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Antibiotics (Cell wall Synthesis Inhibitor/Disruptor (Fosfomycin (nausea,…
Antibiotics
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Nitrate Therapy
Short Acting NTGs
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Causes dilation of peripheral, coronary and collateral vessels
↓ SVR, ↓ CO, ↑ O2 to Myocardium
Sublingual NTG used prophylactically, or reactively
Take 1 every 5 minutes, 3x until angina gone
if pain persists call 911, stay seated
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Common to Nitrates
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first line therapy, rapid onset
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Caution with kidney or liver disease, MI
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headache (common), orthostatic hypotension, can develop tolerance
avoid alcohol, fall risk, OD = headache
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cardiac tamponade, pericarditis, head injury, shock, hypotension
Long acting NTGs
prophylactic angina, heart failure, hypertension
Causes dilation of peripheral, coronary and collateral vessels
↓ SVR, ↓ CO, ↑ O2 to Myocardium
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General Info
Types of Angina
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Chronic Stable Angina
chronic but intermittent, predictable pattern onset, duration and intensity (eg walking up stairs)
Angina decubitis
strikes laying down, sitting or standing helps
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Others
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Ranolazine
Dizziness, nausea, constipation, headache
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