Angina & MI

Question 1

name the three types of angina

Answer 1

1. Stable angina
2. Prinzmetal’s angina
3. Unstable angina

Question 2

pathophysiology related to stable angina

Answer 2

myocardial ischemia occurs with increased workload during exercise as a result of stable atheroscler artic plaque narrowing the coronary arteries

Question 3

chest pain related to stable angina

Answer 3

stable and predictable, occurring with exertion or emotions. crescendo - decrescendo pattern. may radiate to neck, shoulder, arms. Lasts two to five minutes. relieved by rest

Question 4

manifestations of stable angina

Answer 4

indigestion, nausea, shortness of breath, anxiety

Question 5

ECG characteristics of stable angina

Answer 5

T - wave inversion

Question 6

pathophysiology of acute coronary syndrome

Answer 6

coronary artery spasm or partial occlusion results from unstable plaque and thrombus formation with increasing myocardial ischemia

Question 7

chest pain related to acute coronary syndrome

Answer 7

occurs at rest.

last 10 minutes or longer. Radiates to neck, left shoulder, arm.

Question 8

other manifestations of acute coronary syndrome

Answer 8

epigastric pain, dyspnea, tachycardia, hypotension, cool pale skin

Question 9

ECG characteristics of acute coronary syndrome

Answer 9

St - segment depression T wave inversion

Question 10

pathophysiology of acute myocardial infarction

Answer 10

obstruction of coronary artery by a thrombus blocks the blood supply to a portion of myocardium, resulting in necrosis

Question 11

chest pain related to acute MI

Answer 11

begins abruptly, unrelated to rest or exercise. May be severe or crushing pain. Unrelieved by stress or nitroglycerin. radiates to arms, neck, jaw.

Question 12

other manifestations of acute MI

Answer 12

epigastric pain, nausea, dyspnea, power, diaphoresis, tachycardia or bradycardia, hypertension or hypotension

Question 13

ECG characteristics of acute MI

Answer 13

st - segment elevation, possible Q wave

Question 14

What is treatment for Prinzmetal’s Angina?

Answer 14

CCB’s

Question 15

What are important questions to ask a pt. With angina?

Answer 15

PQRST.
P-Precipitating factors.
Q-Quality of pain
R-Radiation
S-Severity
T-Timing

Question 16

name the three types of drugs to treat angina

Answer 16

1. Nitrates
2. BB
3. CCB

Question 17

Name 4 types of medications for acute myocardial infarction

Answer 17

1. Aspirin
2. analgesics
3. Fibrinolytics within the first 6 hours.
4. Antidysrhythmics such as atropine for bradycardia or verapamil for afib

Question 18

what is a mnemonic for the initial treatment of a myocardial infarction?

Answer 18

MONAB
M-Morphine
O-oxygen
N-nitroglycerin
A-ASA 
B-BB