Questions and Answers Graded A+
Chronic stable angina - Correct answer-Triggered by activity or stress; relieved by
rest or nitroglycerin.
Variant angina (Prinzmetal) - Correct answer-Caused by a coronary artery spasm;
treated with calcium channel blockers.
Unstable angina - Correct answer-Unpredictable and can occur at rest; considered a
medical emergency.
Nitrates/Nitrites - Correct answer-Nitroglycerin; dilate veins to reduce preload and
arteries to reduce afterload.
Adverse effects of Nitrates - Correct answer-Headache, hypotension, and reflex
tachycardia.
Patient teaching for Nitrates - Correct answer-Sit before taking, avoid alcohol,
store in a dark container, and replace every 6 months.
Contraindications for Nitrates - Correct answer-Do not take with sildenafil (Viagra)
due to risk of severe hypotension.
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, Beta-blockers - Correct answer-Metoprolol, Atenolol; decrease heart rate,
contractility, and myocardial oxygen demand.
Warning for Beta-blockers - Correct answer-Do not stop abruptly as it can cause
rebound angina or myocardial infarction.
Calcium Channel Blockers - Correct answer-Verapamil, Diltiazem, Amlodipine;
relax coronary arteries and reduce afterload.
Monitoring for Calcium Channel Blockers - Correct answer-Monitor heart rate,
blood pressure, and constipation (especially with verapamil).
Heart Failure Drugs Goal - Correct answer-Improve cardiac output and reduce
symptoms.
ACE Inhibitors - Correct answer-Lisinopril; reduce preload and afterload by
preventing vasoconstriction.
ARBs - Correct answer-Losartan; similar to ACE inhibitors and used if cough
develops.
Diuretics - Correct answer-Loop (Furosemide) and Thiazide (Hydrochlorothiazide)
reduce fluid overload.
Aldosterone Antagonists - Correct answer-Spironolactone; reduce sodium and
water retention.
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