CHF and Angina

Question 1

What do the kidneys do when there is decreased renal blood flow

Answer 1

Increase BP

Question 2

What is right sided heart failure caused by

Answer 2

Hypoxic pumonary disease such as COPD

Question 3

What are the two heart failure classifications

Answer 3

ACC/AHA and NYHA

Question 4

What does the ACC/AHA classification focus on

Answer 4

risk factors

Question 5

Drugs to treat heart failure

Answer 5

Drugs that inhibit the RAAS system (ACE-I), diurectics

Question 6

What does valsartan do

Answer 6

opens narrowed arteries, reduces strain on the heart

Question 7

What are the adverse effects of valsartan

Answer 7

ARBs, joint pain

Question 8

What do SGLT-2 inhibitors do

Answer 8

reduce pre/afterload

Question 9

What are the side effects of SGLT-2 inhibitors

Answer 9

hypoglycemia, UTI

Question 10

What should you monitor with calsartan

Answer 10

Kidney

Question 11

Waht should you monitor with SGLT-2 inhibitors

Answer 11

Kidney

Question 12

What do SGLT-2 inhibitors end with

Answer 12

PAGLIFLOZIN

Question 13

What are the AGLT-2 meds

Answer 13

Em/dapagliglozin, hardiance

Question 14

What does digoxin do

Answer 14

Increase force

Question 15

What must be in normal fange for digozin

Answer 15

POtassium

Question 16

What can digoxin cause

Answer 16

Dysrhythmias and heart bvloock

Question 17

What do you use digoxin for

Answer 17

Slows heart rate, NARROW range

Question 18

What are the adverse effects of digozin

Answer 18

Dysrhythmias, HALOS

Question 19

What are the inotropic meds

Answer 19

Dopamine, dobutamine

Question 20

What does dopamine do

Answer 20

Used for really bad heart failure, increases heart rate and contraction

Question 21

What is angina

Answer 21

Reversible myocardial ischemia causing chest pain

Question 22

What are the S+S of angina

Answer 22

CENTER of chest, JAW, SOB, lightheadedness

Question 23

Why does angina happen

Answer 23

O2 demand is greater than supply, insufficient blood flow

Question 24

What does O2 depans depend on

Answer 24

HR, contraction, stretch

Question 25

What does O2 supply affect

Answer 25

Blood flow and perfusion

Question 26

What is exertional angina

Answer 26

Chronic stable angina

Question 27

What are the characteristics of exertional angina

Answer 27

Intermittently, same pattern, no pain with rest

Question 28

When should people who have chronic stable angina come in

Answer 28

When it is different

Question 29

What is the goal of treatment for chronic stable angina

Answer 29

Decrease O2 demand or increase supply

Question 30

What do you want to prevent with treating chronic stable angina

Answer 30

MI, ischemia and pain

Question 31

What are the therapeutic agents that provide symptomatic relief with chronic stable anginaq

Answer 31

Nitro, beta-blockers

Question 32

How often can you take nitro

Answer 32

Q5 mins X3

Question 33

What are the nondrug therapy options for treating chronic stable angina

Answer 33

Avoid and decrease risk factors

Question 34

How can you reduce the risk of chronic stable angia

Answer 34

Smoking, high cholesterol, hypertension, diabetes, physiclal inactivity

Question 35

What does cariant angina go by

Answer 35

Prinametal's angina

Question 36

What is variant angina

Answer 36

Spasm

Question 37

What is unstable angina

Answer 37

New, pain at rest, worsening, unpredictable, EMERGENCY

Question 38

What are the three families of antianginal agents

Answer 38

Organic nitrates (nitri), beta-blockers (metoprolol), calcium channel blockers (verapamil)

Question 39

What is the other drug you can use for angina

Answer 39

Ranolazine, works better in men

Question 40

What do nitrates do

Answer 40

Dilate veins and decrease preload

Question 41

What do beta blockers do

Answer 41

Decrease HR and contraction

Question 42

What is the oldest and most frequently used class of antianginal agents

Answer 42

Nitro

Question 43

What are the adverse effects of nitro

Answer 43

headache, hypotension, refelx tachycardia

Question 44

Why does nitro have sprays and sublingual pills

Answer 44

1st pass effect

Question 45

What should you know about abrupt discontinuation of long-acting angina agents

Answer 45

Can cause casospasm

Question 46

What does beta blockers end in

Answer 46

OLOL

Question 47

What are the adverse effects of beta blockers

Answer 47

Bradycardia, astmatic effects, AV block

Question 48

What are calcium channel blockers used for

Answer 48

Stable and cariant angina, HTN