Unit 6 - Cardiovascular 9

Question 1

How should nitrates be used to treat angina?

Answer 1

Two sprays (or one tablet) under the tongue
Rest and wait 5 minutes
- if not resolved
- try another dose
- if not resolved after a further 5 minutes
- call 999

Question 2

What are the side effects of nitrates to treat angina?

Answer 2

Profound decrease in blood pressure
- dizzy
- lightheaded
Vasodilation
- flushed
- throbbing headache

Question 3

What practical advice should be given to patients with angina?

Answer 3

Beware of expiry dates of medication

Keep multiple containers in different locations

Question 4

What medication should be used for the secondary prevention of cardiovascular disease?

Answer 4

• aspirin 75mg OD

- atorvastatin 80mg OD

Question 5

What are the clinical manifestations of cardiovascular disease?

Answer 5

Acute Coronary Syndromes (ACS)

• Unstable angina (UA)
• NSTEMI (Non-ST Elevated MI)
• STEMI (ST Elevated MI)