Angina.pptx Flashcards
What this
When the supply of oxygen and nutrients in the blood is insufficient to meet the demands of the heart, the heart muscle “?”
Angina Pectoris, Ache
Angina Pectoris
Ache
The “?” is caused by pain receptors which are stimulated due to anaerobic conditions in the heart which release lactic acid
Angina Pectoris, Ache
Ache
classic or effort angina
Variant/Prinzmetal angina, Chronic stable angina, Unstable angina
Chronic stable angina
Vasospastic angina
Variant/Prinzmetal angina, Chronic stable angina, Unstable angina
Variant/Prinzmetal angina
preinfarction or crescendo angina
Variant/Prinzmetal angina, Chronic stable angina, Unstable angina
Unstable angina
With Angina ANGINA
is the Balance Normal or lost ?
Oxygen Supply ≠ Oxygen Demand
Lost
Does Coronary Artery Disease (CAD)
cause Angina?
Y/N
Yes
CHRONIC- Ischemic Heart Disease happen Anigina is or is not treated?
Is not
Cause CHRONIC Therapy (SLOW acting)
Nitroglycerin, or Isosorbide Mononitrate/Dinitrate
Isosorbide Mononitrate/Dinitrate
Causes ACUTE emergencies and chronic therapy (FAST acting)
Nitroglycerin, or Isosorbide Mononitrate/Dinitrate
Nitroglycerin
Is Isosorbide Mononitrate/Dinitrate a slow version of Nitroglycerin
Y/N
Yes
Is Patch- of Nitroglycerin?
Acute Angina
Chronic prevention of Angina
Chronic prevention of Angina
Hypotension
Can lead to a dangerous reflex ?
bradycardia
tachycardia
tachycardia
PDE-5 Inhibitors! Viagra® (sildenafil), Cialis® (tadalafil) Mixed with Nitrates causes?
No reactiom Or sudden death due to hypotension
Sudden death due to hypotension
Do Nitroglycerin have severe reaction with Headaches
T/F
T
CONTRAINDICATIONS
Severe head trauma- Can increase intracranial pressure
Variant/Prinzmetal angina, or Nitroglycerin
Nitroglycerin
Nitroglycerin SL Tablets/Spray PRN
If having chest pain
In oder
Take first dose of Nitroglycerin
Stop activity, sit/lie down
If pain unrelieved, CALL 911, and take second dose
Before taking second dose you want 5 o 3 minutes
3 or 5 dose limit
1Stop activity, sit/lie down 2Take first dose of Nitroglycerin 3If pain unrelieved, CALL 911, and take second dose 5 3
Which is used for emergencies?
Nitroglycerin SL Tablets/Spray PRN
Nitroglycerin Patches
IV Nitroglycerin
Nitroglycerin SL Tablets/Spray PRN
IV Nitroglycerin
When removing and Replace a Nitroglycerin Patches can you use ALCOHOL
Y/N
No
Do you flip or rotate sites to prevent skin irritation for Nitroglycerin Patches
Rotate
Should you remove Nitroglycerin Ointment prior dose before a new dose is applied
Y/N
Yes
Do all Nitroglycerin medication need to be protected from light
Y/N
Yes
Which treat Dysrhythmias (primary use!)
Nitroglycerin
NON DHP Calcium Channel Blockers:
verapamil and diltiazem
NON DHP Calcium Channel Blockers: verapamil and diltiazem
- Contraction (Heart Muscle)
Chronotropic, Inotropic, Dromotropic
Inotropic
- Heart Rate (SA Node)
Chronotropic, Inotropic, Dromotropic
Chronotropic
- Velocity (AV Node)
Chronotropic, Inotropic, Dromotropic
Dromotropic
Which can not be taken with GRAPEFRUIT JUICE!
Nitroglycerin
NON DHP Calcium Channel Blockers:
verapamil and diltiazem
NON DHP Calcium Channel Blockers: verapamil and diltiazem
Ranolazine is which
ADD ON THERAPY for Angina
QT prolongation Risk
ADD ON THERAPY for Angina
QT prolongation Risk
Which are NON DHP Calcium Channel Blockers:
nitroglycerin, verapamil and diltiazem
verapamil and diltiazem
