week one Flashcards
NCEP want tests for 9-11 y/o…and a repeat between ages of …..and repeat every 5 years for ages……
repeat between ages 18-20 and repeat every 5 years at 20 and older.
if u already have the disease
statins will help
resovustatin CRESTOR
is approaved by fda to reduce CCV events
fibrates
most effective to lower triglyceride levels
fibrates s/e
gi distress, no coumadin, sulfonylureas, gall stones
fibrate Rn interventions
..
antiplatlets are more
prophylactic for chronic stable angina
unstable angina`
due to CAD 911 severe emergent
nitrates main drug for
chest pain…vasodialator
objective s/e for nitrates
pt will become dizzy, do not stand up while taking nitrates
isosorbide is considered a
vasodilator and a nitrate, ORHypoten, reflex tachycardia
reflex tachy cardia
baroreceptors pick up and try to maintian BP. thats why need to lie down.
A/E
HA, OrthostaticHypotension, Reflex Tachycardia
Rx Interactions
Hypotensives, Viagra, BBs,CCBs
411
dont stop abruptly, discontune slowly rebound issue if abrupt.
how long does it take to tolerate
1 day
nitro patch q morning but remove…
at bedtime
if 2 nitro pills are needs and after 5 min pain is still there…
call ems
Store Nitro….
in dark and dry and stable
BB’s for…
chronic angina
if PT is having an MI BBs will…
only help..not an end all until pt is intervened or in cath lab
bbs and ccb do to the heart…
slow heart down…which will in turn lead to a decrease in demand for O2…(decrease demand and increase supply)
do not discharge pt who has had an MI without a…
BB
benefits of a BB
blunts reflex tachycardia….