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48 Cards in this Set

  • Front
  • Back
Which Class of antiarrhythmic is diltiazem in?
IV
A brand name for diltiazem is?
Cardizem
Diltiazem is what kind of agent?
calcium channel blocker
What is the MOA of diltiazem?

slowed impulse through AV node...what does this do to atria?

decreases both
slows influx of calcium ions into smooth muscle cells....what does this result in?

atria don't beat too fast... what does this action do to arterial resistance and oxygen demand?
What are the therapeutic effects of diltiazem?
antianginals
antiarrhythmic Class IV
antihypertensive
Diltiazem is indicated for?
hypertension
angina pectoris and
vasospastic (Prinzmetal's)
angina
supraventricular
tachyarrhythmias and rapid
ventricular rates in
atrial flutter or
fibrillation
management of Raynaud's
syndrome
Therapeutic effects of diltiazem?

Where does vasodilation occur?
systemic and coronaries...decreases anginal attacks and suppresses arrhythmias
Diltiazem is contraindicated in?
hypersensitivity
sick sinus syndrome
2nd-or 3rd-degree AV block
(unless an artificial PM
is in place)
blood pressure is less than
90 mmHg
recent MI or pulmonary
congestion
concurrent use of RIFAMPIN
How does grapefruit juice effect interaction?
increases serum levels and effect
Monitor blood pressure of diltiazem?
continuously
Monitor ECG because diltizem?
may cause prolonged PR interval
Besides blood pressure and ECG, what else should be monitored?
I & O
daily weight
Assess for signs of CHF which are?
peripheral edema
rales/crackles
dyspnea
weight gain
jugular venous distention
Monitor frequency of prescription refills to determine?
adherence
If taking diltiazem and digoxin concurrently, check for?
digoxin toxicity
Monitor ECG continuously because nurse is looking for?

bradycardia or prolonged hypotension
arrhythmias...what should be reported promptly?
Monitor serum potassium periodically...because?
hypokalemia increases risk of arrhythmias and should be corrected
Total serum calcium concentrations are NOT affected by?
calcium channel blockers
Monitor renal and hepatic functions periodically during long-term therapy. May cause increase in?
hepatic enzymes after several days of therapy, which return to normal on d/c of therapy
Instruct patient on correct technique for monitoring pulse. Instruct patient to contact hcp if heart rate is less than?
50 bpm
Instruct patient on correct technique for monitoring pulse. Instruct patient to contact hcp if heart rate is less than?
50 bpm
Instruct patient on correct technique for monitoring pulse. Instruct patient to contact hcp if heart rate is less than?
50 bpm
Patient should move slowly due to?
hypotension
Patient should move slowly due to?
hypotension
See dentist for frequent teeth cleaning due to?
tenderness
bleeding
gingival hyperplasia
(gum enlargement)
Patient should move slowly due to?
hypotension
Don't use cough meds, alcohol, or OTC meds without?
consulting hcp
See dentist for frequent teeth cleaning due to?
tenderness
bleeding
gingival hyperplasia
(gum enlargement)
Have patient notify hcp when?
irregular heartbeats
dyspnea
swellingn of hands and feet
pronounced dizziness
nausea
constipation
hypotension
headache is severe or
persistent
Don't use cough meds, alcohol, or OTC meds without?
consulting hcp
To prevent photosensitivy, caution patient to?
wear protective clothing
use sunscreen
See dentist for frequent teeth cleaning due to?
tenderness
bleeding
gingival hyperplasia
(gum enlargement)
Have patient notify hcp when?
irregular heartbeats
dyspnea
swellingn of hands and feet
pronounced dizziness
nausea
constipation
hypotension
headache is severe or
persistent
Don't use cough meds, alcohol, or OTC meds without?
consulting hcp
To prevent photosensitivy, caution patient to?
wear protective clothing
use sunscreen
Have patient notify hcp when?
irregular heartbeats
dyspnea
swellingn of hands and feet
pronounced dizziness
nausea
constipation
hypotension
headache is severe or
persistent
Instruct patient on concurrent nitrate or beta-blocker therapy to continue taking both meds as directed and to use SL nitro as needed for anginal attacks.
!
Instruct patient on concurrent nitrate or beta-blocker therapy to continue taking both meds as directed and to use SL nitro as needed for anginal attacks.
!
To prevent photosensitivy, caution patient to?
wear protective clothing
use sunscreen
Advise patient to contact hcp if? (5)
chest pain doesn't improve
worsens after therapy
occurs with diaphoresis
shortness of breath occurs
severe, persistent headache
Instruct patient on concurrent nitrate or beta-blocker therapy to continue taking both meds as directed and to use SL nitro as needed for anginal attacks.
!
Caution patient to discuss exercise restrictions with who before exertion?
hcp
Advise patient to contact hcp if? (5)
chest pain doesn't improve
worsens after therapy
occurs with diaphoresis
shortness of breath occurs
severe, persistent headache
Caution patient to discuss exercise restrictions with who before exertion?
hcp
Advise patient to contact hcp if? (5)
chest pain doesn't improve
worsens after therapy
occurs with diaphoresis
shortness of breath occurs
severe, persistent headache
Caution patient to discuss exercise restrictions with who before exertion?
hcp
Meds don't cure hypertension, so encourage patient with the following interventions?
weight reduction
low-sodium diet
smoking cessation
moderation of alcohol
consumption
regular exercise
stress management
Effectiveness of therapy is demonstrated by?
decrease in blood pressure
decrease in frequency and
severity of anginal attacks
decrease in need for nitrate
therapy
increase in activity
tolerance and sense of well
being
suppression and prevention
of tachyarrhythmias