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