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42 Cards in this Set

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  • Back
Name 9 calcium channel blockers?
amlodipine
bepridil
diltiazem
felodipine
isradipine
nicardipine
nifedipine
nisoldipine
verapamil
amlodipine?
Norvasc
bepridil?
Bepadin
Vascor
diltiazem?
Cardizem
CartiaXT
Dilacor XR
Diltia XT
Nu-Diltiaz
Tiamate
Tiazac
felodipine?
Plendil
isradipine?
DynaCirc
DynaCirc CR
nicardipine?
Cardene
Cardene SR
Cardene IV
nifedipine?
Adalat
Adalat CC
Nifedical XL
Procardia
Procardia XL
Calcium channel blockers are used in the treatment of? (4)
hypertension
treatment and prophylaxis of
angina pectoris or
coronary artery spasm
antiarrhthymics (verapamil
and diltiazem)
prevent neurologic damage
(nimodipine)
CCBs used in the treatment of hypertension include? (8)
amlodipine
diltiazem
felodipine
isradipine
nicardipine
nifedipine
verapamil
CCBs used in the treatment and prophylaxis of angina pectoris or coronary artery spasm?
amlodipine
diltiazem
felodipine
nicardipine
verapamil
Which two CCBs are used as antiarrhythmics? (2)
verapamil
diltiazem
Which CCB is used to prevent neurologic damage due to certain types of cerebral vasospasm?
nimodipine
How do calcium channel blockers work?
They block calcium into cells of vascular 1____ muscle and 2____. They dilate 3_____ arteries in both normal and ischemic myocardium and inhibit coronary artery 4_____.
1 smooth
2 myocardium
3 coronary
4 spasm
Which 2 agents decrease AV conduction?
diltiazem
verapamil
Which agent has a relatively selective effect on cerebral blood vessels?
nimodipine
Contraindications?
hypersensitivity
bradycardia
2nd degree heart block
3rd degree heart block
uncompensated CHF (verapamil)
Precautions?
Safety in pregnancy and lactation not established. Use cautiously in patients with liver disease or uncontrolled ______.
arrhythmias
Interactions?
There is additive _____ depression with beta blockers and disopyramide (diltiazem and verapamil).
myocardial
Effectiveness may be decreased by 1_____ or 2____ and increased by 3____ or 4_____.
1 phenobarbital
2 phenytoin
3 propranolol
4 cimetidine
Which 2 agents may increase serum DIGOXIN levels and cause TOXICITY?
verapamil
diltiazem
What 4 major cardiac conditions should nurse assess for while patient on CCBs?
angina
arrhythmias
cerebral vasospasms
CHF
What other things should be monitored for while on CCBs?
blood pressure
pulse
I & O
daily weight
What are the symptoms of CHF?
dyspnea
rales/crackles
weight gain
peripheral edema
jugular venous distention
What should be assessed when monitoring angina while on CCBs?
frequency of episodes
severity of episodes of chest
pain
What should be assessed when monitoring arrhthmias while patient is on CCBs?
ECG should be monitored
continuously during IV
therapy and periodically
during long-term therapy
with verapamil
What should be assessed with cerebral vasospasms?
assess patient's neurological status (level of consciousness, movement) before and periodically during therapy with nimodipine
List 3 potential nursing diagnoses?
Tissue perfusion, ineffective

Pain, acute

Knowledge, deficient, related to disease processes and medication regimen
IMPLEMENTATION:
May be administered without regard to ____ .
Do not open, crush, or chew _____-____ capsules.
meals
sustained-release
Instruct patient to continue taking medication, even if
feeling well.
okay
Caution patient to make position changes slowly to minimize _____ _____. Advise patient that exercising or ____ weather may enhance hypotensive effects.
orthostatic hypotension
hot
Instruct patient on the importance of maintaining good oral hygiene and seeing dentist frequently for teeth cleaning ot prevent which 3 conditions?
tenderness
bleeding
gingival hyperplasia (gum enlargement)
Advise patient to consult hcp before taking any ____ medications or herbal/alternative therapies, esp cold remedies.
OTC
Advise patient to advice hcp of medication regimen prior to treatment surgery.
okay
Advise patient to carry id describing disease process and medication regimen at all times.
okay
Emphasize the importance of follow-up exams to monitor progress.
okay
Two major conditions to ASSESS for when taking CCBs are?
angina
hypertension
When ASSESSING patient for angina, instruct patients on concurrent ____ therapy to continue taking both medications as directed and using ___ ____ as needed for anginal attacks.
nitrate
SL nitro
When ASSESSING patient for angina, advise patient to contact hcp if chest pain worsens or does not improve after therapy, or is accompanied by 1_____ or 2_____ of breath, or if severe, persistent 3____ occurs. Caution patient to discuss exercise precautions with hcp prior to exertion.
1 diaphoresis
2 shortness
3 headache
When ASSESSING patient for hypertension, encourage patient to comply with additional interventions for hypertension which include (6).
Medication controls but does not cure hypertension.
weight reduction
low-sodium diet
regular exercise
smoking cessation
moderation of alcohol
consumption
stress management
Instruct patient and family on proper technique for monitoring ____ _____. Advise them to check blood pressure weekly and report significant changes to hcp.
blood pressure
EVALUATION
Effectiveness of therapy can be demonstrated by?
Decrease in 1_____ _____.
Decrease in frequency and
severity of 2_____ attacks.
Decrease need for 3_____ therapy.
Increase in activity tolerance and sense of well-being.
Suppression and prevention of supraventricular 4______.
Improvement in neurological deficits due to vasospasm following 5______ hemorrhage.
1 blood pressure
2 anginal
3 nitrate
4 tacharrhythmias
5 subarachnoid