DISCUSSION POINTS Chapter 25: Drugs for Angina Pectoris, Myocardial Infarction, and Cerebrovascular Accident Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Coronary Artery Disease (CAD) - primary characteristic defining CAD - symptoms - common etiology Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Three Basic Types of Angina - Stable angina - Variant angina - Unstable angina Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

- Non-pharmacological therapies - Organic nitrates Angina Management - Non-pharmacological therapies - Organic nitrates - Beta-adrenergic blockers - Calcium channel blockers - Glycoprotein Iib/IIIa Inhibitors Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Myocardial Infarctions (MI) - causes - goals of pharmacological treatment Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

- The diagnostic test that determines this Stroke - The importance of determining if a stroke is the result of a ruptured blood vessel or thrombus in a blood vessel before giving a thrombolytic agent - The diagnostic test that determines this Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

The rationale for some physicians telling clients to take aspirin if they think they are having a heart attack Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

The rationale for physicians telling some clients with stable angina to take a nitroglycerin tablet before a strenuous activity Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

The rationale for physicians prescribing isosorbide dinitrate (Isordil) for a client with cerebral vascular insufficiency. Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

The rationale for the fact that calcium channel blockers and beta-adrenergic blockers are often prescribed for so many different cardiovascular disorders Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.