Antianginals

Which medical conditions are considered contraindications to antianginal therapy? Select all that apply.

*Acute myocardial infarction *Hypotension *Second degree atrioventricular (AV) block

Adam, who has a history of stable angina, is getting ready to walk in a local park. Which preparations indicate the he understands self-care actions related to his health condition? Select all that apply.

*Checks his cell phone charge level *Puts his rapid acting antianginal medication in their pocket

Metoprolol is available for administration by which routes? Select all that apply.

*Intravenous *Oral

Which antianginal medications are used to prevent future episodes of angina? Select all that apply.

*Isosorbide mononitrate *Nitroglycerin *Isosorbide dinitrate

Which antianginal medications belong to the classification of beta-adrenergic blockers?

*Metoprolol *Propranolol *Atenolol *Nadolol

What are the goals of antianginal therapy? Select all that apply.

*Minimize frequency of angina *Decrease the duration and intensity of the anginal pain *Prevent myocardial infarction

Which signs and symptoms would demonstrate a person is experiencing an overdose of a beta blocker medication? Select all that apply.

*Patient is very drowsy *Heart rate 35 beats per minute

During his walk, Adam experiences chest pain similar to past anginal episodes. Which actions should he take now? Select all that apply.

*Sit down right away *Take the antianginal as directed

Which over-the-counter item should not be consumed by an individual taking ranolazine for unstable angina? Select all that apply.

*St. John's Wort *Grapefruit juice

1. Caused by complete blockage of one or more coronary arteries resulting in cell death 2. Pain that occurs at rest due to narrowing of the coronary arteries 3. Results from spasms in the smooth muscle layer of the coronary arteries 4. Triggered by stress or exertion increasing myocardial oxygen demand

1. Heart attack 2. Unstable angina 3. Prinzmetal angina 4. Angina pectoris

Some medications used to treat angina work by 1.___________________ the heart to allow the myocardial cells to 2.__________________.

1. Slowing 2. Receive oxygen

Adam's chest pain is not changed after taking their antianginal medication to the maximum dose prescribed. What action should he take next?

Call 911 to request assistance

Use the drop down menus to fill in the missing information related to the DOSING of RANOLAZINE.

Dose: 500 Frequency: 2 Considerations: 2

Use the drop down menus to fill in the missing information related to the DOSING of METOPROLOL.

PO -Frequency: 2 times PO-ER -Frequency: daily

Use the drop down menus to fill in the missing information related to the PHARMACOKINETICS of METOPROLOL.

PO -Onset: 15 -Duration: 6-12 PO-ER -Duration: 24 IV -Duration: 5-8

Use the drop down menus to fill in the missing information related to the PHARMACOKINETICS of RANOLAZINE.

Peak: 2-5hr Half-Life: 7 Duration: 12