Angina Stable vs. Unstable

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Angina

Pathophysiology Course

Stable Angina Unstable Angina


(classic exertional) Pain at rest!
relieved with rest Warning signs for MI

Memory Trick: Memory Trick:


S - Stable Angina U - Unstable Angina
S - Safer Angina U - Unsafe Angina
S - Stops with rest U - Unrelieved pain at rest

Patho & Causes Patho & Causes


Stable angina is chest pain induced by any physical Pain at rest! This is a warning sign for an MI (heart attack).
activity like: walking up stairs, working in the yard or It is the more severe angina as it means more severe
even from sex. Anything that causes exertion!
narrowing of the coronary arteries resulting in
There is less oxygen being delivered to the heart less oxygen to the heart muscles.
muscles during the physical excretion resulting in pain
from the heart muscles saying “HEY, I don't have enough
oxygen!”
Naturally the pain stops when the physical activity
stops.

0₂

Treatments NO viagra “-afil” Sildenafil = DEATH!


NitrOglycerin NORMAL ADVERSE EFFECT:
HA=Normal Side Effect
Hypotension=Adverse effect
O2 to Heart
(need slow position changes)

*Take before strenuous activity 1 x daily NOT PRN


GOAL: 1 patch at a time NOT 2 patches
NO chest pain=Daily activities YES Shower is ok
“comb hair, fix hair, get dressed, make up, LOCATION: Rotate locations Daily
making bed etc.” “Clean, Dry, shaven area” teach patient to wash hands
TAKING MED: after application
CALL 911: PAIN 5 min. After 1st dose. Upper Body (subclavian, arm, upper chest)
3 doses max x 5 min apart NOT: hairy, scarred, burned, callous
NO SWALLOW–SL under tongue NOT BROKEN SKIN
STORAGE: *TEST TIP: Patch fall off? (Over 1 hour ago)
NO LIGHT–NO HEAT Take nitro (pill/spray) New patch can take 40–60 min.
NOT: pill box, car, plastic bag, pocket *Nurses wear gloves! Will cause MAJOR HA if it comes
YES: purse ok into contact with skin!
*Replace every 6 months

0.4 mg

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