NR 293 Pharm Exam 2 Review
Questions and Verified Solutions.
Graded A+
QUESTIONS AND ANSWERS
QUESTIONS ANSWERS
What drugs can be classified as Calcium - Amlodipine
channel blockers? - Nifedipine
- Diltiazem
What does Diltiazem/ Verapamil help Cardiac dysrhythmias:
treat that other Ca channel blockers do - Atrial fibrillation
not? - Atrial flutter
- SVT
What does Ca blockers, like Amlodipine - Hypertension
and Nifedipine, treat mainly treat? - Angina Pectoris (Chest pain)
What are some complications to - Reflex Tachycardia
Nifedipine? - Acute toxicity
- Orthostatic hypertension
- Peripheral edema
Who should not use Nifedipine? - patients with Cardiogenic shock
The use of Nifedipine should be used - Acute MI
cautiously with what type of cardiac - Unstable Angina
events? - Aortic Stenosis
What type of AV block should Nifedipine - 2nd - degree AV block
and Diltiazem be utilized cautiously with? - 3rd-degree AV block
What type of Hyper or hypo tension is - Hypotension is contraindicated to
contraindicated to Nifedipine? Nifedipine
If a patient is on Nifedipine and shows - Metoprolol (aka Beta blockers) should be
signs of Reflex Tachycardia, what administered
drug should be administered to decrease
the reflex tachycardia?
What drugs can lead to toxicity and should - Cimetidine
be avoided with in patients taking - Famotidine
Nefidipine? - Grapefruit juice (duh)
, What are some S/S of toxicity in patient - Decrease BP
taking nifedipine? - Increase HR
- Flushing
What is some teaching a nurse should - Observe for swelling in lower extremities,
teach a patient on Nifedipine? Notify HC provider if it does
- Monitor for postural hypotension (aka get
up slowly)
What syndrome is linked to Nifedipine? - SJS (Steven-Johnson-Syndrome
What other, besides the main treatments, - Raynaud's disease
can Ca channel blockers (CCB) treat? - Migraine HA
What impacts does Ca Channel blockers - Can cause Gingival hyperplasia in gums
have on a patients gums?
What Ca Channel blockers can increase the - Diltiazem can increase effect of beta
impact of Beta Blockers? blockers
- Verapamil can increase effect of beta
blockers
What Ca Channel blocker - Verapamil causes constipation in patients
causes constipation in patients?
What does Diltiazem, a Ca channel blocker, - HTN
mainly treat? - Angina
- Super ventricular tachycardia
- A-fib
- A-Flutter
What impact does Diltiazem have on - Diltiazem increases digoxin levels
Digoxin?
What values should a nurse monitor on any - Potassium (K+) levels
patient on Ca Channel Blockers?
What type of rhthmia's may Ca channel - Arrhythmias
blockers cause?
What type of edema is associated with Ca - Peripheral edema
Channel blockers?
What is the suffix related to Ca Channel - "Pine"
Blockers? - Except Diltiazem and Verapamil
What type of HR is associated with - HR > 200
Supraventricular Tachycardia?
What can Diltiazem cause as an adverse - Congested Heart Failure (CHF)
reaction? - Bradycardia
What can Verapamil help treat? - Migraines
Who should not take extended release - Children < 6 years-old
Clonidine?
What drugs are considered to be Centrally - Methyldopa
acting adrenergic blockers ? - Clonidine
How long should a patient gradually - 2 to 4 days
discontinue their Clonidine meds for?
Questions and Verified Solutions.
Graded A+
QUESTIONS AND ANSWERS
QUESTIONS ANSWERS
What drugs can be classified as Calcium - Amlodipine
channel blockers? - Nifedipine
- Diltiazem
What does Diltiazem/ Verapamil help Cardiac dysrhythmias:
treat that other Ca channel blockers do - Atrial fibrillation
not? - Atrial flutter
- SVT
What does Ca blockers, like Amlodipine - Hypertension
and Nifedipine, treat mainly treat? - Angina Pectoris (Chest pain)
What are some complications to - Reflex Tachycardia
Nifedipine? - Acute toxicity
- Orthostatic hypertension
- Peripheral edema
Who should not use Nifedipine? - patients with Cardiogenic shock
The use of Nifedipine should be used - Acute MI
cautiously with what type of cardiac - Unstable Angina
events? - Aortic Stenosis
What type of AV block should Nifedipine - 2nd - degree AV block
and Diltiazem be utilized cautiously with? - 3rd-degree AV block
What type of Hyper or hypo tension is - Hypotension is contraindicated to
contraindicated to Nifedipine? Nifedipine
If a patient is on Nifedipine and shows - Metoprolol (aka Beta blockers) should be
signs of Reflex Tachycardia, what administered
drug should be administered to decrease
the reflex tachycardia?
What drugs can lead to toxicity and should - Cimetidine
be avoided with in patients taking - Famotidine
Nefidipine? - Grapefruit juice (duh)
, What are some S/S of toxicity in patient - Decrease BP
taking nifedipine? - Increase HR
- Flushing
What is some teaching a nurse should - Observe for swelling in lower extremities,
teach a patient on Nifedipine? Notify HC provider if it does
- Monitor for postural hypotension (aka get
up slowly)
What syndrome is linked to Nifedipine? - SJS (Steven-Johnson-Syndrome
What other, besides the main treatments, - Raynaud's disease
can Ca channel blockers (CCB) treat? - Migraine HA
What impacts does Ca Channel blockers - Can cause Gingival hyperplasia in gums
have on a patients gums?
What Ca Channel blockers can increase the - Diltiazem can increase effect of beta
impact of Beta Blockers? blockers
- Verapamil can increase effect of beta
blockers
What Ca Channel blocker - Verapamil causes constipation in patients
causes constipation in patients?
What does Diltiazem, a Ca channel blocker, - HTN
mainly treat? - Angina
- Super ventricular tachycardia
- A-fib
- A-Flutter
What impact does Diltiazem have on - Diltiazem increases digoxin levels
Digoxin?
What values should a nurse monitor on any - Potassium (K+) levels
patient on Ca Channel Blockers?
What type of rhthmia's may Ca channel - Arrhythmias
blockers cause?
What type of edema is associated with Ca - Peripheral edema
Channel blockers?
What is the suffix related to Ca Channel - "Pine"
Blockers? - Except Diltiazem and Verapamil
What type of HR is associated with - HR > 200
Supraventricular Tachycardia?
What can Diltiazem cause as an adverse - Congested Heart Failure (CHF)
reaction? - Bradycardia
What can Verapamil help treat? - Migraines
Who should not take extended release - Children < 6 years-old
Clonidine?
What drugs are considered to be Centrally - Methyldopa
acting adrenergic blockers ? - Clonidine
How long should a patient gradually - 2 to 4 days
discontinue their Clonidine meds for?
