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ANGINA PECTORIS

  • – PAIN CAUSED BY INADEQUATE BLOOD FLOW THROUGH THE BLOOD VESSELS OF THE HEART.
  • ♣ IT’S VERY IMPORTANT TO KNOW THE DIFFERENCE BETWEEN ANGINA PECTORIS AND MI.

– A paroxysmal chest pain caused by (ischemia) due to insufficient blood flow to the myocardium.
RISK FACTORS:

  • ATHEROSCLEROSIS
  • HYPERTENSION
  • DIABETES MELLITUS
  • CIGARETTE SMOKING

Assessment Findings:

THERE ARE DIFFERENT TYPES OF ANGINA

  1. STABLE ANGINA PECTORIS- OCCURS WITH EXERTION, IT IS RELEIEVED BY REST AND DOES NOT INCREASE IN FREQUENCY OR SEVERITY.
  2. VARIANT OR PRINZMETAL ANGINA-  IS USUALLY CAUSED BY CORONARY ARTERY SPASMS.
  3. SILENT ANGINA- IS USUALLY ASYMPTOMATIC MYOCARDIAL ISCHEMIA THAT IS ASSOCIATED WITH DIABETES MELLITUS AND HYPERTENSION.
  • USUALLY DESCRIBES AS A (SQUEEZING, HEAVY DISCOMFORT PRESSURE)
  • PAIN* IS THE # 1 SYMPTOM.  SUBSTERNAL PAIN THAT CAN RADIATE TO NECK, JAW AND BACK
  • MAY BE RELIEVED BY REST.
  • TACHYCARDIA, PALPITATIONS

DIAGNOSTIC TESTS:

  • THE ECG WILL SHOW AN ST SEGMENT DEPRESSION AND T WAVE INVERSION DURING THE ANGINAL PAIN.
  • THE HOLTER MONITOR WILL REVEAL AN ST SEGMENT DEPRESSION AND T WAVE INVERSION.

INTERVENTIONS:

  • HOLD NITRATES IF THE BP IS LESS THAN 90 MM HG.

Side Effects:

  • Burning or tingling in the mouth
  • dizziness
  • flushing
  • headache
  • heavy sweating
  • nausea
  • pale skin
  • vomiting

 

When taking Nitroglycerin (Nitrostat)

– Store tablets in a dark bottle.  Lights lessens its effeciency.
– Do not take tablet with fluid
– Place nitroglycerin tablet under the tongue (and let it melt).
– Take up to three tablets 5 min. apart. (If still no relief, go to hospital).

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