Medical Surgical Cardiac Angina #3

Question

Which treatment(s) are most commonly prescribed for the client experiencing acute angina pectoris being treated in the emergency department? Select all that apply.

Answers

  1. Electrocardiogram
    • Rationale:

      This answer is not correct because electrocardiogram (ECG or EKG) is a diagnostic test, not a treatment. Treatment(s) most commonly prescribed for the client experiencing acute angina pectoris being treated in the emergency department include medications including nitroglycerin, calcium channel blockers, aspirin, beta blockers, and clot-preventing drugs. Medical procedures used to treat angina include angioplasty with stenting and coronary artery bypass surgery.

  2. Application of oxygen
    • Rationale:

      This answer is correct because oxygen therapy increases the amount of oxygen sent to the body’s tissues. This reduces the workload of the heart. It is the cornerstone of angina treatment and also assists in pain relief.

  3. Cardiac enzyme labs
    • Rationale:

      This answer is not correct because cardiac enzyme labs are diagnostic tests, not treatment. Treatment(s) most commonly prescribed for the client experiencing acute angina pectoris being treated in the emergency department include medications including nitroglycerin, calcium channel blockers, aspirin, beta blockers, and clot-preventing drugs.

  4. Nitroglycerin tablets
    • Rationale:

      This answer is correct since angina is caused by reduced blood flow to the heart. Nitroglycerine is a vasodilator that dilates the blood vessels. The widening of the vessels allows for improved blood flow back to the heart.

  5. Calcium channel blockers
    • Rationale:

      This answer is correct because calcium channel blockers relax the blood vessels. By relaxing the blood vessels, blood flows more easily, which makes it easier for the heart to pump the blood. They work by slowing the movement of calcium into the cells of the heart, thus lower blood pressure as well.

Overview

Treatment(s) most commonly prescribed for a client experiencing acute angina pectoris being treated in the emergency department include angioplasty, nitroglycerin tablets, and calcium channel blockers.

Explanation

Learning Outcomes

Angina or angina pectoris is chest pain associated with coronary artery disease and it is experienced due to the decreased blood flow to the heart. Angina is reported as a heaviness, pressure, or squeezing-type substernal pain. The pain can be acute or a sudden, new pain or can be a recurring pain that is relieved by change in activity or medications. Regardless, the client should seek emergency care immediately. Treatment(s) most commonly prescribed for the client experiencing acute angina pectoris being treated in the emergency department include application of oxygen, bed rest, nitroglycerin, calcium channel blockers, aspirin, beta blockers, and clot-preventing drugs. Medical procedures used to treat angina include angioplasty with stenting and coronary artery bypass surgery.

Test Taking Tip

Be sure to read the questions and know the difference between a treatment and a diagnostic test.

Video Rationale