When./the./supply./of./________./and./________./in./the./blood./is./insufficient./t
o./meet./the./demands./of./the./heart,./the./heart./muscle./aches./-
./correct./answer./oxygen./and./nutrients
disease./that./is./caused./due./to./a./high./demand./of./oxygen,./but./very./little./oxy
gen./supply./-./correct./answer./coronary./artery./disease
poor./blood./supply./to./an./organ./-./correct./answer./ischemia
poor./blood./supply./to./the./heart./muscle./-
./correct./answer./ischemic./heart./disease
scarring./of./the./vessels./-./correct./answer./atherosclerosis
necrosis,./or./death,./of./cardiac./tissue./-
./correct./answer./Myocardial./infarction./(MI)
T/F./there./are./many./types./of./angina./-./correct./answer./True;./3./main./types
A./patient./is./mowing./his./lawn./on./a./hot./Saturday./afternoon../He./begins./to./n
otice./chest./pain../What./should./his./first./action./be?
,A../Take./his./nitroglycerin./tablet
B../Stop./mowing./and./sit./or./lie./down
C../Go./inside./the./house./to./cool./off./and./get./a./drink./of./water
D../Call./911./-./correct./answer./B../Stop./mowing./and./sit./or./lie./down
3./classes./of./drugs./for./angina./-./correct./answer./-Nitrates/Nitrites
-Beta./blockers
-Calcium./channel./blockers
Objectives./for./angina./drugs./-./correct./answer./-
minimize./frequency./of./attacks
-decrease./duration/intensity./of./angina./pain
-Improve./functional./capacity
-Prevent./or./delay./worst./possible./outcome./(MI)
Worst./possible./outcome./of./angina./-./correct./answer./Myocardial./Infarction
SATA./Which./of./these./nitrate/nitrite./forms./bypass./the./liver./and./the./first-
pass./effect
a../sublingual./
,b../chewable./tablets
c../oral./capsules/tablets
d../intravenous./solutions
e../transdermal./patches
f../ointments
g../translingual./sprays./-./correct./answer./a../sublingual
d../intravenous./solutions
e../transdermal./patches
g../translingual./sprays
mechanism./of./action./for./nitrates/nitrites./-./correct./answer./vasodilation--
increases./blood./flow/supply./of./oxygen
-decreases./workload./of./the./heart./(Decreased./heart./rate)
Nitrates/Nitrites./are./used./to./___________./(prevent/treat)./angina./-
./correct./answer./BOTH./prevention./and./treatment
Long-acting./nitrates./are./used./to./___________./angina./-
./correct./answer./PREVENT
rapid-acting./nitrates./are./used./to./_______./angina./-
./correct./answer./TREAT./(anginal./attacks)
, rapid./acting./nitrates./are./most./commonly./given./in./what./form?./-
./correct./answer./sublingual./tablets./and./intravenous./infusion
Nitroglycerin./has./a./______(small/large)./first-pass./effect./in./oral./forms./-
./correct./answer./large
Nitroglycerin./is./used./for./-
./correct./answer./symptomatic./treatment./of./ischemic./heart./conditions./(angi
na)
adverse./effects./of./nitrates./-
./correct./answer./severe./hypotension,./postural./hypotension,./reflex./tachycar
dia,./headaches
A./common./adverse./effect./of./Nitrates;./lets./you./know./it's./working./-
./correct./answer./headache
A./patient./who./is./walking./his./dog./developed./chest./pain./and./sat./down../He./
continues./to./experience./chest./pain./when./sitting./down../When./should./he./c
all./911?
a../immediately
b../if./the./pain./becomes./more./severe
c../if./one./sublingual./tablet./does./not./relieve./pain./after./5./minutes