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The same does not hold true for poorly water-soluble or poorly absorbable drugs. Such agents should be given orally, because both the volume of fluid for dissolution and the absorbing surface are much larger in the small intestine than in the oral cavity.
Acetaminophen undergoes conjugation to glucuronic acid or sulfate at the phenolic hydroxyl group, with subsequent renal elimination of the conjugate. At therapeutic dosage, a small fraction is oxidized to the highly reactive N-acetylp- benzoquinonimine, which is detoxified by coupling to glutathione.

 

By isolating critical organs or tissues from a larger functional system, these actions can be studied with more accuracy; for instance, vasoconstrictor agents can be examined in isolated preparations from different regions of the vascular tree, e. g. , the portal or saphenous vein, or the mesenteric, coronary, or basilar artery.
O2 demand falls because of the ensuing decrease in the two variables that determine systolic wall tension (afterload): ventricular filling volume and aortic blood pressure. Calcium antagonists (B) decrease O2 demand by lowering aortic pressure, one of the components contributing to afterload.

 

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