WITH COMPLETE SOLUTIONS GRADED A++
nitroglycerin, isosorbide mono- and dinitrate targets
blood vessels
nitroglycerin, isosorbide mono- and dinitrate mechanism
- vasodilator (veins>arterioles)
- decrease: preload, congestion, blood pressure
- decrease O2 demand; increase O2 supply
hydralazine, minoxidil target
blood vessels
hydralazine, minoxidil mechanism
- vasodilator (arterioles>veins)
- decrease: peripheral resistance, blood pressure, afterload
- increase: stroke volume
- decrease intracellular Ca2+, increase K+ channel
sodium nitroprusside target
blood vessels
sodium nitroprusside mechanism
- vasodilator (veins=arterioles)
- decrease: peripheral resistance, blood pressure, cardiac output
mannitol mechanism
, - osmosis
- increase plasma osmolarity, decrease water reabsorption in PCT
sacubitril target
- angiotensin receptor neprilysin
sacubitril mechanism
- inhibit breakdown of ANP, BNP, Bradykinin and Adrenomedullin
- increased vasodilatory, diuretic, and natriuretic effects
acetazolamide target
carbonic anhydrase
acetazolamide mechanism
- directly inhibits reabsorption of HCO3-
- indirectly inhibits reabsorption of Na+
heparin target
antithrombin III
heparin mechanism
- activates antithrombin III to inhibits factor Xa
- immediate anticoagulation
LMHW target
antithrombin III
LMWH mechanism
- activates antithrombin III to inhibit thrombin, factor IXa, Xa, XIa
- immediate anticoagulation
amicar target