A Brief Note On Atherosclerosis And Coronary Spasms

1. Ms. T sought medical attention mainly because of intolerable chest pain after climbing several flights of stairs; however, Ms. T has a history of conditions such as atherosclerosis and coronary spasms. Atherosclerosis is the buildup of fatty material known as plaque, along the walls of arteries causing the arteries to narrow (Taber’s pg 224). Therefore, angina pectoris can result with exertion. Also, coronary spasms can potentially be caused by plaque buildup and can occur in people who have high cholesterol such as Ms. T. Also, coronary spasms are known to cause angina pectoris in people (Taber’s pg 2171). Ms. T’s history of these conditions explains why she experiences episodes of angina. 4. The two predominant types of angina are†¦show more content†¦Propranolol HcL drug to drug interactions: general anesthesia, IV phenytoin, and verapamil may cause additive myocardial depression. Additive bradycardia may occur with digoxin. Additive hypotension may occur with other antihypertensives, acute ingestion of alcohol, or nitrates. Levels may be decreased with chronic alcohol use. Concurrent use with amphetamines, cocaine, ephedrine, epinephrine, norepinephrine, phenylephrine, or pseudoephedrinemay result in unopposed alpha-adrenergic stimulation (excessive hypertension, bradycardia). Concurrent thyroid administration may decrease effectiveness. May alter the effectiveness of insulin or oral hypoglycemics(dose adjustments may be necessary). May decrease effectiveness of beta-adrenergic bronchodilatorsand theophylline. May decrease beneficial beta cardiovascular effects of dopamine or dobutamine. Use cautiously within 14 days of MAO inhibitor therapy (may result i n hypertension). Cimetidine may increase blood levels and toxicity. Concurrent NSAIDs may decrease antihypertensive action. Smoking increases metabolism and decreases effects; smoking cessation may increase effects. May increase levels of lidocaine and bupivacaine. Nifedipine drug to drug interactions: Drug-Drug: Rifampin, rifabutin, phenobarbital, phenytoin, orcarbamazepine may significantly decrease levels and effects; concurrent use is contraindicated. Ketoconazole, fluconazole, itraconazole,clarithromycin,Show MoreRelatedMyocardil Effusion4228 Words   |  17 PagesNMC (2008) code of conduct, the name of the patient will be changed to Peter and the placement area will remain as an acute care setting. According to McFerran (2008) the term â€Å"acute† is described as a disease of rapid onset, severe symptoms, and brief duration. Acute Care refers to riding at a crossroads of coming sharply to a crisis; severe, not chronic (Allen, 2000). Acute problems may appear precipitously, striking a totally unsuspecting victim. Nurses must quickly detect changes in clientsRead MoreCase Study Essay33967 Words   |  136 Pages2001, 1996, by Mosby, Inc. an affiliate of Elsevier Inc. All rights reserved. CHAPTER 1 CARDIOVASCULAR DISORDERS CASE STUDY 2 Case Study 2 Managing Hypertension Difficulty: Beginning Setting: Outpatient clinic 1 Cardiovascular Index Words: coronary artery disease (CAD), hypertension (HTN), medications, patient education, laboratory values, lifestyle modification, risk factors, Internet resources X Scenario M.P. is a 65-year-old African-American woman who comes to your clinic for a follow-upRead MoreHesi Practice31088 Words   |  125 Pagesarm? A. Keep the casted arm warm with a light blanket. B. Avoid handling the cast for 24 hours or until dry. C. Assess pedal and posterior tibial pulses every 2 hours. D. Assess movement and sensation in the fingers of the right hand. 32. Following coronary artery bypass grafting, a client begins having chest fullness and anxiety. The nurse suspects cardiac tamponade and prints a lead â… ¡ electrocardiograph (ECG) strip for interpretation. In looking at the strip, the change in the QRS complex that wouldRead MoreSocm Study Guide Essay30404 Words   |  122 Pagesthe major differences between functional and structural (organic) disease. | Examples of Varying EffectsOf Structural and FunctionalDiseases | | Disease | Type of Disease | Nature of Manifestations | Tension headaches | Functional (muscle spasm) | Functional (pain) | Benign tumor of the breast that produces mass | Structural (tumor) | Structural (mass) | Exogenous obesity causedby craving for food | Functional (hunger) | Structural (obesity) | Cancer of the esophagusthat prevents eating