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T/x for Angina Pain
Nurs 395
Question | Answer |
---|---|
What is a chronic Angina? | Predictable chest pain---> exercise |
Ranolazine (Ranexa) Mode of action, S/sx, education - What does it treat | Reduces Calcium and lowers MVO2 s/sx: raises blood pressure avoid grapefruit |
Nitroglycerin (NTG) Mode of action, S/sx, education -What are the 6 different routes -What does it treat | -Dilates arterioles and decrease preload and afterload -Decrease BP, headache, and reflex tachycardia -Nitrostat(Sublingual), Nitrolingual(spray), Nitro Dur(patch), isosorbide(ointment), Nitro BIb(IV) |
-Nsg Imp for sublingual -Nsg Imp for the patch and ointment | Sublingual= rest, lay down before taking it, should sting, no more than 3, call 911 after the 2nd, replace every 6 months Patch and ointment= apply on hair free area, apply lower or upper torso |
What is variant angina | chest pain due to transient ischemia -occur @ REM sleep |
What is unstable angina | Unpredictable chest pain that is treated by MONA -presents like a MI |
3 types of Cholesterol | VLDL- bad, high triglyceride LDL- bad HDL- good |
What medications are used to treat cholesterol? | Statins, Bile acids, Niacin, Fibrates |
Statins (Used for, s/sx, nsg imp) | -most effective for lower lipids -s/sx: liver damage, myopathy, peripheral neuropathy -nsg imp: take at night, avoid grapefruit, monitor for lipids and liver test |
Niacin ( Action, S/sx) | Vitamin B3 (OTC) s/sx: flushing face, neck, and head & BS/ uric acid -avoid pts. with gout |
Bile-acid (Action, s/sx) Colesevelam (Welchol) | -Decrease cholesterol in liver -s/sx: GI upset, interfer with thyroid, seizure, orai anti DM agent |
Fibrates (Action, s/sx) Gemfibrozil (Lopid) | -decrease triglyceride and increase HDL -s/sx: myopathy (avoid statin) & increase warfarin |
digoxin (Lanoxin) = treats heart failure (action, Therapeutic range/ half-life drug, s/sx) | -Increase contractility (Positive inotropic) -decrease HR (neg chronotropic)........ check k+ levels -TR= .5-.8 ; Half-life= 1 to 3 days s/sx: brachycardia, ventricular dysrhythmias, "yellow vision" |