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15 Cards in this Set
- Front
- Back
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what is stable angina
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decrease O2 supply to the heart muscle, mainly cause plaque build up
symptoms occur but do not worsen |
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prinzmetal's angina
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decreased myocardial o2 supply cause vasospasm
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what is unstable angina
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severe, crushing chest pain due to ischemia, acute medical care needed
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meds to be used in angina
think of the acronym |
A- Aspirin (anti-platelet) , antianginal, ACEI
B- BB and BP C- Cig + Cholesterol D- diet + diabetes E- Exercise |
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antiplatelets used in angina
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aspirin
Plavix (used if CI to aspirin) |
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Plavix BBW
SE |
diminished effectiveness in poor metabolizers 2c19
SE- bleeding and brusing |
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anti-angina meds used for angina
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BB- 1st line, avoid ISA meds, more effective than nitrates in silent angina, avoid in prinzmetals
CCB(use when BB CI)- preferred for prinzmetal's nitrates ranolazine |
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ranolzaine
brand? SE |
ranexa
SE- dizziness, constipation, QT prolongation |
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forms and strengths:
nitrostat nitromist, nitrolingual pump |
nitrostat- nitro SL tabs 0.3, 0.4, 0.6 mg
SL spray- 0.4mg/spray |
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nitro SE
patch directions |
HA, flushing, hypotension
patch- apply for 10-12 H, then remove for 12 H |
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nitro SL patient counseling points
when to call 911? how many doses can they take |
call EMS if pain still after 1st tab
can take up to 3 additional doses, 5 mins apart till EMS arrives |
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when do NTG tabs expire
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used to be that they needed replacing after 6 months
with new reformulations, if at room temp, should expire at manu set date |
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nitro pump spray patient counseling points
max sprays? what not to do what to do in beginning |
max 3 sprays in 15 mins
do NOT shake must prime with 5 sprays in air 1st time or after 6 weeks of not using |
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when should isosorbide mononitrate be taken
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usually BID, 1 in AM and one 7 hours later
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ranolazine
MOA |
decreases intracellular Na and Ca, may decrease O2 demand
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