NSG 533 - Advanced Pharmacology Exam 2 Question: When are ACEIs or ARBs added in treatment of CS/carotid artery disease? Answer: When thiazide diuretics and CCBs fail to achieve treatment goals. Question: When do you start anti -platelet therapy in patients with CS/carotid artery disease? Answer: Symptomatic for 21 days or more Question: What medication and dose are preferred anti -platelets for CS/carotid artery disease? Answer: 1. aspirin 75 -325mg 2. clopidogrel 75mg Question: When is surgical endarectomy recommended for CS/carotid artery disease? Answer: within 6 months of symptoms if: 1. low surgical risk; 2. reduction in diameter of lumen >70%; 3. anticipated perioperative stroke risk <6% Question: Coronary Heart Disease includes what? Answer: - acute MI - angina pectoris - ASCVD - all forms of ischemic HD Question: Diabetes is a modifiable risk factor. True or False? Answer: False. Question: chronic stable angina Answer: chest pain precipitated by exertion and relieved with rest Question: What are the s/s of chronic stable angina? Answer: - sx with exertion and improve with rest OR no more than 1 NTG dose - lasting only 1 -3 mins Question: What is the first -line imaging for chronic stable angina? Answer: ECG Question: What ECG findings are likely with chronic stable angina? Answer: ST segment depressions with T -wave inversions Question: What other imaging should be ordered for chronic stable angina? Answer: - Exercise Tolerance Test (Stress Test) - CT Question: When is it best to administer a stress test for chronic stable angina? Answer: - within 72 hours of symptoms Question: If a patient had a history of chronic stable angina, would you use just an EC G on a stress test or imaging? Answer: Imaging Question: What constitutes a positive result on a Stress Test (chronic stable angina)? Answer: - ST depression (horizontal or down -sloping) of 1mm
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