NR 293 PHARM EXAM 2 REVIEW QUESTIONS AND ANSWERS
1. What drugs can be classified as Calcium channel
blockers?: - Amlodipine
- Nifedipine
- Diltiazem
2. What does Diltiazem/ Verapamil help treat that other
Ca channel blockers do not?: Cardiac dysrhythmias:
- Atrial fibrillation
- Atrial flutter
- SVT
3. What does Ca blockers, like Amlodipine and Nifedipine,
treat mainly treat?: - Hypertension
- Angina Pectoris (Chest pain)
4. What are some complications to Nifedipine?: - Reflex
Tachycardia
- Acute toxicity
- Orthostatic hypertension
- Peripheral edema
5. Who should not use Nifedipine?: - patients with Cardiogenic
, shock
6. The use of Nifedipine should be used cautiously with
what type of cardiac events?: - Acute MI
- Unstable Angina
- Aortic Stenosis
7. What type of AV block should Nifedipine and Diltiazem
be utilized cautiously with?: - 2nd - degree AV block
- 3rd-degree AV block
8. What type of Hyper or hypo tension is
contraindicated to Nifedipine?: - Hypotension is contraindicated
to Nifedipine
9. If a patient is on Nifedipine and shows signs of Reflex
Tachycardia, what drug should be administered to
decrease the reflex tachycardia?: - Metoprolol (aka Beta
blockers) should be administered
10. What drugs can lead to toxicity and should be
avoided with in patients taking Nefidipine?: - Cimetidine
- Famotidine
- Grapefruit juice (duh)
,11. What are some S/S of toxicity in patient taking
nifedipine?: - Decrease BP
- Increase HR
- Flushing
12. What is some teaching a nurse should teach a patient on
Nifedipine?: - Observe for swelling in lower extremities, Notify HC
provider if it does
- Monitor for postural hypotension (aka get up slowly)
13. What syndrome is linked to Nifedipine?: - SJS (Steven-
Johnson-Syndrome
14. What other, besides the main treatments, can Ca
channel blockers (CCB) treat?: - Raynaud's disease
- Migraine HA
15. What impacts does Ca Channel blockers have on a
patients gums?: - Can cause Gingival hyperplasia in gums
16. What Ca Channel blockers can increase the impact of
Beta Blockers?: - Diltiazem can increase ettect of beta blockers
- Verapamil can increase ettect of beta blockers
17. What Ca Channel blocker causes constipation in
patients?: - Verapamil causes constipation in patients
18. What does Diltiazem, a Ca channel blocker, mainly
treat?: - HTN
- Angina
- Super ventricular tachycardia
, - A-fib
- A-Flutter
19. What impact does Diltiazem have on Digoxin?: - Diltiazem
increases digoxin levels
20. What values should a nurse monitor on any patient on
Ca Channel Block-ers?: - Potassium (K+) levels
21. What type of rhthmia's may Ca channel blockers
cause?: - Arrhythmias
22. What type of edema is associated with Ca Channel
blockers?: - Peripheral edema
23. What is the suffix related to Ca Channel Blockers?: -
"Pine"
- Except Diltiazem and Verapamil
24. What type of HR is associated with Supraventricular
Tachycardia?: - HR > 200
25. What can Diltiazem cause as an adverse reaction?: -
Congested Heart Failure (CHF)
- Bradycardia
1. What drugs can be classified as Calcium channel
blockers?: - Amlodipine
- Nifedipine
- Diltiazem
2. What does Diltiazem/ Verapamil help treat that other
Ca channel blockers do not?: Cardiac dysrhythmias:
- Atrial fibrillation
- Atrial flutter
- SVT
3. What does Ca blockers, like Amlodipine and Nifedipine,
treat mainly treat?: - Hypertension
- Angina Pectoris (Chest pain)
4. What are some complications to Nifedipine?: - Reflex
Tachycardia
- Acute toxicity
- Orthostatic hypertension
- Peripheral edema
5. Who should not use Nifedipine?: - patients with Cardiogenic
, shock
6. The use of Nifedipine should be used cautiously with
what type of cardiac events?: - Acute MI
- Unstable Angina
- Aortic Stenosis
7. What type of AV block should Nifedipine and Diltiazem
be utilized cautiously with?: - 2nd - degree AV block
- 3rd-degree AV block
8. What type of Hyper or hypo tension is
contraindicated to Nifedipine?: - Hypotension is contraindicated
to Nifedipine
9. If a patient is on Nifedipine and shows signs of Reflex
Tachycardia, what drug should be administered to
decrease the reflex tachycardia?: - Metoprolol (aka Beta
blockers) should be administered
10. What drugs can lead to toxicity and should be
avoided with in patients taking Nefidipine?: - Cimetidine
- Famotidine
- Grapefruit juice (duh)
,11. What are some S/S of toxicity in patient taking
nifedipine?: - Decrease BP
- Increase HR
- Flushing
12. What is some teaching a nurse should teach a patient on
Nifedipine?: - Observe for swelling in lower extremities, Notify HC
provider if it does
- Monitor for postural hypotension (aka get up slowly)
13. What syndrome is linked to Nifedipine?: - SJS (Steven-
Johnson-Syndrome
14. What other, besides the main treatments, can Ca
channel blockers (CCB) treat?: - Raynaud's disease
- Migraine HA
15. What impacts does Ca Channel blockers have on a
patients gums?: - Can cause Gingival hyperplasia in gums
16. What Ca Channel blockers can increase the impact of
Beta Blockers?: - Diltiazem can increase ettect of beta blockers
- Verapamil can increase ettect of beta blockers
17. What Ca Channel blocker causes constipation in
patients?: - Verapamil causes constipation in patients
18. What does Diltiazem, a Ca channel blocker, mainly
treat?: - HTN
- Angina
- Super ventricular tachycardia
, - A-fib
- A-Flutter
19. What impact does Diltiazem have on Digoxin?: - Diltiazem
increases digoxin levels
20. What values should a nurse monitor on any patient on
Ca Channel Block-ers?: - Potassium (K+) levels
21. What type of rhthmia's may Ca channel blockers
cause?: - Arrhythmias
22. What type of edema is associated with Ca Channel
blockers?: - Peripheral edema
23. What is the suffix related to Ca Channel Blockers?: -
"Pine"
- Except Diltiazem and Verapamil
24. What type of HR is associated with Supraventricular
Tachycardia?: - HR > 200
25. What can Diltiazem cause as an adverse reaction?: -
Congested Heart Failure (CHF)
- Bradycardia
