6 - Vascular Obstruction: CAD (part 2)

Question 1

Break up clot formations.

a. ) Nitrates
b. ) Beta-Adrenergic Blocking Agents
c. ) Calcium Channel Blocking Agents
d. ) Antiplatelet and Anticoagulants

Answer 1

Antiplatelet and Anticoagulants

Question 2

Reduce myocardial oxygen consumption by blocking sympathetic stimulation to the heart. Causes a decreased heart rate and BP, and reduced myocardial contractility. Side effects include: hypotension, bradycardia, advanced AV block, acute heart failure, depression, fatigue, decreased libido, and masking symptoms of hypoglycemia.

a. ) Nitrates
b. ) Beta-Adrenergic Blocking Agents
c. ) Calcium Channel Blocking Agents
d. ) Antiplatelet and Anticoagulants

Answer 2

Beta-Adrenergic Blocking Agents

Question 3

Reduce myocardial oxygen consumption, which decreases ischemia and relieves pain. Side effects include: flushing, throbbing headache, hypotension, and tachycardia.

a. ) Nitrates
b. ) Beta-Adrenergic Blocking Agents
c. ) Calcium Channel Blocking Agents
d. ) Antiplatelet and Anticoagulants

Answer 3

Nitrates

Question 4

Decrease SA automaticity and AV node conduction resulting in lower heart rate and a decrease in contractility ultimately reducing the workload of the heart. Side effects include: hypotension, AV block, bradycardia, constipation, and gastric distress. Patients with heart failure want to avoid first generation.

a. ) Nitrates
b. ) Beta-Adrenergic Blocking Agents
c. ) Calcium Channel Blocking Agents
d. ) Antiplatelet and Anticoagulants

Answer 4

Calcium Channel Blocking Agents

Question 5

Cardiac marker that is regulatory proteins found in skeletal and cardiac muscle. The gold standard.

a. ) CPK
b. ) CKMB
c. ) Troponin
d. ) Myoglobin

Answer 5

Troponin

Question 6

Cardiac marker that is an enzyme found in muscle, not neccessarily all in cardiac.

a. ) CPK
b. ) CKMB
c. ) Troponin
d. ) Myoglobin

Answer 6

CPK

Question 7

Cardiac marker that is a heme protein found in skeletal and cardiac muscle.

a. ) CPK
b. ) CKMB
c. ) Troponin
d. ) Myoglobin

Answer 7

Myoglobin

Question 8

Cardiac marker that comprises about 40% of the CK activity in cardiac muscle - good if recent MI.

a. ) CPK
b. ) CKMB
c. ) Troponin
d. ) Myoglobin

Answer 8

CKMB