LESSON 9 part 2

Question 1

Muscle aches

Answer 1

myalgia

Question 2

Give nursing interventions for CAD

Answer 2

Monitor vital signs
Monitor ecg
Monitor labs
Monitor for myalgia

Question 3

Characterized by episodes of paroxysms of pain or pressure in the anterior chest

Answer 3

Angina Pectoris

Question 4

What is the cause of angina pectoris

Answer 4

insufficient coronary blood flow

Question 5

Classification or Types of Angina

Answer 5

Stable angina
Unstable angina
Intractable or refractory angina
Variant angina
Silent ischemia

Question 6

There is predictable and ‘consistent pain’ that occurs on exertion and ‘relieved by rest and or nitroglycerin’

Answer 6

stable angina

Question 7

The symptoms increase in frequency and severity and ‘may not be relieved with rest or nitroglycerin’

Answer 7

Unstable angina

Question 8

There is severe incapacipating chest pain

Answer 8

Intractable or refractory angina

Question 9

There is pain at rest, with reversible ST segment elevation

Answer 9

Variant Angina

Question 10

There is objective evidence of ischemia, but the patient reports no pain

Answer 10

Silent Ischemia

Question 11

Angina is usually caused by

Answer 11

atherosclerotic disease

Question 12

This ‘can precipitate an attack’ by increasing myocardial oxygen demand

Answer 12

physical exertion

Question 13

This can cause ‘‘vasoconstriction and elevated blood pressure’’ with increase oxygen demand

Answer 13

exposure to cold

Question 14

Gives long term and short term reduction of myocardial oxygen consumption through selective vasodilation within three minutes

Answer 14

nitroglycerin

Question 15

blocks the beta-adrenergic stimulation of the heart

Answer 15

beta blockers

Question 16

have negative inotropic effects

Answer 16

calcium channel blockers

Question 17

Prevent platelet aggregation

Answer 17

antiplatelet

Question 18

inadequate blood supply to peripheral tissues causes ______

Answer 18

pallor

Question 19

another term for unstable angina

Answer 19

crescendo angina/ pre-infarction angina

Question 20

what position is allowed if patient has angina?

Answer 20

semi fowler position

Question 21

nitroglycerin is given at what route?

Answer 21

sublingual

Question 22

nitroglycerin should only be given with how many doses and every what minutes?

Answer 22

3 doses only, every 5 minutes

Question 23

what is the mg of a nitroglycerin

Answer 23

0.6 mg

Question 24

abnormal contraction; squeezing out of blood by arteries

Answer 24

vasospasm

Question 25

it is absorbed in the small intestine

Answer 25

bile acid

Question 26

example of a bile acid sequestrants

Answer 26

cholestyramine (questran)

Question 27

medicines that help lower your LDL (bad) cholesterol

Answer 27

bile acid sequestrants

Question 28

depolarization:
______ out ______ in

Answer 28

potassium OUT
sodium IN

Question 29

another term for unstable angina

Answer 29

crescendo angina

Question 30

another term for variant angina

Answer 30

prinzmetal

Question 31

how many mg of nitroglycerin should be given

Answer 31

0.6

Question 32

angina that is caused by coronary VASOSPASM

Answer 32

variant angina