CAD Flashcards
What are some drugs for cholesterol lowering
nicotinic acid
questran
zetia
What are some things that can cause chest pain that actually isn’t cardiac related
Physical exertion Temperature extremes Strong emotions Heavy meal Tobacco use Sex Stimulants (cocaine, amphetamine)
What is the difference between chronic stable angina and acute angina
chronic stable is predictable like they do something that produces it everytime also the pain is described the same way
What is the first line drug for chronic stable angina if cardiac tests are normal
daily ASA
What are some drugs for chronic stable angina
ASA
nitrates
long-acting nitro like Isordil
What is unstable angina
unpredictable
What does an unstable angina indicate
likely an MI
could be NSTEMI’s or STEMI’s
What type of angina do we classify it as the first time it is assessed by someone
unstable because we dont have enough info or hx to know its stable
What is important to achieve within the first 3 days after a MI
as little metabolic activity as possible
What is an important consideration 10-14 days after an MI
a new baseline starts to become assessable because the alternative pathway of the impulse has been formed
What is the most common and dangerous complication of an MI
dysrhythmias
What three enzymes do we assess for after an MI and whats there order
myoglobin- fast spike, first one to show up
CK-MB and Troponin- start at same time after myoglobin and troponin spikes higher
How far out can we detect troponin to determine when the MI occured
14 days
What does can morphine help with after an MI
chest pain, vasodilation, and anxiety
