Nitroglycerin, also known as glyceryl trinitrate gtn, is a medication used for heart failure, high blood pressure, anal fissures, painful periods, and to treat and prevent chest pain from not enough blood flow to the heart angina or due to cocaine. Which instruction should the nurse include in this clients discharge teaching plan. A patient with a history of both angina and esophageal spasms is told by his physician that upon recurrence of pain, take a nitroglycerin tablet, sublingually and note what happens. Antianginal drugs are used primarily to restore the balance between the oxygen supply and demand of the heart. Pharmacologystudyguideexam92017 pharmacology study. Given with caution for elderly and people who have kidney failure.
The diagnosis of angina is usually suspected from history and examination. Table 1 new england deaconess hospital angina survey. Adams, carol urban, 2019 test bank and solutions manual fast delivery. Hesi pharmacology practice exam flashcards quizlet. Work to lower bp initially by decreasing peripheral vascular resistance b. We recommend the pharmacological spasm provocation tests as class i in the guidelines in patients with vasospastic angina throughout the. Nclex practice exam for pharmacology cardiovascular medications em. The clots often form in response to plaque rupture in atherosclerotic coronary arteries. Mention their mechanism of action, 2 side effects of each drug group. The question codes remain the same so just use the question code to indicate the repeat questions.
Sarcomas leukemias ectopic pregnancy rheumatic fever. Patients with cardiac syndrome x defined as typical exertional angina, positive stress test responses and normal coronary angiograms experience. Students or readers must consult their physicians about any existing problem. Angina is chest pain resulting from myocardial ischemia caused by inadequate myocardial blood and oxygen supply. Cardiovascular disease certification examination blueprints blueprint for the fullday, multiplechoice questions component of the exam. Pharmacology content, practice questions and practice exams. Cv pharmacology the pharmacologic treatment of angina.
Angina that occurs upon exertion that is not limiting allowing the person to continue physical activity. A nurse is providing patient teaching to a patient who has been exp. Angina pectoris is a primary symptom of myocardial ischemia, which is the severe chest painthat occurs when coronary blood flow is inadequate to supply the oxygen required by the heart. Request pdf pharmacological treatment of chronic stable angina pectoris. A nurse is providing teaching for a patient with stable angina who will begin taking nitroglycerin. Drugs used in the treatment of angina pectoris katzung. Connections to nursing practice, 4th edition michael p. Decreases the hearts oxygen demand and redistributes blood flo is used to treat angina pectorals. Other than that, they also decrease the workload of the heart so the organ would have less demand for oxygen. Diagnosis and pharmacological management of stable angina. The pathophysiology of the different types of angina ca channel blockers. Model questions on cardiovascular pharmacology imention three drug group used in the treatment of the following conditions.
These drugs dilate the coronary vessels to increase the flow of oxygen to the ischemic regions. Reduce myocardial oxygen demand by blocking receptors in the h decreases the hearts oxygen demand and redistributes blood flo is used to treat angina pectorals. An echocardiogram uses sound waves to produce images of the heart. Multiple choice questions concerning the pharmacology of agents used in treating congestive heart failure are presented.
What is the difference between angina and mi heart attack. Study guide for nln rn pharmacology exam page 4 of 64 for ophthalmic use. When pain recurs, the patient takes the nitro and the pain goes away in about a minute. While the drug appears to be effective in reducing her heart rate, it has not provided an adequate change in her double product heart rate x systolic blood pressure at the time of onset of anginal pain during a treadmill test. An important laboratory test finding is the increase of troponint or troponini 572. Coronary artery disease practice questions practice questions. A quiz on treatment of angina pectoris constructed with. The examination is scored by clicking grade test at the bottom of the form. Bp response to thiazides continues to increase at doses. Metoprolol atenolol betaxolol bisoprolol celiprolol nebivolol.
