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Questions and Answers
What is the effect of dilation of the veins on blood flow?
What is the effect of dilation of the veins on blood flow?
- Decreases filling pressure (preload) (correct)
- Decreases blood pressure
- Increases cardiac output
- Increases blood return to the heart
How do nitrates affect the systemic arteriolar bed?
How do nitrates affect the systemic arteriolar bed?
- They have no effect on arterioles
- They relax the arteriolar bed, lowering blood pressure (correct)
- They increase afterload
- They constrict the arterioles
What is the purpose of applying topical nitroglycerin patches in the morning and removing them at bedtime?
What is the purpose of applying topical nitroglycerin patches in the morning and removing them at bedtime?
- To prevent the development of tolerance (correct)
- To decrease myocardial oxygen requirements
- To achieve a continuous high level of nitrate in the body
- To alleviate pain of ischemia within 3 minutes
How do beta-blockers reduce myocardial oxygen consumption?
How do beta-blockers reduce myocardial oxygen consumption?
Why should beta-blocker therapy not be stopped abruptly?
Why should beta-blocker therapy not be stopped abruptly?
What is the primary effect of calcium channel blockers on the ischemic myocardium?
What is the primary effect of calcium channel blockers on the ischemic myocardium?
Which drug is commonly prescribed in addition to aspirin in patients at high risk for MI?
Which drug is commonly prescribed in addition to aspirin in patients at high risk for MI?
What is the main mechanism by which nitroglycerin relieves angina?
What is the main mechanism by which nitroglycerin relieves angina?
What is the risk associated with both clopidogrel and newer oral agents such as prasugrel and ticagrelor?
What is the risk associated with both clopidogrel and newer oral agents such as prasugrel and ticagrelor?
What is the indication for IV administration of glycoprotein IIb/IIIa agents, such as abciximab or eptifibatide?
What is the indication for IV administration of glycoprotein IIb/IIIa agents, such as abciximab or eptifibatide?
How is heparin therapy considered therapeutic?
How is heparin therapy considered therapeutic?
How are organic nitrates like nitroglycerin converted in the body?
How are organic nitrates like nitroglycerin converted in the body?
Which of the following best describes the action of antianginal drugs?
Which of the following best describes the action of antianginal drugs?
What influences the demand for oxygen by the heart muscle?
What influences the demand for oxygen by the heart muscle?
Which drug is described as a potent vasodilator that improves blood flow to the heart muscle?
Which drug is described as a potent vasodilator that improves blood flow to the heart muscle?
What type of vessels does nitroglycerin primarily dilate?
What type of vessels does nitroglycerin primarily dilate?
Which of the following is NOT an influence on the demand for oxygen by the heart muscle?
Which of the following is NOT an influence on the demand for oxygen by the heart muscle?
What is the primary purpose of nitrates in angina treatment?
What is the primary purpose of nitrates in angina treatment?
What is the purpose of observing a 10- to 12-hour nitrate-free interval?
What is the purpose of observing a 10- to 12-hour nitrate-free interval?
When is the oral form of nitroglycerin useful?
When is the oral form of nitroglycerin useful?
In which situation is IV nitroglycerin useful according to the text?
In which situation is IV nitroglycerin useful according to the text?
What is the most common adverse effect of nitroglycerin?
What is the most common adverse effect of nitroglycerin?
What are the contraindications to nitroglycerin according to the text?
What are the contraindications to nitroglycerin according to the text?
What should the nurse do if a patient has hypotension and tachycardia prior to administering nitroglycerin?
What should the nurse do if a patient has hypotension and tachycardia prior to administering nitroglycerin?
What is the recommended action if chest pain is not relieved within 5 minutes of taking sublingual nitroglycerin tablets?
What is the recommended action if chest pain is not relieved within 5 minutes of taking sublingual nitroglycerin tablets?
What should be done if withdrawal of a beta-adrenergic blocker is planned?
What should be done if withdrawal of a beta-adrenergic blocker is planned?
How should transmucosal tablets of nitroglycerin be administered?
How should transmucosal tablets of nitroglycerin be administered?
What is important to remember about applying nitroglycerin patches and ointment?
What is important to remember about applying nitroglycerin patches and ointment?
What should be avoided when taking nitroglycerin and other nitrate preparations?
What should be avoided when taking nitroglycerin and other nitrate preparations?
How should oral nitrates be taken?
How should oral nitrates be taken?
What should be done if heart rate falls below 55 beats/min while taking beta-adrenergic blockers?
What should be done if heart rate falls below 55 beats/min while taking beta-adrenergic blockers?
How should atenolol be taken?
How should atenolol be taken?
What should be done if withdrawal of a beta-adrenergic blocker is planned by the prescriber?
What should be done if withdrawal of a beta-adrenergic blocker is planned by the prescriber?
What should be done when taking drugs for heart disease on a regular schedule?
What should be done when taking drugs for heart disease on a regular schedule?
What should patients avoid while using nitrate drugs?
What should patients avoid while using nitrate drugs?
How should nitroglycerin ointment be applied to the skin?
How should nitroglycerin ointment be applied to the skin?
What is the recommended administration route for IV nitroglycerin?
What is the recommended administration route for IV nitroglycerin?
When should extended-release oral nitrate preparations be used post-MI?
When should extended-release oral nitrate preparations be used post-MI?
What happens if sublingual nitroglycerin tablets are exposed to body heat for a prolonged period?
What happens if sublingual nitroglycerin tablets are exposed to body heat for a prolonged period?
What effect may occur with nitrate antianginal drugs, especially sublingual nitroglycerin?
What effect may occur with nitrate antianginal drugs, especially sublingual nitroglycerin?
