Cardiac Pharm

Question 1

Calcium Channel Blockers - Meds (antihypertensive)

Answer 1

A Very Nice Drug
amlodipine (Norvasc)
verapamil (Calan) *NO grapefruit
nifedipine (Procardia)
diltiazam (Cardizem) *NO grapefruit

Do not discontinue without seeing doctor

Question 2

Calcium Channel Blockers - Side Effects

Answer 2

Hypotension, peripheral edema, flushing, headache, GI upset.
Contraindications: arterial stenosis, cerebrovascular insufficiency, bradycardia, AV heart block.

Do not discontinue without seeing doctor

Question 3

Beta-adrenergic Blockers - Meds (antihypertensive)

Answer 3

"LOL"
metoprolol (Lopressor)
atenolol (Tenormin)
propranolol (Inderal)
nadolol (Corgard)

Question 4

Beta-adrenergic Blockers - Side Effects

Answer 4

Bradycardia, hypotension, HF, bronchospasm, diminished sexual function.
Contraindications: arterial stenosis, cerebrovascular insufficiency, bradycardia, AV heart block.

Can mask hypoglycemia in diabetic patients

Question 5

Beta-adrenergic Blockers - Actions

Answer 5

Blocks Beta1 receptors in the heart causing decreased heart rate and decreased force of contraction.

Question 6

Calcium Channel Blockers - Actions

Answer 6

Block calcium influx into beta-receptors, decrease force of contraction, reduce heart rate and decrease PVR.

Question 7

What is the initial drug selected before following with a an antihypertensive?

Answer 7

Thiazide diuretic

Question 8

ACE Inhibitors - Meds

Answer 8

“PRIL” (aPRIL)
captopril (Capoten)
enalapril (Vasotec)
benazepril (Lotensin)

Contraindications: history of angioedema, pregnancy, bilateral renal stenosis

Question 9

ACE Inhibitors - Side Effects

Answer 9

Dizziness, orthostatic hypotension, fetal injury, cough, headache, hyperkalemia, ANGIOEDEMA (emergency)

Question 10

verapamil and diltiazem

Answer 10

Calcium Channel Blocker used to treat dysrhythmias. Avoid giving with digoxin and beta-blockers.

Question 11

Nursing Implications for CCB’s

Answer 11

Do not crush or chew sustained release pills. Monitor vital signs and watch for hypotension. Weigh patient and report any peripheral edema or weight gain. Avoid grapefruit juice.

Question 12

Angiotensin II Receptor Blockers (ARBs)

Answer 12

valsartan (Diovan)
losartan (Cozaar)
olmesartan (Benicar)

Uses: hypertension, HF (valsartan, candesartan), diabetic neuropathy (irbesartan)

Contraindications: pregnancy, breastfeeding, bilateral renal stenosis, kidney failure, history of angioedema

Question 13

ARBs Nursing Implications

Answer 13

Review meds as these have an additive effect. Monitor kidney function and potassium levels, monitor BP.