Angina.pptx Flashcards

1
Q

What this
When the supply of oxygen and nutrients in the blood is insufficient to meet the demands of the heart, the heart muscle “?”

Angina Pectoris, Ache

A

Angina Pectoris

Ache

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2
Q

The “?” is caused by pain receptors which are stimulated due to anaerobic conditions in the heart which release lactic acid

Angina Pectoris, Ache

A

Ache

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3
Q

classic or effort angina

Variant/Prinzmetal angina, Chronic stable angina, Unstable angina


A

Chronic stable angina

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4
Q

Vasospastic angina

Variant/Prinzmetal angina, Chronic stable angina, Unstable angina


A

Variant/Prinzmetal angina


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5
Q

preinfarction or crescendo angina

Variant/Prinzmetal angina, Chronic stable angina, Unstable angina


A

Unstable angina

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6
Q

With Angina ANGINA
is the Balance Normal or lost ?
Oxygen Supply ≠ Oxygen Demand

A

Lost

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7
Q

Does Coronary Artery Disease (CAD)
cause Angina?

Y/N

A

Yes

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8
Q

CHRONIC- Ischemic Heart Disease happen Anigina is or is not treated?

A

Is not

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9
Q

Cause CHRONIC Therapy (SLOW acting)

Nitroglycerin, or Isosorbide Mononitrate/Dinitrate

A

Isosorbide Mononitrate/Dinitrate

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10
Q

Causes ACUTE emergencies and chronic therapy (FAST acting)

Nitroglycerin, or Isosorbide Mononitrate/Dinitrate

A

Nitroglycerin

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11
Q

Is Isosorbide Mononitrate/Dinitrate a slow version of Nitroglycerin

Y/N

A

Yes

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12
Q

Is Patch- of Nitroglycerin?

Acute Angina
Chronic prevention of Angina

A

Chronic prevention of Angina

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13
Q

Hypotension
Can lead to a dangerous reflex ?

bradycardia
tachycardia

A

tachycardia

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14
Q

PDE-5 Inhibitors! Viagra® (sildenafil), Cialis® (tadalafil) Mixed with Nitrates causes?

No reactiom Or sudden death due to hypotension

A

Sudden death due to hypotension

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15
Q

Do Nitroglycerin have severe reaction with Headaches

T/F

A

T

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16
Q

CONTRAINDICATIONS
Severe head trauma- Can increase intracranial pressure

Variant/Prinzmetal angina, or Nitroglycerin

A

Nitroglycerin

17
Q

Nitroglycerin SL Tablets/Spray PRN
If having chest pain

In oder
Take first dose of Nitroglycerin
Stop activity, sit/lie down
If pain unrelieved, CALL 911, and take second dose

Before taking second dose you want 5 o 3 minutes
3 or 5 dose limit

A
1Stop activity, sit/lie down
2Take first dose of Nitroglycerin
3If pain unrelieved, CALL 911, and take second dose
5
3
18
Q

Which is used for emergencies?

Nitroglycerin SL Tablets/Spray PRN
Nitroglycerin Patches
IV Nitroglycerin

A

Nitroglycerin SL Tablets/Spray PRN

IV Nitroglycerin

19
Q

When removing and Replace a Nitroglycerin Patches can you use ALCOHOL

Y/N

A

No

20
Q

Do you flip or rotate sites to prevent skin irritation for Nitroglycerin Patches

A

Rotate

21
Q

Should you remove Nitroglycerin Ointment prior dose before a new dose is applied

Y/N

A

Yes

22
Q

Do all Nitroglycerin medication need to be protected from light

Y/N

A

Yes

23
Q

Which treat Dysrhythmias (primary use!)

Nitroglycerin
NON DHP Calcium Channel Blockers:
verapamil and diltiazem

A

NON DHP Calcium Channel Blockers:
verapamil and diltiazem

24
Q
  • Contraction (Heart Muscle)

Chronotropic, Inotropic, Dromotropic

A

Inotropic

25
Q
  • Heart Rate (SA Node)

Chronotropic, Inotropic, Dromotropic

A

Chronotropic

26
Q
  • Velocity (AV Node)

Chronotropic, Inotropic, Dromotropic

A

Dromotropic

27
Q

Which can not be taken with GRAPEFRUIT JUICE!

Nitroglycerin
NON DHP Calcium Channel Blockers:
verapamil and diltiazem

A

NON DHP Calcium Channel Blockers:
verapamil and diltiazem

28
Q

Ranolazine is which

ADD ON THERAPY for Angina
QT prolongation Risk

A

ADD ON THERAPY for Angina

QT prolongation Risk

29
Q

Which are NON DHP Calcium Channel Blockers:


nitroglycerin, verapamil and diltiazem

A

verapamil and diltiazem