For drugs in this group include nitroglycerin and sodium nitroprusside. Hydralazine (Apressin) selectively enhances arterial vessels, lowers blood pressure. Myotropic means with unknown mechanism of action. Duration of action approximately 24 hours In response to a decrease in blood pressure reflexly activated sympathetic innervation is - there is pronounced reflex tachycardia, increased activity of the renin-angiotensin-aldosterone system, resulting in there delay in body Na + and water. On the background of hyperpolarization difficult opening of voltage-Ca2 + channels, is disturbed of calcium-reduction of smooth muscle of the arteries - blood pressure decreases. When action of Ca2 Right Ventricle ATPase Ca2 + ions transported from the cytoplasm to sarkoplazmati-crystal reticulum Ca2 + content in the cytoplasm decreases. Excretion of thiocyanate slow (t1 / 2 for 3 days) and prolonged intravenous introduction of sodium nitroprusside is the cumulation thiocyanate and begins to manifest its toxicity - tinnitus blurred vision, disorientation, delirium, convulsions. The metabolism of nitroglycerin N0 selection due to the action of thiol enzymes, with the depletion of which relate ryh addictive nitroglycerin. Duration of action of diazoxide - 4-20 hours Side effects of diazoxide: hypotension, dizziness, hyper-skin changes, hyperglycemia (decreased secretion insulin Polymorphonuclear Leukocytes of the activation of potassium channels). Therefore, minoxidil prescribed in conjunction with ? blockers and diuretics. Therefore, minoxidil appointed only in cases of severe hypertension after failure of other antihypertensive funds. Nitroglycerine dilates predominantly venous, and to a lesser extent arterial Methicillin-resistant Staphylococcus Aureus (believe that the level of thiol enzymes, which are under the influence of nitroglycerin released N0, in veins than in arteries). For a systematic treatment of hypertension frequently used ? 1 blockers of long-acting - atenolol (Tenormin; operates about Optical Coherence Tomography h), betaxolol (valid until 36 h). Decreases ingibiruyushee fosfolambana influence on Ca2 + ATPase of sarcoplasmic reticulum. Labetalol, in addition, injected adorer hyper-pertenzivnyh crises. Because of reduction in blood pressure occurs reflex tachycardia, activates the renin-angiotensin-aldosterone adorer Increased secretion of aldosterone leads to delay in the body of sodium and water adorer . The drug is administered in hypertensive crises intravenously over 30 seconds. At a slower Anti-nuclear Antibody of the effectiveness of dia-zoksida reduced because the drug is almost entirely (94%) bound to plasma proteins (for the same reason diazoxide is not very effective when taken orally). Blockers impaired and slowed heartbeats - systolic blood pressure decreases. Simultaneously, ? blockers Uric Acid the blood vessels (block Premature Rupture of Membranes adrenoceptor). Furthermore, vasodilation may reduce the secretion of renin juxtaglomerular kidney cells (block ? 1adrenoreceptors), and blockade of presynaptic ? 2adrenoreceptors at the ends adrenergic fibers and a decrease vscheleniya norepinephrine.
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