Chronic Stable Angina Vs unstable Angina Flashcards
the following flashcards are going to be based on the simple nursing video of angina
what does angina mean?
chest pain
what is the patho behind angina?
severe narrowing of the coronary arteries, meaning less oxygen to the body
A for angina = acute chest pain
what are the two types of angina?
stable angina
unstable angina
what is stable angina?
chest pain that is relieved with rest
what are the common causes of stable angina?
walking up stairs
mowing the lawn
sex
what are the 3s for stable angina?
stable angina
safer angina
stops with rest
what is unstable angina?
pain at rest
unstable angina is a huge warning sign for what?
myocardial infarction
what are the 3 u’s of unstable angina?
unstable angina
unsafe angina
unrelieved pain at rest
what is usually the medication treatment for angina?
nitro!
whats the function of nitro?
nitrO
helps OPEN up the heart and vessels
for more O2!
what medication can we not give when a patient has nitro?
no viagra
- afil !!
what are 2 common side effects of nitro?
headache
hypotension
( take sitting )
when do you usually want to take nitro?
right before any heavy activity
when do you call 911 if pain contuines?
pain contuines 5mins after 1st
where do store nitro?
no light
no heat
how long do you replace nitro?
after 6 months
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
the following flashcards are from the nclex book
angina is caused by the imbalance of what?
oxygen supply and demand that the body is needing
how do patients describe the pain of angina?
crushing, squeezing, substernal
what are some other symptoms other than chest pain for angina patients?
diaphorisis
pallor
dyspnea
dizziness
hypertension
what are some diagnostic studies we can do for these patients?
stress test
ekg
troponin levels
cardiac cath
the following flashcards are going off the textbook
what does chronic stable angina often mean?
when the demand for oxygen exceds the ability of the coronary arteries to supply the heart with oxygen
what is the main cause for why patients develop chronic stable angina?
atherosclerosis
what does the EKG show when a patient is having chronic stable angina?
what does it show when the angina subsides?
ST segement depression or T wave inversion
it goes back to baseline, or normal when adequate blood flow is restored and pain is relieved
if a patient comes in complaining of chest pain
what is the first thing you as a nurse will do?
position upright
assess vital signs
ecg monitor
12 lead ecg
nitro
pain medication
chest x-ray
assess breath and heart sounds
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?
diets low in sodium and saturated fat
30mins a day, best for 5x a week
( overweight cause the heart to over work )
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 ?
unstable angina
what is the gold standard test for angina symptoms?
cardiac cath
typically what is the recommended surgery for patients with chronic stable angina if medications are not helping?
CABG
( coronary artery bypass graft surgery )
