Drug Class - Antianginals

Front 1

What agent is used to treat and prevent attacks of angina?

Back 1

nitrates

Front 2

Only which type of nitrates may be used in the acute treatment of attacks of angina pectoris?

Back 2

intravenous
lingual spray
sublingual

Front 3

Which two drug classes are used to treat angina prophylactically in the long-term?

Back 3

beta blockers
calcium channel blockers

Front 4

Three nitrates include and are available in what 5 forms?

Back 4

isosorbide dinitrate
isosorbide mononitrate
nitroglycerin

lingual spray
parenterals
sublingual tablets
sustained-release oral
transdermal

Front 5

What action do nitrates take?

Back 5

dilate coronary arteries and cause systemic vasodilation

Front 6

Do nitrates increase or decrease preload?

Back 6

decrease

Front 7

What action do calcium channel blockers take?

Back 7

dilate coronary arteries and some also slow heart rate

Front 8

What action do beta blockers take?

Back 8

decrease myocardial oxygen consumption by decreasing heart rate

Front 9

When should beta blockers and calcium channel blockers be avoided?

Back 9

advanced heart block
cardiogenic shock
untreated CHF

Front 10

What precautions should be taken when taking beta blockers?

Back 10

diabetes mellitus
hypothyroidism
pulmonary disease

Front 11

Do nitrates, calcium channel blockers, and beta blockers cause hypotension or hypertension with other antihypertensive agents or acute ingestion of alcohol?

Back 11

hypotension

Front 12

The calcium channel blocker with the most significant drug-drug interactions is?

Back 12

verapamil

Front 13

What 4 things should be assessed with anginal pain?

Back 13

duration of pain
intensity of pain
location of pain
precipitating factors of the
pain

Front 14

Three potential Nursing Diagnoses?

Back 14

Knowledge deficit, related to
medication regimen
Pain
Tissue perfusion, altered

Front 15

What are 5 patient/family teaching tips?

Back 15

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
alcohol

Front 16

The effectiveness of therapy can be demonstrated by? (3)

Back 16

decrease in frequency of
anginal attacks
decrease in severity of
anginal attacks
increase in activity
tolerance

Front 17

List 6 beta blockers?

Back 17

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}

Front 18

What are 8 calcium channel blockers?

Back 18

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