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Depending on the condition, use is made of: thiazides, loop diuretics, aldosterone antagonists, and osmotic diuretics. Antihypertensive therapy. Diuretics have long been used as drugs of first choice for lowering elevated blood pressure (p. 312). Even at low dosage, they decrease peripheral resistance (without significantly reducing EFV) and thereby normalize blood pressure.
Too rapid entry into the circulation would lead to unwanted systemic reactions such as: blockade of inhibitory CNS neurons, manifested by restlessness and seizures (countermeasure: injection of a benzodiazepine); general paralysis with respiratory arrest after higher concentrations.

 

Diffusion and Effect During diffusion from the injection site (i. e. , the interstitial space of connective tissue) to the axon of a sensory nerve, the local anesthetic must traverse the perineurium. The multilayered perineurium is formed by connective tissue cells linked by zonulae occludentes (p. 22) and therefore constitutes a closed lipophilic barrier.
Without exception, however, prompt action is imperative. Thus, a staggered treatment schedule has proven useful. The antiplatelet agent, ASA, is administered at the first suspected signs of infarction. Pain due to ischemia is treated predominantly with antianginal drugs (e. g. , nitrates).

 

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