This document summarizes the differences between stable angina and unstable angina. Stable angina is chest pain brought on by physical exertion that stops with rest, while unstable angina involves chest pain at rest which is a warning sign for a myocardial infarction. The document also discusses treatments for stable angina including nitroglycerin which provides oxygen to the heart and should be taken before physical activity, with precautions around its use.
This document summarizes the differences between stable angina and unstable angina. Stable angina is chest pain brought on by physical exertion that stops with rest, while unstable angina involves chest pain at rest which is a warning sign for a myocardial infarction. The document also discusses treatments for stable angina including nitroglycerin which provides oxygen to the heart and should be taken before physical activity, with precautions around its use.
This document summarizes the differences between stable angina and unstable angina. Stable angina is chest pain brought on by physical exertion that stops with rest, while unstable angina involves chest pain at rest which is a warning sign for a myocardial infarction. The document also discusses treatments for stable angina including nitroglycerin which provides oxygen to the heart and should be taken before physical activity, with precautions around its use.
This document summarizes the differences between stable angina and unstable angina. Stable angina is chest pain brought on by physical exertion that stops with rest, while unstable angina involves chest pain at rest which is a warning sign for a myocardial infarction. The document also discusses treatments for stable angina including nitroglycerin which provides oxygen to the heart and should be taken before physical activity, with precautions around its use.
(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.
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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