrate with?
Definition
PDE5 inhibitors
Term
what is the med given as an add on if person has low BP or HR
Definition
ranolazine
Term
what can ranolize cause?
so what meds do you avoid?
Definition
QT elongation
FQs, macrolides, antiarrythmics,antipsychotic
Term
what other chronic stable angina can cause an increase in Ranolzine
Definition
Non DHP CCB
Term
waht is the statin whose conc increases with use of Ranolozine?
Definition
Simvastain
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