ACTUAL Exam Questions and CORRECT
Answers
Nitrates, calcium chandler blockers, beta blockers - CORRECT ANSWER - Antiangials
examples
They have a direct action on vascular smooth muscle and cause it to relax. Arterial relaxation
reduces the pressure the heart has to pump against (after load) whereas venous relaxation helps
in pooling of venous blood thereby decreasing the amount of blood returned to the heart
(preload). Nitrates also increase the use of other small blood vessels in the heart so that there is
better oxygen supply to the inner layers of the heart muscle. - CORRECT ANSWER -
What do nitrates do (action)
Rapid acting (sublingual nitroglycerin) are used to provide relief in acute angina. Long acting
nitrates (topical, transdermal, transmucosal, oral sustained released nitroglycerin) are used to
prevent or treat angina attacks when they are likely to occur and to reduce the length and strength
of angina attacks. - CORRECT ANSWER - Uses for nitrates
Flushing, postural hypotension (orthostatic hypotension), tachycardia, dizziness and headache -
CORRECT ANSWER - Adverse reactions of nitrates
Every 6 months after opening container to maintain potency - CORRECT ANSWER -
How often will a patient need a new prescription of nitroglycerin? Why?
Starts after about 6 hours and will go away in 5-7 days (if taking daily)
Goes away in a few hours if taking for an attack - CORRECT ANSWER - How long does
a headache last on nitroglycerin
Original glass container, removed cotton, make sure not to expose it to heat moisture or air, do
not open the bottle frequently, do not handle the tablets, do not keep tablets close to body, do not
leave in car - CORRECT ANSWER - Where should nitroglycerin be stored?
, Spread ointment in think even layer and cover an area of skin that's the same size each time it is
applied. Apply to skin with little to no hair, scars, cuts, irritation. Apply each dose to a different
area of skin. (Usually there is a paper that has a size on it, so you place the ointment on the paper
and place the paper on the skin and cover it with tape. Make sure to wear gloves every time and
wipe first area clean before placing the new dose. - CORRECT ANSWER - Application of
topical nitroglycerin ointment
Apply the patch to a clean dry area with little to no hair cuts scars or irritation. Always remove
the previous patch before putting the new one on. Apply a new patch if the first one becomes
loose or falls off. Apply patch to a different area each time. Make sure to wear gloves every time
and wipe the area where the previous patch was before placing a new one. - CORRECT
ANSWER - Application of transdermal nitroglycerin
Healthier diet, exercise regularly, practice relaxation techniques to reduce their response to the
stress of an attack, and rest - CORRECT ANSWER - What can a patient implement to help
treat angina attacks?
helps move electrical impulses through the cardiac tissue - CORRECT ANSWER - what
does calcium do
act directly on vascular smooth muscle to dilate coronary arteries, which receives angina pain
because more oxygen can go to the cardiac tissue - CORRECT ANSWER - some calcium
channel blockers do/treat
slow the response of the cardiac conduction system to electrical impulses and treat cardiac
dysrhythmias, they are also used with other drugs to treat hypertension - CORRECT
ANSWER - other calcium channel blockers do/ treat
reduces the heart rate and force of contraction - CORRECT ANSWER - action of beta
blockers
arrhythmias, bradycardia, hypotension, constipation - CORRECT ANSWER - adverse
effects of beta blockers