week one Flashcards

1
Q

NCEP want tests for 9-11 y/o…and a repeat between ages of …..and repeat every 5 years for ages……

A

repeat between ages 18-20 and repeat every 5 years at 20 and older.

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2
Q

if u already have the disease

A

statins will help

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3
Q

resovustatin CRESTOR

A

is approaved by fda to reduce CCV events

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4
Q

fibrates

A

most effective to lower triglyceride levels

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5
Q

fibrates s/e

A

gi distress, no coumadin, sulfonylureas, gall stones

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6
Q

fibrate Rn interventions

A

..

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7
Q

antiplatlets are more

A

prophylactic for chronic stable angina

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8
Q

unstable angina`

A

due to CAD 911 severe emergent

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9
Q

nitrates main drug for

A

chest pain…vasodialator

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10
Q

objective s/e for nitrates

A

pt will become dizzy, do not stand up while taking nitrates

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11
Q

isosorbide is considered a

A

vasodilator and a nitrate, ORHypoten, reflex tachycardia

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12
Q

reflex tachy cardia

A

baroreceptors pick up and try to maintian BP. thats why need to lie down.

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13
Q

A/E

A

HA, OrthostaticHypotension, Reflex Tachycardia

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14
Q

Rx Interactions

A

Hypotensives, Viagra, BBs,CCBs

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15
Q

411

A

dont stop abruptly, discontune slowly rebound issue if abrupt.

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16
Q

how long does it take to tolerate

A

1 day

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17
Q

nitro patch q morning but remove…

A

at bedtime

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18
Q

if 2 nitro pills are needs and after 5 min pain is still there…

A

call ems

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19
Q

Store Nitro….

A

in dark and dry and stable

20
Q

BB’s for…

A

chronic angina

21
Q

if PT is having an MI BBs will…

A

only help..not an end all until pt is intervened or in cath lab

22
Q

bbs and ccb do to the heart…

A

slow heart down…which will in turn lead to a decrease in demand for O2…(decrease demand and increase supply)

23
Q

do not discharge pt who has had an MI without a…

24
Q

benefits of a BB

A

blunts reflex tachycardia….

25
the more tachy you are the more your heart...
has to work
26
Always wean people off a BB dont ......
stop abrupty
27
3 most used CCBs are...
vrapimil, dilatiaxzem, nifedipine
28
CCBS will do what
increase O2 supply
29
what is PVR
afterload..periferal vascualr resistants
30
preload is a ....
volume
31
CCB's
reduces BP can induce reflex tachycardia
32
ranolazine (renexa)
anti anginal...chronic...prolong the qt interval
33
if I prolong the qt interval ...
increase risk of torsades, lethal arrythmia, elevates BP
34
p wave repreents..
atrial depolarization...+++++ enter in
35
QRS complex is....
(atrial and ventricle ) depolarization of the ventricle
36
st segment is.....
.
37
right vert boxes measure
amplitude
38
horizontal boxes measure
time
39
the higher the elevation...
the more schemis the heart is experiencesing
40
you can have an MI with NON elevated ST segment
non stemi.....pt wont notice they have this heart damage
41
stemi you have about 1 hour or notifiably called the
golden hour
42
st elevation-MI
code STEMI
43
CK MB
micardial band
44
classic drug for chest pain and angina
morphine
45
we dont want aldosterone to circulate through heart so give an...
ACE or arb
46
fribinilytics will
will break it down
47
anticoagulatns
.