Chapter 28

Question 1

diltiazem (Cardizem) for angina pectoris

Answer 1

Calcium Channel blocker

Inhibits transport of calcium into myocardial cells
Can relax peripheral and coronary vessels

-During IV monitor vitals

AE:

• Vasodilation
• Acute angina from abrupt withdrawal

-Don’t use w/digoxin

Question 2

atenolol (Tenormin) for angina

Answer 2

Beta adrenergic blocker

Slow HR and reduce contractility->less O2 demand

Assess BP/HR before, during, after admin
Don’t give PO if BPM under 60 or hypotensive

AE:
Black Box: Avoid abrupt discontinuation if you have ischemic heart disease. If angina worsens during that period, drug should be reinstituted*

Contraindications:

• Bradycardia
• AV heart block
• Cardiogenic shock

Question 3

Acute MI pharmacotherapy

Answer 3

Thrombolytics->anticoagulatnts/antiplatelet
Nitrates
Beta adrenergic blockers
ACE inhibitors
Pain management

Question 4

Treating angina w/beta blockers

Answer 4

Slow HR, reduce contractility
No tolerance
Reduce HTN