Causes include obstruction of coronary blood flow because of atherosclerosis, coronary artery spasm, and conditions increasing myocardial oxygen consumption. Angina is caused by an imbalance between oxygen supply and demand. Msn exam for angina pectoris em please wait while the activity loads. We have over 200 college courses that prepare you to earn credit by exam that is accepted by over 1,500 colleges and universities. How do we administer iv nitroglycerin patient teaching. Angina pectoris refers to a strangling or pressurelike pain caused by cardiac ischemia. Which of the following are not treated with methotrexate. In order to ensure that usersafety is not compromised and you enjoy faster downloads, we have used trusted 3rdparty repository links that are not hosted on our website. It decreases involuntary movement and rigidity in parkinsonism. The pain is usually located substernally but is sometimes perceived in the neck, shoulder and arm, or epigastrium.
Aims of pharmacological treatment for stable angina. Which of the following are not treated with dexamethasone. Exam cram nursing cheat sheet angina pectoris nclex questions nclex rn medical laboratory nursing notes books to read online pharmacology. Exam mode questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Your doctor can use these images to identify anginarelated problems, including heart muscle damage due to poor blood flow. Which of the following are not treated with prednisone. Drug therapy of pectoris government medical college and.
Learn vocabulary, terms, and more with flashcards, games, and other study tools. An echocardiogram can be given during a stress test, and this can show if there are areas of your heart that are not getting enough blood. Cushings disease testicular cancer lympthomas chronic leukemias. This webbased pharmacology and diseasebased integrated teaching site is based on reference materials, that are believed reliable and consistent with standards accepted at the time of development. Pharmacological treatment of chronic stable angina pectoris ncbi. Katzung pharmacology 14th edition pdf free download section also 12, th editions0. Nclex medications for nurses national council licensure. Pdf angina pectoris is a common clinical symptom that often results. Correct answers are found through hyperlinks at the bottom. Unstable angina is caused by transient formation and dissolution of a blood clot thrombosis within a coronary artery. Finally, in this section of the article, you will be able to get access to the katzung pharmacology 14th edition pdf free download files. Bds second professional examination 2007 pharmacology and dental materia medica mcqs model paper 06. A 63 yo woman with exertional angina is taking atenolol tenormin 100 mg qd for management of her angina. Pharmacological treatment of ischaemic heart disease oxford.
Increases in heart rate, contractility inotropy, afterload e. Are effective in lowering bp by 20 25 mmhg in most patients d. Pharmacological treatment of chronic stable angina pectoris. Reference guide for pharmacy technician exam krisman. Angina can also be precipitated by increased oxygen consumption, especially if the coronary blood flow is already compromised. Nclex practice exam for pharmacology cardiovascular. Angina pectoris is the result of myocardial ischemia caused by an imbalance between myocardial blood supply and oxygen demand.
Answers are entered by clicking the button corresponding to your selection. Tenormin, a betablocker why do patients develop a headache while taking a calcium channel blocker such as cardizem. The nitrate isosorbide dinitrate isordil is prescribed for a client with angina. Angina is a common presenting symptom typically, chest pain among patients with coronary artery disease. Page 1 of 10 bds second professional examination 2007. Cv pharmacology the pharmacologic treatment of angina cont.
A 50 year old patient is having propranolol due to his cardiac problems but his physician now wants to stop this drug. Table 1, adapted from the 2010 nice guideline on chest pain of recent onset. Nclex medications for nurses free download as pdf file. The questions contained in this short multiplechoice quiz will test your knowledge of pharmacology of the cardiovascular system. Angina that occurs upon exertion that resolves when physical activity is continued or. Also, katzung pharmacology 14th edition pdf free download files are on an online repository so that you can its. Table 1, adapted from the 2010 nice guideline on chest pain of recent onset, highlights the characteristics of classical anginal pain. Overview of the pharmacological spasm provocation test. Which statement by the patient indicates understanding of the teaching. The quiz is scored automatically and can be taken multiple times. Systemmatic effect is more pronounced in infant and children with blue eyes and blond hair. For the pharmacological treatment of stable angina, those. Purpose of the exam the exam is designed to evaluate the knowledge, diagnostic reasoning, and clinical judgment skills expected of the certified cardiovascular disease specialist in the broad domain of the.1140 940 1234 999 1041 578 544 1531 1105 126 62 53 1035 842 780 1156 877 991 916 90 477 1550 659 1396 981 945 1417 85 686 616 1383 524 402 951 6 401 376 1115