CARDIO (ANGINA PECTORIS)

Question 1

Is a clinical syndrome usually characterized by episodes of paroxysms of pain or pressure in the anterior chest

Answer 1

Angina pectoris

Question 2

Angina pectoris is cause by

Answer 2

Insufficient coronary blood flow

Question 3

Resulting In a decrease oxygen supply when there is increased myocardial demand for oxygen in response to physical exertion or emotional stress

Answer 3

Insufficient coronary blood flow

Question 4

There are five classifications or types of angina

Answer 4

stable
Unstable
Intractable or Refractory
Variant
Silent schemia

Question 5

There is predictable and consistent pain that occurs on exertion and is relieved and or nitroglycerine

Answer 5

Stable Angina

Question 6

The symptoms increase in frequency and severity and may not be relieved with the rest or nitroglycerine

Answer 6

Unstable Angina

Question 7

There is severe incapacitating chest pain

Answer 7

Intractable or Refractory Angina

Question 8

There is a pain attack
at rest, with reversible ST segment elevation and thought to be caused by coronary artery vasospasm

Answer 8

Variant Angina

Question 9

There is objective evidence of ischemia, But the patient reports no pain

Answer 9

Silent Ischemia

Question 10

Angina is usually caused by

Answer 10

artherosclerotic disease

Question 11

When there is blockage in a coronary artery, Flow cannot be increased, ans ischemia results which may lead to

Answer 11

necrosis or myocardial infarction

Question 12

Several factors are associated with angina

Answer 12

Physical exertion
Exposure to cold
Eating a heavy meal
Stress

Question 13

Stress causes the release of ______ which increase blood pressure, heart rate and myocardial workload

Answer 13

catecholamines

Question 14

Clinical manifestations of angina

Answer 14

Chest pain
Numbness
Shortness of breath
Pallor

Question 15

Is usually initiated at the onset of chest pain in an attempt to increase the amount of oxygen delivered to the myocardium and reduce pain.

Answer 15

Oxygen Therapy

Question 16

Gives long-term and short-term reduction of myocardial oxygen consumption through selective vasodilation within 3 minutes

Answer 16

Nitroglycerin

Question 17

Reduces myocardial oxygen consumption by blocking beta adrenergic stimulation of the heart

Answer 17

Beta blockers

Question 18

have negative inotropic effects

Answer 18

Calcium channel blockers

Question 19

prevent thrombus formation

Answer 19

anticoagulants

Question 20

Secondary to CAD evidence by chest pain or other prodomal symptoms

Answer 20

Ineffective cardiac tissue perfusion

Question 21

Nursing diagnoses

Answer 21

Death anxiety
Deficient knowledge
Noncompliance

Question 22

Nursing interventions for a patient with angina pectoris include

Answer 22

Treating angina
Reducing anxiety
Preventing pain
Decreasing oxygen demand