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48 Cards in this Set
- Front
- Back
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Which Class of antiarrhythmic is diltiazem in?
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IV
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A brand name for diltiazem is?
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Cardizem
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Diltiazem is what kind of agent?
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calcium channel blocker
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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? |
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What are the therapeutic effects of diltiazem?
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antianginals
antiarrhythmic Class IV antihypertensive |
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Diltiazem is indicated for?
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hypertension
angina pectoris and vasospastic (Prinzmetal's) angina supraventricular tachyarrhythmias and rapid ventricular rates in atrial flutter or fibrillation management of Raynaud's syndrome |
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Therapeutic effects of diltiazem?
Where does vasodilation occur? |
systemic and coronaries...decreases anginal attacks and suppresses arrhythmias
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Diltiazem is contraindicated in?
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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 |
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How does grapefruit juice effect interaction?
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increases serum levels and effect
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Monitor blood pressure of diltiazem?
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continuously
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Monitor ECG because diltizem?
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may cause prolonged PR interval
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Besides blood pressure and ECG, what else should be monitored?
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I & O
daily weight |
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Assess for signs of CHF which are?
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peripheral edema
rales/crackles dyspnea weight gain jugular venous distention |
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Monitor frequency of prescription refills to determine?
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adherence
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If taking diltiazem and digoxin concurrently, check for?
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digoxin toxicity
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Monitor ECG continuously because nurse is looking for?
bradycardia or prolonged hypotension |
arrhythmias...what should be reported promptly?
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Monitor serum potassium periodically...because?
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hypokalemia increases risk of arrhythmias and should be corrected
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Total serum calcium concentrations are NOT affected by?
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calcium channel blockers
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Monitor renal and hepatic functions periodically during long-term therapy. May cause increase in?
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hepatic enzymes after several days of therapy, which return to normal on d/c of therapy
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Instruct patient on correct technique for monitoring pulse. Instruct patient to contact hcp if heart rate is less than?
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50 bpm
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Instruct patient on correct technique for monitoring pulse. Instruct patient to contact hcp if heart rate is less than?
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50 bpm
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Instruct patient on correct technique for monitoring pulse. Instruct patient to contact hcp if heart rate is less than?
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50 bpm
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Patient should move slowly due to?
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hypotension
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Patient should move slowly due to?
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hypotension
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See dentist for frequent teeth cleaning due to?
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tenderness
bleeding gingival hyperplasia (gum enlargement) |
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Patient should move slowly due to?
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hypotension
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Don't use cough meds, alcohol, or OTC meds without?
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consulting hcp
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See dentist for frequent teeth cleaning due to?
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tenderness
bleeding gingival hyperplasia (gum enlargement) |
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Have patient notify hcp when?
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irregular heartbeats
dyspnea swellingn of hands and feet pronounced dizziness nausea constipation hypotension headache is severe or persistent |
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Don't use cough meds, alcohol, or OTC meds without?
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consulting hcp
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To prevent photosensitivy, caution patient to?
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wear protective clothing
use sunscreen |
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See dentist for frequent teeth cleaning due to?
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tenderness
bleeding gingival hyperplasia (gum enlargement) |
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Have patient notify hcp when?
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irregular heartbeats
dyspnea swellingn of hands and feet pronounced dizziness nausea constipation hypotension headache is severe or persistent |
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Don't use cough meds, alcohol, or OTC meds without?
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consulting hcp
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To prevent photosensitivy, caution patient to?
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wear protective clothing
use sunscreen |
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Have patient notify hcp when?
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irregular heartbeats
dyspnea swellingn of hands and feet pronounced dizziness nausea constipation hypotension headache is severe or persistent |
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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.
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!
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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.
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!
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To prevent photosensitivy, caution patient to?
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wear protective clothing
use sunscreen |
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Advise patient to contact hcp if? (5)
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chest pain doesn't improve
worsens after therapy occurs with diaphoresis shortness of breath occurs severe, persistent headache |
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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.
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!
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Caution patient to discuss exercise restrictions with who before exertion?
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hcp
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Advise patient to contact hcp if? (5)
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chest pain doesn't improve
worsens after therapy occurs with diaphoresis shortness of breath occurs severe, persistent headache |
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Caution patient to discuss exercise restrictions with who before exertion?
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hcp
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Advise patient to contact hcp if? (5)
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chest pain doesn't improve
worsens after therapy occurs with diaphoresis shortness of breath occurs severe, persistent headache |
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Caution patient to discuss exercise restrictions with who before exertion?
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hcp
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Meds don't cure hypertension, so encourage patient with the following interventions?
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weight reduction
low-sodium diet smoking cessation moderation of alcohol consumption regular exercise stress management |
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Effectiveness of therapy is demonstrated by?
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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 |
