angina Flashcards
how does aspirin work
COX inhibitor
prevents platelet thromboxane prevention
inhibits platelet aggregation
prevents atherosclerotic plaque formation
should use in ALL patients with stable angina
how do nitrates work
potent vasodilators, decrease preload, decrease myocardial oxygen requirements
sublingually
can nitrates be used prophylactically?
Yes
side effects nitrates
postural hypotension-beware VIAGRA
headache (spit out once pain subsides)
contraindications to nitrates
fixed output states
hypotension
previous viagra use
why are beta-blockers good for angina
decrease contractility and heart rate
first line?
contraindications for beta blockers
asthma
COPD with reversibility
pulmonary oedema
heart block
bradycardia less than 50
adverse effects beta-blockers
impotence
bradycardia
lethargy
bronchospasm