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ch/12-p/2 cardiovasc
ch/12-p/2 cardiovascular systems
| Question | Answer |
|---|---|
| DEFINE ANGINA | CHEST PAIN DUE TO LACK OF BLOOD FLOW TO THE HEART |
| IS ANGINA A DISEASE IN ITSELF | NO, USUALLY A SYMPTOM OF NARROWING OR BLOCKAGE OF THE ARTERIES |
| DEFINE EXERTIONAL ANGINA | CAUSED BY INCREASED PHYSICAL EXERTION |
| DEFINE VASOSPASTIC ANGINA | CAUSED BY VASOSPASM OF THE CORNERY ARTERIES, AND OFTEN AT REST |
| WHAT ARE NITRATES USED FOR | ACUTE ATTACKS AND FOR PROPHYLAXIS OF ANGINA |
| HOW DO NITRATES WORK | BY CAUSING VASODILATION OF SYSTEMIC ARTERIES AND VEINS WHICH WILL DECREASE PRELOAD AND AFTERLOAD OF THE HEART [THIS WILL REDUCE OXYGEN CONSUMPTION AND CARDIAC OUTPUT |
| WHAT CLASS ARE NITRATES | VASODIOLATORS |
| MOST COMMONLY USED NITRATE | NITROGLYCERIN - USED FOR CHF, DRUG OF CHOICE FOR ACUTE ATTACKS OF ANGINA AND ALSO AS PROPHYLACTIC TREATMENT OF ANGINA |
| WARNING FOR WHEN USING NITROGLYCERIN | DO NOT USE WITH VIAGRA OR ED MEDICALTIONS!!! |
| HOW DO YOU TAKE NITROGLYCERIN FOR ACUTE ATTACK | A TABLET OR SPRAY IS GIVEN SUBLINGUALLY, IF STILL IN PAIN REPEAT AFTER 5 MIN, UP TO 3 DOES IN 15 MIN. NO RELIEF GO TO HOSPITAL |
| DOSE FORMS OF NITROGLYCERIN | NITROSTATE[TABLETS] NITROQUICK[TABLET] NITROLINGUAL [SPRAY]---TABLET AND SPRAY CAUSE STINGING SENSATION |
| ARE THERE OTHER FORMS OF NITROGLYCERIN | OINTMENT-USE GLOVES WHEN APPLYING---PATCHES-SHOULD NOT BE ALLOWED TO REMAIN ON SKIN FOR 24 HOURS TO PREVENT TOLERANCE |
| WHAT SHOULD THE TECH DO WHEN FILLING NITROGLYCERIN SCRIPT | SHOULD REMAIN IN ORGINAL GLASS BOTTLE AND SHOULD BE REFILLED EVERY 3 MO. [WILL DETERIORATE] |
| SIDE EFFECTS OF NITROGLYCERIN | HEADACHES, DISSINESS, NAUSEA AND OTHER SYMPTOM OF HYPOTENTION |
| OTHER NITRATES USED FOR ANGINA | ISORDIL [ISOSORBIDE DINITRATE] ALSO AVAILABLE IN SUBLINGUAL AND BUCCAL TABLET FORM FOR ACUTE ATTACKS |
| WHEN SHOULD I TAKE ISORDIL [ISOSORBIDE DINITRATE] | FIRST SIGN OF ATTACK TAKE 1-2 TABS FIRST SIGN OF ATTACK, IF NO RELEIF CALL DOC OR HOSP. |