NR 293 PHARM REVISION, QUESTION AND ANSWER PROVIDED.

NR 293 PHARM REVISION, QUESTION AND ANSWER PROVIDED. EXAM 2 channel blockers? - Amlodipine - Nifedipine - Diltiazem What does Diltiazem/ Verapamil help treat that other Ca channel blockers do not? Cardiac dysrhythmias: - Atrial fibrillation - Atrial flutter - SVT inpower What does Ca blockers, like Amlodipine and Nifedipine, treat mainly treat? - Hypertension - Angina Pectoris (Chest pain) What are some complications to Nifedipine? - Reflex Tachycardia - Acute toxicity - Orthostatic hypertension - Peripheral edema Who should not use Nifedipine? - patients with Cardiogenic shock The use of Nifedipine should be used cautiously with what type of cardiac events? - Acute MI - Unstable Angina - Aortic Stenosis What type of AV block should Nifedipine and Diltiazem be utilized cautiously with? - 2nd - degree AV block - 3rd-degree AV block What type of Hyper or hypo tension is contraindicated to Nifedipine? - Hypotension is contraindicated to Nifedipine 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 What drugs can lead to toxicity and should be avoided with in patients taking Nefidipine? - Cimetidine - Famotidine - Grapefruit juice (duh) What are some S/S of toxicity in patient taking nifedipine? - Decrease BP - Increase HR - Flushing 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) What syndrome is linked to Nifedipine? - SJS (Steven-Johnson-Syndrome What other, besides the main treatments, can Ca channel blockers (CCB) treat? - Raynaud's disease - Migraine HA What impacts does Ca Channel blockers have on a patients gums? - Can cause Gingival hyperplasia in gums What Ca Channel blockers can increase the impact of Beta Blockers? - Diltiazem can increase effect of beta blockers - Verapamil can increase effect of beta blockers What Ca Channel blocker causes constipation in patients? - Verapamil causes constipation in patients What does Diltiazem, a Ca channel blocker, mainly treat? - HTN - Angina - Super ventricular tachycardia - A-fib - A-Flutter What impact does Diltiazem have on Digoxin? - Diltiazem increases digoxin levels