Management of Patients with Coronary Vascular Disorders:

 Chapter 27: Management of Patients with Coronary Vascular Disorders: 

Conditions to Know: CAD, Angina pectoris, MI

1. Atherosclerosis is the most common cause of cardiovascular disease in the U.S. What is atherosclerosis?

2. What are some risk factors (modifiable vs. non-modifiable) for coronary artery disease (CAD)? See Chart 27-1.  

3. What are some clinical manifestations of CAD?

4. What are some preventative measures for the development of CAD?

5. What is angina pectoris & what are some causes of it? Review the types of angina listed in Chart 27-2.

6. Describe what angina pain usually looks like for most patients. Are there any other atypical symptoms that can present with angina pain? 

7. Describe the nursing & medical management involved for treating angina. See Table 27-3 for medication summary.

8. What are some teaching points for patients regarding home use of nitroglycerin? See Chart 27-3.  

9. Describe the pathophysiology of what happens during a myocardial infarction (MI). 

10. MI typically presents with symptoms similar to angina (chest pain). Is MI pain relieved with nitroglycerin?

11. How is MI diagnosed?

12. What are the 3 most important drugs that are given, along with oxygen therapy, to a patient presenting with MI chest pain? 

13. Medications given during an MI are similar to those used to treat angina. Are there any additional medications given during an MI?

14. Patients diagnosed with an MI often need to go for a percutaneous transluminal coronary angioplasty (PTCA), also known as a cardiac catheterization. What is done during this procedure?