CVD - Angina

Question 1

Stable Angina Treatment?

Answer 1

GTN dose 5mins intervals

Call 999 after 2nd dose

Question 2

Stable Angina Long term management? 1st line?

Answer 2

Beta blocker or RL CCB (not together)

Question 3

Stable Angina Long term management? 2nd line?

Answer 3

CCB + Beta blockers

Question 4

Stable Angina Long term management? 3rd line?

Answer 4

Nitrates long acting:
Nicorandil, Ivabradine, Ranolazine

Question 5

Common Nicorandil side effect to know?

Answer 5

Gi & Mucosal ulcerations

Question 6

GTN tabs when to discard?

Answer 6

8 weeks after opening

Question 7

Nitrates free period? Why?

Answer 7

16 hours

So 2nd dose is given 8hrs apart not 12

Prevents tolerance developing

Question 8

GTN patches duration and caution?

Answer 8

8-12 hours a day

Caution in Elderly -> Fall risk
(Dizzy, flushing)

Question 9

STEMI MEANS WHAT?

Answer 9

ST elevated myocardial infarction

Question 10

STEMI PCI within how long?

Answer 10

2 hrs two widen arteries

Question 11

If pci is done radial what is given?

Answer 11

Heparin

Question 12

In the case of STEMI what meds should be given immediately?

Answer 12

Aspirin 300mg, GTN +/- Morphine + Antiplatelet

Question 13

Myocardial necrosis in STEMI?

Answer 13

Complete block

Question 14

Long term secondary antiplatelet in STEMI?

Answer 14

Prasugrel

Question 15

What 5 meds do pt’s walk out with after a myocardial Infarction?

Answer 15

1) ACE

2) Betablocker

3) High Strength Statins

4) Aspirin

5) Clopidogrel/Prasugrel/ Ticagrelor

Question 16

What’s Desmopressin used in?

Answer 16

Haemophillia

& Von Willebrand disease

Question 17

Tranexamic acid used in?

Answer 17

Dental, surgery, Menorrhagia

Question 18

Tranexamic acid side effects and max dose?

Answer 18

GI side effects

Max dose 4g

Question 19

In heart failure what is decompensated?

Answer 19

It is Symptomatic
immediate treatment needed

Question 20

In heart failure what is compensated?

Answer 20

When it is Non symptomatic

Heart functioning well enough

Question 21

Chronic HF 1st line?

Answer 21

ACE + Betablocker

Question 22

Chronic HF if not tolerated give what?

Answer 22

Hydrazine + nitrates

Question 23

In chronic HF if symptoms still persist what is given after 1st/2nd line treatment?

Answer 23

Aldosterone antagonist - Spironlactone, Eplerone

Question 24

Sinus HF treatment? Dose?

Answer 24

Digoxin but half dose of used in AF

Question 25

Oedema treatment in chronic HF?

Answer 25

Loop diuretics
&
Amiodarone/Dapagliflozin - side effect

Water loss!

Question 26

Which antidiabetic meds are licensed to be used in HF?

Answer 26

Dapagliflozin and Empagliflozin

*Canagliflozin is NOT licensed