Ch 46 Antianginal Agents Flashcards

1
Q

what are atheroma?

A

fatty tumors in the intimacy of heart vessels

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2
Q

what is atherosclerosis?

A

narrowing of the heart vessels

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3
Q

what is angina pectoris?

A

suffocation of the chest

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4
Q

what is a myocardial infarction?

A

when coronary vessel becomes completely occluded and is unable to deliver blood to the cardiac muscle; the area of that muscle depends on that vessel for oxygen becomes ischemic and then necrotic

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5
Q

what is stable angina?

A

no damage to the heart muscle, basic reflexes surrounding the pain restore blood flow

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6
Q

what is unstable angina?

A

episodes of ischemia occur even when at rest

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7
Q

what is Prinzmental’s angina?

A

caused by spasms of the blood vessels, not just by vessel narrowing

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8
Q

what are symptoms of a myocardial infarction?

A

chest pain, nausea, radiating pain to back or arms, severe sympathetic stress reaction, sweating, visual disturbances

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9
Q

what are the classifications of abtianginal drugs?

A

nitrates, beta-adrenergic blockers, calcium channel blockers

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10
Q

what do antianginal drugs do to blood vessels?

A

improve blood delivery and oxygen to the heart by dilating blood vessels

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11
Q

what do antianginal drugs decrease?

A

decrease cardiac workload and the demand for oxygen

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12
Q

What are medication examples of Nitrates?

A

isosorbide, nitroglycerine

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13
Q

what are the therapeutic uses of Nitrates?

A

stable angina, prevent MI, treats unstable angina

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14
Q

what is the action of Nitrates?

A

dilation in blood vessel = relaxation in smooth muscle

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15
Q

When do you use caution in giving nitrates?

A

hepatic/renal disease, hypotension

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16
Q

what are adverse effects of nitrates?

A

headache, weakness, dizziness, N/V, hypotension, flushing pallor, increased respiration

17
Q

What do you want to teach patients in taking Nitrates?

A

take 1 pill, go to the ER, can take up to 3 but must wait 5 minutes between each dose

18
Q

What are fast acting routes of Nitrate?

A

IV, sublingual tablets, translingual spray

19
Q

What are slow acting routes of Nitrate?

A

topical ointment, oral sustained release, transdermal patch

20
Q

What is the treatment of an MI?

A

Morphine, Oxygen, Nitroglycerine, ASA

21
Q

What are nursing considerations for Nitrates?

A

early MI, head trauma, cerebral hemorrhage, hypotension, hypovolemia, anemia, low cardiac output states, OLDCARTS pain assessment, vital signs and labs, history and physical