58 results
Time to Peak Effect and Duration of Action for Some Common Organic Nitrate Preparations

#Nitrate #Pharmacology #Peak
Common Organic Nitrate ... Preparations #Nitrate ... Nitroglycerin #Isosorbide #Dinitrate
Sodium Nitrite and Nitrate - Toxicology

Clinical features of nitrate/nitrite toxicity
 • MetHb
 • Hypotension
 • Headache,
Sodium Nitrite and Nitrate ... Clinical features of nitrate ... #Nitrite #Nitrate
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
Hydralazine + Isosorbide dinitrate ... Hydralazine + Isosorbide dinitrate
Target Doses in Congestive Heart Failure
 • Beta Blockers: Bisoprolol, Carvedilol, Metoprolol succinate, ARNI, Sacubitril/valsartan
 •
Hydralazine, Isosorbide dinitrate
Intern Pocket Cards - Inpatient Blood Pressure Management Guide
ß-blockers:
 • Metoprolol, Carvedilol, Labetalol
 • Bradycardia, heart
• Isosorbide dinitrate
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Hydralazine / Isosorbide Dinitrate
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
mg & isosorbide dinitrate
Metformin in Diabetic Kidney Disease
Immediate release:
 • Initial 500 mg or 850 mg once daily
 •
dose eGFR 30-44: Initiate ... metformin; do not initiate
Metformin 
Current Renal Dose Adjustments due to Risk of Lactic Acidosis 
> 60 No adjustment 
45-60
, Do not newly initiate
Cardiac Maneuvers and Effects on Murmurs

Valsalva Standing - Decr BIood Return to LV
Laying Down, Squatting, Straight
Afterload Amyl Nitrate