NRSG 2350 EXAM 3 EXAM WITH
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+
blocks movement of calcium, vasodialtion,
slowing of HR - chronotropic
slowing of conduction - dromotropic
slowing of contractility - ionontropic
decrease workload of heart
Propranolol (Inderal) - ANSWERS-*class*: beta blocker
*Indication*: hypertension, angina, arrythmias,
cardiomyopathy, alcohol withdrawal, anxiety, decrease HR,
cardiac output, BP, SVT, PVC
*Action*: blocks Beta 1&2 adrenergic receptors
- loss of libido, NV, decreased tolerance with exercise
- May cause bradycardia, CHF, pulmonary edema,
hypotension
,-slow conduction through AV node - prolong AV node
repolarization
- stopping abruptly may result in life threatening
arrhythmias
- monitor daily intake and output
Non-dihydropyridines - verapamil,diltiazem - ANSWERS-
reduction of HR, contractility and AV conduction
dilation of arterioles
used for: angina, HTN, dysrhythmias
side effects: bradycardia, heart block
less effective on vasodilation, more effective on heart
Dihydropyridines - ANSWERS-smooth muscles, only effects
arteries
used for angina - HTN
side effects: hypotension, ankle edema, protein in urine
effective for vasodilation, less effective in heart
Nitrates - ANSWERS-dilate coronary arteries, decrease
preload and after load
vasodilator
,decrease ischemia - less pain
gel, sublingual
take 3 every 5 min - not better get help
causes hypotension
Arterial System Disease - ANSWERS-Hypercholesterolemia,
Atherosclerosis, Vasculitis, Arterial aneurysms, arterial
disease of extremities
Antianginal/Nitrates - nitro-bid, nitro stat - ANSWERS-
angina - chest pain
vasodilation - increases 02
improve blood delivery to heart muscles
decrease work of heart
decrease preload and after load
side effects: HA. dizziness, weakness, hypotension, pallor,
Cardiomyopathy - ANSWERS-disease of the heart muscle,
the myocardium: left ventricular hypertrophy
dilated: hypertensive, weak muscles
hypertrophic: patient with renal failure
, restrictive: pregnancy, pt with renal failure, muscle stiffness,
could be from infection
causes: autoimmune disease, heart attack, CAD
risks: diabetes, HTN, infections, alcohol use,
arterial aneurysm - ANSWERS-a localized dilation of an
artery that usually develops in response to trauma or a
congenital weakness of the artery wall.
Arterial Disease of the Extremities - ANSWERS-thrombus
formation, narrowing of vessel walls in extremities
Vasculitis - ANSWERS-inflammation of a blood or lymph
vessel; also known as angiitis
Coronary Artery Disease - ANSWERS-atherosclerosis of the
coronary arteries that reduces the blood supply to the heart
muscle
fat in arteries get stuck to arterial wall, LDL in blood causes
flow of blood to narrow causing endothelial cells to become
ischemic
usually one main artery effected and a bunch of little ones
inadequate myocardial oxygen supply
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+
blocks movement of calcium, vasodialtion,
slowing of HR - chronotropic
slowing of conduction - dromotropic
slowing of contractility - ionontropic
decrease workload of heart
Propranolol (Inderal) - ANSWERS-*class*: beta blocker
*Indication*: hypertension, angina, arrythmias,
cardiomyopathy, alcohol withdrawal, anxiety, decrease HR,
cardiac output, BP, SVT, PVC
*Action*: blocks Beta 1&2 adrenergic receptors
- loss of libido, NV, decreased tolerance with exercise
- May cause bradycardia, CHF, pulmonary edema,
hypotension
,-slow conduction through AV node - prolong AV node
repolarization
- stopping abruptly may result in life threatening
arrhythmias
- monitor daily intake and output
Non-dihydropyridines - verapamil,diltiazem - ANSWERS-
reduction of HR, contractility and AV conduction
dilation of arterioles
used for: angina, HTN, dysrhythmias
side effects: bradycardia, heart block
less effective on vasodilation, more effective on heart
Dihydropyridines - ANSWERS-smooth muscles, only effects
arteries
used for angina - HTN
side effects: hypotension, ankle edema, protein in urine
effective for vasodilation, less effective in heart
Nitrates - ANSWERS-dilate coronary arteries, decrease
preload and after load
vasodilator
,decrease ischemia - less pain
gel, sublingual
take 3 every 5 min - not better get help
causes hypotension
Arterial System Disease - ANSWERS-Hypercholesterolemia,
Atherosclerosis, Vasculitis, Arterial aneurysms, arterial
disease of extremities
Antianginal/Nitrates - nitro-bid, nitro stat - ANSWERS-
angina - chest pain
vasodilation - increases 02
improve blood delivery to heart muscles
decrease work of heart
decrease preload and after load
side effects: HA. dizziness, weakness, hypotension, pallor,
Cardiomyopathy - ANSWERS-disease of the heart muscle,
the myocardium: left ventricular hypertrophy
dilated: hypertensive, weak muscles
hypertrophic: patient with renal failure
, restrictive: pregnancy, pt with renal failure, muscle stiffness,
could be from infection
causes: autoimmune disease, heart attack, CAD
risks: diabetes, HTN, infections, alcohol use,
arterial aneurysm - ANSWERS-a localized dilation of an
artery that usually develops in response to trauma or a
congenital weakness of the artery wall.
Arterial Disease of the Extremities - ANSWERS-thrombus
formation, narrowing of vessel walls in extremities
Vasculitis - ANSWERS-inflammation of a blood or lymph
vessel; also known as angiitis
Coronary Artery Disease - ANSWERS-atherosclerosis of the
coronary arteries that reduces the blood supply to the heart
muscle
fat in arteries get stuck to arterial wall, LDL in blood causes
flow of blood to narrow causing endothelial cells to become
ischemic
usually one main artery effected and a bunch of little ones
inadequate myocardial oxygen supply
