angina drugs Flashcards

1
Q

angina

A

chest pain that results from ischemia

O2 reqs of heart are greater than supply

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

4 risk factors for coronary heart disease and angina

A

smoking
diabetes
hyperlipidemia
hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

4 types of angina

A

stable angina
unstable angina
prinzmetal/variant angina
microvascular angina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

stable angina

A

precipitated by stress

relieved by rest, ntg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

unstable angina

A

severe symptoms
less responsive to tx
intermediate of stable angina and MI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

variant (prinzmetal’s) angina

A

results from coronary artery spasm

does not necessarily occur with exertion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

refractory (intractable) angina

A

incapacitating pain

does not respond to standard tx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

beta blockers & angina

A

prevent beta-adrenergic receptions from being stimulated

decreases O2 demand of heart and therefore decreases angina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

calcium channel blockers & angina

A

inhibit calcium from moving across cell membranes
decreases contraction, depresses impulse formation (automaticity), slows conduction velocity
arteriolar dilation, decreasing afterload
these effects decrease O2 demands of heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

nitrates & angina

A

dilate vascular smooth muscle and both venous/arterial vessels
venous dilation decreases preload
arterial dilation decreases systematic vascular resistance and arterial pressure (afterload)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

when to use ACE inhibitor for CAD

A

when pt also has diabetes, systolic dysfuction, or both

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

nitroglycerin (Nitrostat)

A

nitrate prototype

improves circulation to the heart by redistributing blood flow to collateral vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

nitroglycerin (Nitrostat) pharmacokinetics

A

can be IV, oral, topical, sublingual, nasal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

nitroglycerin (Nitrostat) pharmacodynamics

A

relaxes vascular smooth muscle and dilates arterial and venous vessels, but more effective on venous side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

nitroglycerin (Nitrostat) contraindications

A

hypersensitivity, severe anemia, closed-angle glaucoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

nitroglycerin (Nitrostat) adverse effects

A
headache
hypotension
tachycardia
vertigo
weakness/syncope
anxiety
17
Q

nitroglycerin (Nitrostat) nursing dx

A

acute pain: r/t cardiac disease
decreased cardiac output: r/t drug therapy
risk for injury: r/t hypotension and dizziness 2/2 drug therapy

18
Q

nitroglycerin (Nitrostat) planning/intervention

A

max therapeutic effect: varies with ROA

min adverse effect: check vitals before admin, monitor BP and assist pt when standing, treat headaches w aspirin/acetominophen

19
Q

nitroglycerin (Nitrostat) pt education

A

instruct pt to sit or lie down when experiencing angina
do not apply patch to distal parts of extremities
make pt aware of orthostatic hypotension

20
Q

if a patient is taking phosphodiesterase inhibitors (erectile dysfunction drugs), such as sildenafil, what type of antianginal drug should be avoided?

A

nitrates

21
Q

nicardipine

A

calcium channel blocker; decreases afterload and automaticity

22
Q

time of onset for sublingual nitroglycerin

A

1-3 min

23
Q

oral nitroglycerin storage

A

keep tablets and capsules in their original container

never mix oral nitroglycerin w other drugs in a container
never store oral nitroglycerin in a plastic container
replace lid tightly as soon as the drug is removed.

24
Q

angina pectoris

A

substernal chest pain that can radiate to the jaw

25
Q

s/s to monitor in clients taking calcium channel blockers

A

should be monitored for signs of heart failure (dyspnea, weight gain, peripheral edema, crackles, rales, and jugular vein distention).

26
Q

beta blockers & diabetes cautions

A

Beta blockers should be used with caution in patients with diabetes mellitus because they conceal signs of hypoglycemia

27
Q

The 47-year-old client is experiencing chest pain and has taken three sublingual nitrogylcerin tablets, but the pain remains. What should the client do next?

A

Call 911

do not transport by private vehicle w chest pain

28
Q

amplodipine

A

calcium channel blocker

29
Q

verapimil

A

calcium channel blocker

30
Q

nadolol

A

beta blocker