Which of the following is the primary effect of nitroglycerin?
Which of the following is the primary effect of nitroglycerin?
What is the primary influence on the demand for oxygen by the heart muscle?
What is the primary influence on the demand for oxygen by the heart muscle?
What is the main mechanism by which beta-adrenergic blockers reduce myocardial oxygen consumption?
What is the main mechanism by which beta-adrenergic blockers reduce myocardial oxygen consumption?
What is the purpose of observing a 10- to 12-hour nitrate-free interval?
What is the purpose of observing a 10- to 12-hour nitrate-free interval?
Which drug is commonly prescribed in addition to aspirin in patients at high risk for MI?
Which drug is commonly prescribed in addition to aspirin in patients at high risk for MI?
How do antianginal drugs primarily work to improve blood delivery to the heart muscle?
How do antianginal drugs primarily work to improve blood delivery to the heart muscle?
Which effect do beta-blockers have on the heart?
Which effect do beta-blockers have on the heart?
What is the primary purpose of calcium channel blockers in the treatment of angina?
What is the primary purpose of calcium channel blockers in the treatment of angina?
What is the recommended dose of aspirin for a patient with a new diagnosis of angina?
What is the recommended dose of aspirin for a patient with a new diagnosis of angina?
What is a common adverse effect of nitroglycerin?
What is a common adverse effect of nitroglycerin?
What should patients taking beta-blockers do if the prescriber plans to discontinue the medication?
What should patients taking beta-blockers do if the prescriber plans to discontinue the medication?
Which patient condition is a contraindication for IV administration of nitroglycerin?
Which patient condition is a contraindication for IV administration of nitroglycerin?
What is the primary purpose of administering IV administration of glycoprotein IIb/IIIa agents, such as abciximab or eptifibatide?
What is the primary purpose of administering IV administration of glycoprotein IIb/IIIa agents, such as abciximab or eptifibatide?
What is the main risk associated with both clopidogrel and newer oral agents such as prasugrel and ticagrelor?
What is the main risk associated with both clopidogrel and newer oral agents such as prasugrel and ticagrelor?
What is the primary effect of calcium channel blockers on the ischemic myocardium?
What is the primary effect of calcium channel blockers on the ischemic myocardium?
How is heparin therapy considered therapeutic?
How is heparin therapy considered therapeutic?
What is the main mechanism by which nitroglycerin relieves angina?
What is the main mechanism by which nitroglycerin relieves angina?
What should be done if a patient has received heparin within the past 3 months or has been receiving unfractionated heparin for 4 to 14 days?
What should be done if a patient has received heparin within the past 3 months or has been receiving unfractionated heparin for 4 to 14 days?
What is the purpose of observing a 10- to 12-hour nitrate-free interval?
What is the purpose of observing a 10- to 12-hour nitrate-free interval?
In which situation is IV nitroglycerin useful according to the text?
In which situation is IV nitroglycerin useful according to the text?
What is the most common adverse effect of nitroglycerin?
What is the most common adverse effect of nitroglycerin?
What should be done if a patient has hypotension and tachycardia prior to administering nitroglycerin?
What should be done if a patient has hypotension and tachycardia prior to administering nitroglycerin?
What is important to remember about administering SL nitroglycerin or translingual spray?
What is important to remember about administering SL nitroglycerin or translingual spray?
What drugs interact with nitroglycerin, increasing or decreasing its effects?
What drugs interact with nitroglycerin, increasing or decreasing its effects?
Why should nitroglycerin ointment not be massaged into the patient's skin?
Why should nitroglycerin ointment not be massaged into the patient's skin?
Why do patients take PO nitrates in the morning after a nitrate-free interval?
Why do patients take PO nitrates in the morning after a nitrate-free interval?
Why should extended-release oral nitrate preparations be used post-MI if angina persists after revascularization?
Why should extended-release oral nitrate preparations be used post-MI if angina persists after revascularization?
Why is it important to avoid PVC tubing when administering IV nitroglycerin?
Why is it important to avoid PVC tubing when administering IV nitroglycerin?
What should patients do if rest and three sublingual tablets or oral sprays do not relieve chest pain?
What should patients do if rest and three sublingual tablets or oral sprays do not relieve chest pain?
What is a potential side effect that may occur with nitrate antianginal drugs, especially sublingual nitroglycerin?
What is a potential side effect that may occur with nitrate antianginal drugs, especially sublingual nitroglycerin?
What should be done if chest pain is not relieved within 5 minutes of taking sublingual nitroglycerin tablets?
What should be done if chest pain is not relieved within 5 minutes of taking sublingual nitroglycerin tablets?
What should patients avoid while using nitrate drugs?
What should patients avoid while using nitrate drugs?
How should transmucosal tablets of nitroglycerin be administered?
How should transmucosal tablets of nitroglycerin be administered?
Why should beta-blocker therapy not be stopped abruptly?
Why should beta-blocker therapy not be stopped abruptly?
What is the primary influence on the demand for oxygen by the heart muscle?
What is the primary influence on the demand for oxygen by the heart muscle?
How are organic nitrates like nitroglycerin converted in the body?
How are organic nitrates like nitroglycerin converted in the body?
What is the main mechanism by which nitroglycerin relieves angina?
What is the main mechanism by which nitroglycerin relieves angina?
What is the primary purpose of nitrates in angina treatment?
What is the primary purpose of nitrates in angina treatment?
Which drug is commonly prescribed in addition to aspirin in patients at high risk for MI?
Which drug is commonly prescribed in addition to aspirin in patients at high risk for MI?
What are the contraindications to nitroglycerin according to the text?
What are the contraindications to nitroglycerin according to the text?
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