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

#Nitrate #Pharmacology #Peak
Nitroglycerin #Isosorbide
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
Hydralazine + Isosorbide ... Hydralazine + Isosorbide
Central Retinal Artery Occlusion (CRAO)
Clinical:
 • Sudden, painless, complete loss of vision 
 • Pale retina
nitroglycerin, isosorbide
Target Doses in Congestive Heart Failure
 • Beta Blockers: Bisoprolol, Carvedilol, Metoprolol succinate, ARNI, Sacubitril/valsartan
 •
: Hydralazine, Isosorbide
Intern Pocket Cards - Inpatient Blood Pressure Management Guide
ß-blockers:
 • Metoprolol, Carvedilol, Labetalol
 • Bradycardia, heart
Nitrates: • Isosorbide
Diuretics - Pharmacology

Thiazides diuretics:
 • Inhibit Na+ Cl- cotransporter in distal tubule
 • Chlorothiazide, Chlorthalidone, Indapamide,
Glycerin (Glycerol), Isosorbide
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Hydralazine / Isosorbide
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
hydralazine 37.5 mg & isosorbide