Calcium Channel Blockers

Question 1

Common generic names

Answer 1

Verpimil
“ipine”->amlodipine, felodipine, nicardipine
Diltiazem

Question 2

Indications

Answer 2

-Lower BP, prophylactic angina pectoris treatment
-Some of these meds are used as antiarrhythmic-> reduce myocardial O2 demand

Question 3

How it works

Answer 3

Prevent calcium from moving into the cells of vascular smooth muscles and myocardial. Dilates coronary arteries
Some of these meds decrease AV conduction-> decrease HR

Question 4

SE

Answer 4

hypotension, bradycardia, angina, peripheral edema, HA, arrhythmia, HF

Question 5

Nursing Interventions

Answer 5

Assess BP, P, Monitor I&O, daily weights, Monitor for HF, Assess angina and periodic ECG, do not open or crush SR tablets, May be given for neurological issues in subarachnoid hemorrhage

Question 6

Patient teaching

Answer 6

Monitor BP and P, make slow position changes, take meds at the same time every day even if feeling well, maintain dental hygiene

Question 7

What are signs and symptoms of HF

Answer 7

Dyspnea, crackles, wt gain, peripheral edema