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…

A

BB

24
Q

benefits of a BB

A

blunts reflex tachycardia….

25
Q

the more tachy you are the more your heart…

A

has to work

26
Q

Always wean people off a BB dont ……

A

stop abrupty

27
Q

3 most used CCBs are…

A

vrapimil, dilatiaxzem, nifedipine

28
Q

CCBS will do what

A

increase O2 supply

29
Q

what is PVR

A

afterload..periferal vascualr resistants

30
Q

preload is a ….

A

volume

31
Q

CCB’s

A

reduces BP can induce reflex tachycardia

32
Q

ranolazine (renexa)

A

anti anginal…chronic…prolong the qt interval

33
Q

if I prolong the qt interval …

A

increase risk of torsades, lethal arrythmia, elevates BP

34
Q

p wave repreents..

A

atrial depolarization…+++++ enter in

35
Q

QRS complex is….

A

(atrial and ventricle ) depolarization of the ventricle

36
Q

st segment is…..

A

.

37
Q

right vert boxes measure

A

amplitude

38
Q

horizontal boxes measure

A

time

39
Q

the higher the elevation…

A

the more schemis the heart is experiencesing

40
Q

you can have an MI with NON elevated ST segment

A

non stemi…..pt wont notice they have this heart damage

41
Q

stemi you have about 1 hour or notifiably called the

A

golden hour

42
Q

st elevation-MI

A

code STEMI

43
Q

CK MB

A

micardial band

44
Q

classic drug for chest pain and angina

A

morphine

45
Q

we dont want aldosterone to circulate through heart so give an…

A

ACE or arb

46
Q

fribinilytics will

A

will break it down

47
Q

anticoagulatns

A

.