NUR 218 Pharm 2 Study Guide - Lecture notes and powerpoint information for exam 2 Latest Update 100% Complete Guaranteed Success Pharm 2 Study Guide - Lecture notes and powerpoint information for exam 2
Pharm Exam 2 Study Guide
1. Mechanisms of action
2. Uses
3. Adverse Effects/side effects/issues
Cardiovascular Drugs
Anti-Anginals
- Angina Pectoris
- Severe chest pain
- Usually short (5-10mins)
- Brought on by exertion or emotional excitement
- Related to the need for increased myocardial oxygen demand (myocardial
ischemia)
- Oxygen demand decreases with rest and relaxation
- Steady intense pain sometimes with crushing pain that radiates to left shoulder
and left arm. Can move to the jaw, epigastrium, and abdominal area
- Considered classic or stable if predictable, does not progress
- Frequency, intensity and duration
- S/S
- Emotional distress
- Feeling of doom, impending death
- Pallor, dyspnea with cyanosis
- Diaphoresis
- Tachycardia
- Elevated BP
- Vasospastic (Prinzmetal’s) Angina
- Spasms of the coronary artery leads to decreased myocardial blood flow
- Not specifically related to plaque build up
- Pain related to vasoconstriction of artery
- Generally occurs in periods of rest
- Silent Angina
- No chest pain present (asymptomatic)
- Myocardial ischemia is still occuring
- High risk for acute MI and sudden death
- Unstable Angina (most severe form of angina)
- Episodes occur suddenly, increasing intensity, and occur during periods of
rest
- Plaque within coronary artery ruptures
- Medical emergency