Pharmacological Management

Question 1

Beta blockers

Answer 1

Decrease myocardial oxygen demand by decreasing HR and contractility
Indications: hypertension, angina, arrhythmias, CHF, migraines
HR and BP response to exercise will be diminished
Orthostatic hypotension, bradycardiao
“olol”

Question 2

Calcium channel blockers

Answer 2

Diminished myocardial contraction, vasodilation, decreased oxygen demand of the heart
Indications: hypertension, angina, arrhythmias, CHF
HR, BP response to exercise will be diminished
Monitor for orthostatic hypotension and symptoms of CHF
“pine”

Question 3

Diuretics

Answer 3

Increased excretion of sodium and urine
Decreases BP
Indications: hypertension, edema with CHF, pulmonary edema, glaucoma
Increased risk of falling d/t dizziness & decreased BP

Question 4

ACE inhibitors

Answer 4

Decrease BP and afterload
Indications: hypertension, congestive heart failure
Risk of hypotension
“pril”