Please enable JavaScript.

Coggle requires JavaScript to display documents.

Coronary Heart Disease (Risk Factors (Lifestyle (Managing Risk (LIfestyle,…

- - - - LIfestyle
        
        Manage BP
        
        Control chol
        
        Reduce BS
        
        Weight loss
        
        Diet
        
        Exercise
        
        Tobacco Cessation
      - Medications
        
        Anti-HTN
        
        Chol lowering meds
        
        Anti-platelets
- - - - NSTEMI
  - - - SOB, w/ less exertion than normal
      - Dyspnea: intense tightening of chest, air hunger, feeling of suffocation
      - Overwhelming fatigue with normal activity. Improves with rest.
      - Chest discomfort over the right or bilateral chest
  - - - NSTEMI: Neg EKG for ST elevation, Pos biomarkers for cardiac injury
      - USA: Neg EKG for ST elevation, Neg biomarkers for cardiac injury
  - - - NItrates
        
        Isosorbide dinitrate (Isordil)
        
        Isosorbide mononitrate (Imdur, Ismo)
        
        Nitroglycerin
      - Sodium Channel Blocker
        
        Ranolazine (Ranexa)
      - MOA
        
        Venodilation
        
        Incr Preload
        
        Higher affinity to venous smooth muscle
        
        Decrease in O2 demand
        
        Reduced ischemia
        
        Decreased supply & demand mismatch
      - Indication
        
        Acute angina: ACS, provoked CSA
        
        Angina prophylaxis: long acting
        
        HTN: long acting
        
        CHF: long acting
      - Contraindications
      - Common Reactions
      - Serious Reactions
      - Follow up
        
        Instructions for when to call EMS
        
        Take 1st NTG and assess whether sx resolve immediately to within 5 minutes
        
        Yes? Good.
        
        No? Take 2nd NTG and assess whether sx resolve immediately or w/in 5 minutes