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ACNP II Exam 3 - Cardiac Disorders: Questions & Answers
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ACNP II Exam 3 - Cardiac Disorders: Questions & Answers
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ACNP II Exam 3 - Cardiac Disorders: Questions &Answers
Pharmacological management of ACS should include; Right Ans -
antianginals, anticoagulation and beta blockers
How soon should you start beta blocker therapy for hemodynamically stable
patients for ACS management? Right Ans - 24 hours
You are managing a patient with ACS and you need to discontinue beta
blocker therapy. You should taper the doses in; Right Ans - 1-2 weeks
Patient is on metoprolol, nitroglycerin and amlodipine for unstable angina.
What pharmacological agent can be added to decreases cardiac workload and
oxygen demand associated with negative responses that occur when the
sympathetic nervous system is activated by pain? Right Ans - Morphine 2-4
mg IV
What potential complications should you consider for patient on UFH or low
meolecular weight heparin therapy for ACS or NSTEMI? Right Ans - HIT-
heparin induced thrombocytopenia
Patient is receiving Lovenox 1mg/kg/SC BID for ACS. His renal function has
diminished to GFR <30 ml/min and serum creatinine > 2mg/dL. How should
his lovenox dose adjusted? Right Ans - reduced by 50%
Patient is admitted with NSTEMI and you are considering the administration
of an antiplatelet agent in combination with heparin. What drug should be
added?
a. tirofiban (aggrastat)
b. abciximab (reopro) Right Ans - tirofiban. reopro is used during a PCI
only.
Patient continue to have angina unrelieved by morphine. What drug may be
given with VS parameters? Right Ans - nitroglycerin. hold for SBP < 90
, Elderly patient admitted for STEMI has history of ulcers. In order to reduce
risk of GI bleeding what med should be required? Right Ans - PPIs
You are reconciling patient's home medications who was admitted for STEMI.
what medication should be held in order to reduce morbidity and mortality?
a. amlodipine
b. lopressor
c. coumadin
d. abciximab Right Ans - amlodipine - CCB
Patient with history of CAD, DM, and EF <40% is admitted for STEMI. His
blood pressure has been elevated and he was started on lotensin for BP
control. What medication should be considered after initiation of ACE?
Right Ans - spironolactone - aldosterone antagonist
What is the goal LDL for patient with risk of recurrent ischemia and MI?
Right Ans - <70 mg/dL
What is the indications of fibrinolytic/thrombolytic therapy for STEMI?
Right Ans - PCI is not available within 90 minutes of the ischemic event
What is the drug of choice for anti platelet therapy for patient status post
PCI/PTCA? Right Ans - așa and plavix
Patient has a history of CAD, DM, and cerebellar CVA. Which drug should not
be considered for anti platelet therapy?
a. asa
b. plavix
c. eliquis
d. prasugrel Right Ans - prasugrel
PTCA treatment indicated in patient with what EKG changes? Right Ans -
ST depression/elevation or onset of LBBB
What procedure is indicated for patient with STEMI with triple vessel CAD
and refractory unstable angina? Right Ans - CABG
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