Antiangina

Question 1

mechanism of anti-angina meds

Answer 1

widespread vasodilation to decrease cardiac workload

Question 2

types of angina

Answer 2

1. stable: occurs upon exertion
2. unstable: occurs upon clot rupture; plaque formation
3. prinzmetal/variant: coronary artery vasospasms

Question 3

anti-angina meds

Answer 3

nitroglycerin - taken at onset

isosorbide - prophylactic, 12h duration

Question 4

nitroglycerin med admin

Answer 4

1. sit or lie down at onset of pain
2. place tablet SL
3. wait 5min
4. if pain persists, call 911 and place another tablet SL
5. wait 5min
6. take final (3rd) tablet

Question 5

isosorbide med admin

Answer 5

taken daily as a prophylactic med

don’t crush

Question 6

MI nursing steps

Answer 6

M orphine (for pain and elevated vitals)
O xygen
N itroglycerin
A spirin (chewable for increased absorption)