SIHD ILE3 exam with 100%
correct answers(download to
pass)
what does CAD stand for? - answer coronary artery disease
how many times per day should a pt with SIHD take isosorbide
mononitrate IR? - answer BID
what CYP 3A4 drugs might compete for metabolism? - answer -
amlodipine
-simvastatin
how many times per day should a pt with SIHD take isosorbide
dinitrate? - answer BID/TID
how many times per day should a pt with SIHD use nitroglycerin
patches? - answer daily
what is the major artery that we look at in SIHD? - answer left
anterior descending artery
what does the left anterior descending artery supply blood to? -
answer left side of heart (supplying blood to the heart as an organ,
not into the ventricle)
what artery supplies blood to the left ventricle and atrium? - answer
left main coronary artery
,what is the duration of action of isosorbide mononitrate IR? -
answer 6-8 hours
what is the duration of action of isosorbide dinitrate? - answer 5
hours
what is the duration of action of nitroglycerin patches? - answer 10-
12 hours
how long should you separate doses of isosorbide mononitrate IR
by? - answer 7 hours (ex. 8 am and 3 pm)
how long should you separate doses of nitroglycerin patches by? -
answer 24 hours, remove patch for 10-12 hours
how long should you separate doses of isosorbide dinitrate by? -
answer dose over 7-11 hours (ex. 8 am and 3 pm OR 8 am, 12 pm,
and 4 pm)
how long should you separate doses of isosorbide mononitrate ER
by? - answer 24 hours
what is the duration of action of isosorbide mononitrate ER? -
answer 12-24 hours
how many times per day should a pt with SIHD take isosorbide
mononitrate ER? - answer once daily
what causes CAD? - answer atherosclerosis of coronary arteries
is CAD a form of ASCVD? - answer yes
,what does CAD cause? - answer reduced blood flow to the heart,
resulting in reduced O2 to heart muscle (cardiac ischemia)
what is ischemia? - answer condition in which the blood flow (and
oxygen) is restricted or reduced in a part of the body
what is cardiac ischemia? - answer decreased blood flow and oxygen
to the heart muscle
when does cardiac ischemia occur? - answer when blood supply to
the heart is inadequate to meet the heart's metabolic demands
what are the 2 main causes of decreased oxygen supply for
ischemia? - answer -vascular insufficiency
-hypotension
what are examples of vascular insufficiencies that can cause
decreased O2 supply? - answer -atherosclerosis (!)
-vasospasm (!)
-microvascular disease (!)
-thrombosis
-embolism
-torsion
-compression
what is ischemic heart disease? - answer heart problems caused by
narrowed heart arteries
what does IHD stand for? - answer ischemic heart disease
, what is IHD also called? - answer -CAD
-CHD
what does CHD stand for? - answer coronary heart disease
can stable ischemic heart disease be treated outpatient? - answer
yes
can unstable ischemic heart disease be treated outpatient? - answer
no! its an emergency
what can IHD lead to? - answer complications, including a heart
attack
what is ischemic heart disease a form of? - answer CAD/CHD and
ASCVD
what does SIHD stand for? - answer stable ischemic heart disease
what does CCD stand for? - answer chronic coronary disease
is stable angina CCD or ACS? - answer CCD
what does ACS stand for? - answer acute coronary syndrome
is unstable angina CCD or ACS? - answer ACS
are symptoms reversible in SIHD? - answer yes
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