Antihypertensives

Question 1

What are the indications for Nitroprusside (Nipride)?

Answer 1

• Hypertensive emergency
• Afterload reduction
• Treatment of HF

Question 2

What are the indications for nitroglycerin?

Answer 2

• Angina
• NonST elevation
• Acute MI
• HTN
• HF

Question 3

Classification of Diltiazem (Cardizem)?

Answer 3

Calcium Channel Blocker

Question 4

What are the indications for Diltiazem (Cardizem)?

Answer 4

• Treatment of HTN
• Angina
• SVT
• Control ventricular HR in AFIB and Aflutter

Question 5

What are the actions of metoprolol (lopressor)?

Answer 5

• Decrease HR and CO

Question 6

How should the heart rate respond to Metoprolol (lopressor)?

Answer 6

It should decrease.

Question 7

How would you teach your patient to stop Metoprolol (lopressor)?

Answer 7

Wean off this med.

Question 8

What are some of the contraindications for Metoprolol (lopressor)?

Answer 8

• Heart blocks
• HF
• decreased BP
• Shock
• Recent cocaine usage

Question 9

The action of this calcium channel blocker slows the channels of the myocardium during depolarization, leading to coronary vasodilation?

Answer 9

Nicardipine

Question 10

What is the classification of Nicardipine (Cardene)?

Answer 10

Calcium Channel Blocker

Question 11

Could Nicardipine (Cardene) cause pedal/peripheral edema?

Answer 11

Yes

Question 12

Does nitroglycerin influence preload, afterload, or both?

Answer 12

Both

Question 13

Does Nitroprusside influence preload, afterload, or both?

Answer 13

Afterload

Question 14

What vital sign is most affected by Nitroglycerin, blood pressure or HR?

Answer 14

Blood pressure

Question 15

What are the adverse side effects of Nitroprusside?

Answer 15

Cyanide poisoning!!!
- Theiocyanate toxicity and liver failure.

Question 16

What are the side effects of Enalaprilat (Vasotec)?

Answer 16

• Decreased BP
• HA
• N
• Angioedema
• Dizziness
• Cough

Question 17

Peak time of Diltiazem (cardizem)?

Answer 17

15 minutes

Question 18

Peak time of Metoprolol tartrate?

Answer 18

20 minutes

Question 19

Peak time of Hydralazine (Apresoline)?

Answer 19

10-80 minutes

Question 20

Peak time of Labetolol (trandate)?

Answer 20

5-15 minutes

Question 21

Peak time of Enalaprilat (Vasotec)?

Answer 21

1-4 hours.

Question 22

Based on the MAG, when should you repeat the blood pressure and heart rate after giving any of these medications IV push?

Answer 22

Depends on the peak. Once after the first hour and once after the second hour.

Question 23

Beta blocker, masks signs and symptoms of hypoglycemia?

Answer 23

Labetalol

Question 24

Calcium Channel Blocker, side effect peripheral edema 2-3wks?

Answer 24

Cardizem (Diltiazem)

Question 25

Beta blocker; taper to discontinue over 1-2wks?

Answer 25

Metoprolol

Question 26

Direct vasodilation arterioles; side effect-psychotic reaction?

Answer 26

Hydralazine

Question 27

ACE-inhibitor, side effect - angioedema and cough?

Answer 27

Enalaprilat

Question 28

Calcium channel blocker; coronary vasodilation/ affects myocardium during depolarization?

Answer 28

Nicardipine (Cardene)

Question 29

Afterload reduction; risk of cyanide poisoning?

Answer 29

Nitroprusside Sodium (Nipride)

Question 30

Preload and afterload reduction; careful with recent erectile dysfunction medications?

Answer 30

Nitroglycerine