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18 Cards in this Set

  • Front
  • Back
What agent is used to treat and prevent attacks of angina?
Only which type of nitrates may be used in the acute treatment of attacks of angina pectoris?
lingual spray
Which two drug classes are used to treat angina prophylactically in the long-term?
beta blockers
calcium channel blockers
Three nitrates include and are available in what 5 forms?
isosorbide dinitrate
isosorbide mononitrate

lingual spray
sublingual tablets
sustained-release oral
What action do nitrates take?
dilate coronary arteries and cause systemic vasodilation
Do nitrates increase or decrease preload?
What action do calcium channel blockers take?
dilate coronary arteries and some also slow heart rate
What action do beta blockers take?
decrease myocardial oxygen consumption by decreasing heart rate
When should beta blockers and calcium channel blockers be avoided?
advanced heart block
cardiogenic shock
untreated CHF
What precautions should be taken when taking beta blockers?
diabetes mellitus
pulmonary disease
Do nitrates, calcium channel blockers, and beta blockers cause hypotension or hypertension with other antihypertensive agents or acute ingestion of alcohol?
The calcium channel blocker with the most significant drug-drug interactions is?
What 4 things should be assessed with anginal pain?
duration of pain
intensity of pain
location of pain
precipitating factors of the
Three potential Nursing Diagnoses?
Knowledge deficit, related to
medication regimen
Tissue perfusion, altered
What are 5 patient/family teaching tips?
Take meds as ordered

Use SL nitro as needed for
anginal attacks

Call hcp immediately if:
chest pain doesn't improve
worsens after therapy
accompanied by diaphoresis
or shortness of breath
severe or persistent
headache occurs

make position changes
slowly to minimize
orthostatic hypotension

avoid concurrent use of
The effectiveness of therapy can be demonstrated by? (3)
decrease in frequency of
anginal attacks
decrease in severity of
anginal attacks
increase in activity
List 6 beta blockers?
atenolol {Apo-Atenolol}, {Novo-Atenolol}, Tenormin

carteolol Cartrol

labetalol Normodyne, Trandate

metoprolol {Betaloc Durules}, {Lopresor}, {Lopresor SR}, Lopressor, {Novometoprol}, Toprol-XL

nadolol Corgard, {Syn-Nadolol}

propranolol {Apo-Propranolol}, {Betachron E-R}, Inderal, Inderal LA, InnoPran XL, {Novopranol}, {pms Propranolol}
What are 8 calcium channel blockers?
amlodipine Norvasc

bepridil Vascor

diltiazem {Apo-Diltiaz}, Cardizem, Cardizem LA, CartiaXT, Dilacor XR, Diltia XT, {Novo-Diltazem}, Nu-Diltiaz, {Syn-Diltiazem}, Tiamate, Tiazac

felodipine Plendil, {Renedil}

isradipine DynaCirc, DynaCirc CR

nicardipine Cardene, Cardene SR, Cardene IV

nifedipine Adalat, Adalat CC, {Apo-Nifed}, Nifedical XL, {Novo-Nifedin}, {Nu-Nifed}, Procardia, Procardia XL

verapamil Apo-Verap, Calan, Calan SR, Covera-HS, Isoptin, Isoptin SR, {Novo-Veramil}, {Nu-Verap}, Verelan, Verelan PM