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Nitrates
Pharmacology
19
Medical
Professional
11/19/2011

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Cards

Term
Ranolazine
Definition
inhibits FA oxidation to enhance FA to glucose so less O2 is needed

*used in chronic angina*
Term
Toxicity of Ranolazine
Definition
prolongation of the QT interval
Term
Has substantial vasodilator activity in nitroglycerin
Definition
dinitroglycerin
Term
Which relax at lower concentration? arteries or veins?
Definition
veins- release NO more efficiently
Term
Which relax at lower concentration? arteries, or arterioles
Definition
Larger arteries
Term
therapeutics of stable angina w/nitros, isosorbid
Definition
sublingual nitroglycerin
Term
Sustained stable angina treatment
Definition
oral nitro or iso/mono
transdermal nitro
Term
Treatment of variant angina
Definition
Nitro plus Ca chan blocker- relieving coronary artery spasm
Term
Unstable angina treatment
Definition
nitroglycerin plus aspirin (platelet inhib) plus Ca chan blocker

decrease O2 demand and dilating epicardial coronary arteries
Term
What is the effect of systemic venodilation
Definition
decrease preload
decreased right vent size
decrease end-diastolic pressure
Term
what is the effect of decreased arterial pressure?
Definition
decrease in afterload
Term
what is the effect of epicardial coronaries?
Definition
relief of vasospasm
Term
What effects do nitrates play in MI's?
Definition
decreases pain
Term
effects of nitrates on CHF
Definition
reduction of ventricular filling pressure
also preload
Term
toxicity of nitrates
Definition
excessive vasodilation
*caution w/incr cranial pressure*
Term
Sodiuim nitorprusside
Definition
hypertensive emergencies- short term reduction of cardiac pre/afterload

controlled hypotension during anesthesia (b-blocker helps with heart rate)
Term
PCKN of sodium nitroprusside
Definition
unstable and decomposes when exposed to light
Term
Long term toxicity of sodium nitroprusside
Definition
conversion to cyanide and thiocyanate
Term
This drug prevents accumulation of cyanide
Definition
sodium thiosulfates
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