Exam (elaborations)
SIHD, ACS, AntiCoagulation - Pharm Exam 2 questions and answers.
- Course
- Institution
SIHD, ACS, AntiCoagulation - Pharm Exam 2 questions and answers.
[Show more]
Content preview
SIHD, ACS, AntiCoagulation -Pharm Exam 2 questions and
answers
What does ischemic heart disease result from?
Imbalance between myocardial oxygen supply & oxygen demand
What is the most common clinical manifestation of stable ischemic
heart disease?
Chronic stable angina
Optimizing pharmacotherapy for ISH includes what?
1. reduce symptoms
2. improve quality of life
3. slow disease progression
4. prevent ACS
What are the 5 big risk factors for cardiovascular disease?
1. HTN
2. abdominal obesity
3. dyslipidemia
4. insulin resistance (DIABETES)
5. SMOKING
What is a hallmark feature of SIHD in one or more of the major
coronary arteries that impedes coronary blood flow such that
myocardial oxygen supply can no longer meet oxygen demand?
Atherosclerotic plaque
What is a hallmark feature of ACS?
Thrombus formation
What is thrombus formation? What happens?
, Atherosclerotic plaque ruptures (fissuring of fibrous cap and
exposure) causing thrombus formation
What is vasospasm? Is there atherosclerosis? When does it happen
and what are consequences?
Smooth muscle spasm in coronary a. causing ischemia
-NO atherosclerosis
-Happens @ rest, in early AM
-may lead to ischemia and MI
What can cause a vasospasm? What else is it called?
-cocaine
-amphetamines
-cold temperature
-smoking
Prinzmetal or Variant Angina
What is demand ischemia?
Because coronary a. fill during diastole, decreases in diastolic filling
time (fast hr) can lead to diminished myocardial oxygen
delivery and precipitate angina in the face of adequate coronary
perfusion
What can cause demand ischemia?
-sepsis or septic shock
-afib or other tachyarrhythmias
-acute blood loss anemia
During a cardiac catherization, IV contrast dye (____________) is
squirted into coronary arteries via the _________ artery under
fluoroscopic imaging to show ___________.
During a cardiac catherization, IV contrast dye (iohexol/Omnipaque)
is squirted into coronary arteries via the femoral/radial artery under
fluoroscopic imaging to show blockages.
Risks or CIs of a cardiac cath?
Contrast dye = nephrotoxic
-contrast-induced nephropathy = major risk
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller FREEMANSHARP. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now