Nitrates Flashcards

1
Q
Interactions of nitrates
•	Methotrexate
•	Warfarin
•	Phosphodiesterase inhibitor
•	Prednisolone 
•	Antihypertensives
A
  • Phosphodiesterase inhibitor

* Antihypertensives

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2
Q
Short acting nitrates name
•	GTN
•	ISMN
•	ISDN
•	All of the above
A

• GTN

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3
Q
Warnings with nitrates
•	SAS
•	Hypertension
•	Haemodynamic instability
•	Hypotension
A
  • SAS
  • Haemodynamic instability
  • Hypotension
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4
Q

MOA of nitrates
• Relaxation and vasodilation in arterial smooth muscle
• Relaxation of the venous capacitance vessels
• Increase cardiac preload and left ventricular filling
• Reduce cardiac preload and left ventricular filling
• Dilation of capacitance veins
• Reduce cardiac work and myocardial oxygen demand

A
  • Relaxation of the venous capacitance vessels
  • Reduce cardiac preload and left ventricular filling
  • Reduce cardiac work and myocardial oxygen demand
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5
Q
SE of nitrates
•	Tolerance 
•	Bradycardia
•	Light-headness
•	Flushing
•	Palpitations 
•	Hypotension
A
  • Tolerance
  • Light-headness
  • Flushing
  • Hypotension
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6
Q
Long acting nitrates
•	ISMN
•	GTN
•	ISDN
•	All of the above
A

• ISMN

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7
Q
Uses of GTN
•	Acute angina
•	Prophylaxis of angina
•	ACS
•	Pulmonary oedema
•	All of the above
A
  • Acute angina

* ACS

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8
Q
Uses of ISMN
•	Acute angina
•	Prophylaxis of angina
•	ACS
•	Pulmonary oedema
•	All of the above
A

• Prophylaxis of angina

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9
Q
IV nitrates are used for
. Acute angina
• Prophylaxis of angina
• ACS
• Pulmonary oedema
• All of the above
A

• Pulmonary oedema

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10
Q
Administration of IV nitrates require monitoring of what
•	U&E’s
•	Renal function
•	eGFR
•	blood test
•	Blood pressure
A

• Blood pressure <90

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