angina Flashcards

1
Q

how does aspirin work

A

COX inhibitor
prevents platelet thromboxane prevention
inhibits platelet aggregation

prevents atherosclerotic plaque formation
should use in ALL patients with stable angina

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2
Q

how do nitrates work

A

potent vasodilators, decrease preload, decrease myocardial oxygen requirements

sublingually

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3
Q

can nitrates be used prophylactically?

A

Yes

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4
Q

side effects nitrates

A

postural hypotension-beware VIAGRA
headache (spit out once pain subsides)

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5
Q

contraindications to nitrates

A

fixed output states
hypotension
previous viagra use

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6
Q

why are beta-blockers good for angina

A

decrease contractility and heart rate
first line?

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7
Q

contraindications for beta blockers

A

asthma
COPD with reversibility
pulmonary oedema
heart block
bradycardia less than 50

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8
Q

adverse effects beta-blockers

A

impotence
bradycardia
lethargy
bronchospasm

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