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Creado por Shaima Amanda
hace más de 10 años
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Pregunta | Respuesta |
Drugs that can be used to treat heart failure | 1. Renin-angiotensin system blockers 2. B-blockers 3. Diuretics 4. Ionotropic agents 5. Direct vasodilators 6. Aldosterone antagonists |
In cases of hypertension, you gotta reduce the volume overload by giving... | diuretics. It increases the water volume excreted through urine. |
In cases of unstable angina, you gotta give... | beta-blockers. It reduces the heart rate and myocardial work. |
In cases of myocardial infarction, you gotta give... | streptokinase. It converts plasminogen to plasmin. Plasmin digests the fibrin and fibrinogen clots. |
The force of contraction of the heart directly depends on... | the concentration of free cytosolic calcium. |
Ionotropic agents increase the contractility of the heart by directly or indirectly altering... | the mechanisms that control the concentration of intracellular calcium. |
Sources of free intracellular calcium: | 1. Opening of voltage gated calcium channels 2. Removal of sodium in exchange for calcium 3. Release of calcium from the sarcoplasmic reticulum and mitochondria |
Removal of free intracellular calcium: | 1. Sodium calcium exchange 2. Reabsorbed by the sarcoplasmic reticulum and mitochindria |
Compensatory physiological responses to heart failure: | 1. Increased sympathetic activity 2. Activation of the renin-angiotensin system 3. Myocardial hypertrophy |
Angiotensin II | 1. Potent vasoconstrictor; causes vasoconstriction 2. Stimulates adrenal gland to secrete aldosterone 3. Increase the sodium and water resorption |
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