Chronic Stable Angina Vs unstable Angina

Question 1

the following flashcards are going to be based on the simple nursing video of angina

Question 2

what does angina mean?

Answer 2

chest pain

Question 3

what is the patho behind angina?

Answer 3

severe narrowing of the coronary arteries, meaning less oxygen to the body

A for angina = acute chest pain

Question 4

what are the two types of angina?

Answer 4

stable angina
unstable angina

Question 5

what is stable angina?

Answer 5

chest pain that is relieved with rest

Question 6

what are the common causes of stable angina?

Answer 6

walking up stairs
mowing the lawn
sex

Question 7

what are the 3s for stable angina?

Answer 7

stable angina
safer angina
stops with rest

Question 8

what is unstable angina?

Answer 8

pain at rest

Question 9

unstable angina is a huge warning sign for what?

Answer 9

myocardial infarction

Question 10

what are the 3 u’s of unstable angina?

Answer 10

unstable angina
unsafe angina
unrelieved pain at rest

Question 11

what is usually the medication treatment for angina?

Answer 11

nitro!

Question 12

whats the function of nitro?

Answer 12

nitrO
helps OPEN up the heart and vessels
for more O2!

Question 13

what medication can we not give when a patient has nitro?

Answer 13

no viagra
- afil !!

Question 14

what are 2 common side effects of nitro?

Answer 14

headache
hypotension

( take sitting )

Question 15

when do you usually want to take nitro?

Answer 15

right before any heavy activity

Question 16

when do you call 911 if pain contuines?

Answer 16

pain contuines 5mins after 1st

Question 17

where do store nitro?

Answer 17

no light
no heat

Question 18

how long do you replace nitro?

Answer 18

after 6 months

Question 19

notes
nitro patch
unstable angina

1x daily NOT PRN
1 patch at a time NOT 2
YES shower is okay

Location
- rotate site daily
CLEAN,DRY,SHAVEN AREA
- upper body ( subclavian, arm, upper chest )
NOT HAIRY, SCARRED, BURNED, CALLUS
NOT BROKEN SKIN

test tip
if the patch falls off?( over 1 hour ago )
take nitro pill/spray patch can take 40-60mins

NURSES ALWAYS USE GLOVES

Question 20

the following flashcards are from the nclex book

Question 21

angina is caused by the imbalance of what?

Answer 21

oxygen supply and demand that the body is needing

Question 22

how do patients describe the pain of angina?

Answer 22

crushing, squeezing, substernal

Question 23

what are some other symptoms other than chest pain for angina patients?

Answer 23

diaphorisis
pallor
dyspnea
dizziness
hypertension

Question 24

what are some diagnostic studies we can do for these patients?

Answer 24

stress test
ekg
troponin levels
cardiac cath

Question 25

the following flashcards are going off the textbook

Question 26

what does chronic stable angina often mean?

Answer 26

when the demand for oxygen exceds the ability of the coronary arteries to supply the heart with oxygen

Question 27

what is the main cause for why patients develop chronic stable angina?

Answer 27

atherosclerosis

Question 28

what does the EKG show when a patient is having chronic stable angina? what does it show when the angina subsides?

Answer 28

ST segement depression or T wave inversion it goes back to baseline, or normal when adequate blood flow is restored and pain is relieved

Question 29

if a patient comes in complaining of chest pain what is the first thing you as a nurse will do?

Answer 29

position upright assess vital signs ecg monitor 12 lead ecg nitro pain medication chest x-ray assess breath and heart sounds

Question 30

what are some life style changes that we can recommend to our patient who has chronic stable angina to live a better life? exercise? diet?

Answer 30

diets low in sodium and saturated fat 30mins a day, best for 5x a week ( overweight cause the heart to over work )

Question 31

any patient that comes in with angina and has had chronic stable angina now complaining for new onset of pain without relief or change in duration, we worry about what ?

Answer 31

unstable angina

Question 32

what is the gold standard test for angina symptoms?

Answer 32

cardiac cath

Question 33

typically what is the recommended surgery for patients with chronic stable angina if medications are not helping?

Answer 33

CABG ( coronary artery bypass graft surgery )