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Author Question: Which of the following most likely would be related to angina as opposed to a myocardial infarction? ... (Read 65 times)

cool

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on: Jul 23, 2018
Which of the following most likely would be related to angina as opposed to a myocardial infarction?
 
  1. Chest pain relieved by one sublingual nitroglycerin
  2. Chest pain that radiates to the patient's back
  3. Chest pain that occurred while the patient was eating breakfast
  4. Chest pain accompanied by shortness of breath

Question 2

The primary pharmacologic goal in treating patients experiencing stable angina is to
 
  1. increase venous blood flow to the right atrium.
  2. eliminate blockages by using thrombolytics.
  3. establish a regular exercise program and diet plan.
  4. increase cardiac oxygen supply and reduce cardiac oxygen demand.


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komodo7

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Reply #1 on: Jul 23, 2018
Answer to Question 1

Correct Answer: 1
Rationale: It is essential to recognize the difference between angina and myocardial infarction because the treatments are very different. Chest pain that is relieved by one sublingual nitroglycerin is most likely angina. Chest pain that is not relieved by nitroglycerin would most likely be from a myocardial infarction. Chest pain related to angina is often experienced when the person is doing a strenuous activity. Eating is not strenuous. Chest pain that is radiating or is accompanied by shortness of breath can be from angina or a myocardial infarction.

Answer to Question 2

Correct Answer: 4
Rationale: The primary pharmacologic goals are to reduce oxygen demand of the heart and increase oxygen supply. Increasing the supply of venous blood to the right atrium might be beneficial, but is not a primary goal. Eliminating blockages via thrombolytics would be attributed to myocardial infarctions, not to stable angina. Establishing a regular exercise program and diet plan would be important, but is not a pharmacologic goal.


cool

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


komodo7

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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