Exam 2: CAD

Question 1

what are the 5 main classes of drugs given to treat CAD?

Answer 1

• Anti-platelet
• Nitrates
• ACE inhibitors
• Beta-Blockers
• Statins

Question 2

what to watch for with anti-platelets?

Answer 2

Aspirin: watching for GI bleeding.
Plavix: for patients who can’t tolerate Aspirin or just had a stent placed
Monitor for:
Thrombotic Thrombocytopenic Purpura (TTP): clotting disorder where clots form in blood vessels in the body which causes decreased blood flow to vital organs…low platelet count, neuro changes, bruising, anemia, renal failure, fever
**will need to discontinue medication for 5-7 days before a planned surgical procedure because of the increase chance of hemorrhage while taking this drug. Patients need to let their surgeon know they are taking Plavix because they will be switched to another blood thinner prior to the surgery. Plavix takes a while to clear in the body’s system.

Question 3

Procedures and surgeries used to treat CHD include:

Answer 3

Angioplasty and stent placement, called percutaneous coronary interventions (PCIs)
Coronary artery bypass surgery
Minimally invasive heart surgery

Question 4

Cardiac catheterization is done in clients with angina primarily to:

Answer 4

assess the extent and severity of the coronary artery blockage, A decision about medical management, angioplasty, or coronary artery bypass surgery will be based on the catheterization results.

Question 5

assess the extent and severity of the coronary artery blockage, A decision about medical management, angioplasty, or coronary artery bypass surgery will be based on the catheterization results.

Answer 5

EKG

Question 6

When teaching a patient why spironolactone (Aldactone) and furosemide (Lasix) are prescribed together, the nurse bases teaching on the knowledge that:

Answer 6

Spironolactone is a potassium-sparing diuretic; furosemide is a potassium-losing diuretic. Giving these together minimizes electrolyte imbalance