My chest hurts. Does your chest hurt? Flashcards
Which antianginal is given for an acute emergency?
A) Nitroglycerin
B) Beta blockers
C) Calcium channel blockers
A) Nitroglycerin
When are beta blockers and calcium channels usually given when not prescribed for hypertension?
A) To prevent a heart attack
B) In a cardiac emergency
C) After a heart attack has already occurred
C)
Beta blockers and CCB drugs are given after a heart attack to decrease chest pain and lower risk for future heart attacks.
True or False:
Beta blockers are effective for variant angina?
False. Beta blockers are used only for stable angina.
What is variant chest pain also known as?
A) Cheyne-stokes
B) Kussmaul’s
C) Prinzmetal’s
D) Rossler’s
C) Variant angina is also called Prinzmetal’s angina.
Which of the following is not a way to give nitroglycerin?
A) Sublingually
B) Intradermally
C) Orally
D) Topically
E) Intravenously
B) Nitroglycerin is not given intradermally
How often should the bottle of opened nitroglycerin be replaced?
A) The date specified on the bottle
B) 6 months after opening
C) 1 year after opening
D) When the medication is all used
B) Nitroglycerin degrades over time when the bottle is opened. It should be replaced within six months of opening.
Where would you not want to place a nitroglycerin patch?
A) A swimmer’s chest
B) The upper arm of a hairy man
C) On the thigh of a middle-aged woman with toe ischemia
D) The back of an older male patient
B) Nitroglycerin patches should not be placed over hair.
How many times can the patient take sublingual nitroglycerin before calling EMS?
A) 1 tablet
B) 2 tablets
C) 3 tablets
D) call EMS if chest pain occurs
C) 3 tablets, spaced 5 minutes apart, is the maximum dose of nitroglycerin sublingually.
When teaching the patient about nitroglycerin patches, which statement would indicate a need for further teaching?
A) I can use these patches to prevent chest pain.
B) I can place the patches in the same location, so I remember where I applied them.
C) I should taper the dosages if I need to discontinue the med.
D) I can place the patch on my thigh, arm, and back.
B) The patches should not be placed in the same location over and over. The patient should be instructed to rotate patch sites and to place them in areas with little or no hair.
What sensation will the patient note when taking sublingual nitroglycerin?
A) Blurred vision
B) Peripheral neuropathy
C) Ringing ears
D) Stinging in mouth
D) When a patient takes nitroglycerin sublingually, they should feel a “stinging” or “biting” sensation if the nitro is still active.
True or False:
Nitroglycerin patches should be removed at night
True.
The heart rate naturally slows while sleeping, and nitroglycerin could cause the heart rate to go dangerously low.
Which of the following can nitroglycerin cause?
A) Hypertension
B) Hyperlipidemia
C) Tachycardia
D) Diaphoresis
C) Tachycardia
Nitro actually lowers blood pressure, but causes tachycardia.
What is the typical dosage for sublingual nitro?
A) 0.4
B) 0.5
C) 0.6
D) 0.7
A) 0.4mg is the normal sublingual nitroglycerin dosage.
Can a patient develop a tolerance to nitro?
A) Yes
B) No
YES
