Chamberlain University NR 293 Exam 2 review.pdf file:///C:/Users/HP/Desktop/pppppp/Chamberlain%20University%2
NR 293 Pharm Exam 2 Review
1. What drugs can be classified as Calcium channel blockers?
ANS - Amlodipine
- Nifedipine
- Diltiazem
2. What does Diltiazem/Verapamil help treat that other Ca channel blockers donot?
ANS Cardiac dysrhythmias
- Atrial fibrillation
- Atrial flutter
- SVT
3. What does Ca blockers, like Amlodipine and Nifedipine, treat mainly treat?
ANS -Hypertension
- Angina Pectoris (Chest pain)
4. What are some complications to Nifedipine?
ANS - Reflex Tachycardia
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- Acute toxicity
- Orthostatic hypertension
- Peripheral edema
5. Who should not use Nifedipine?
ANS - patients with Cardiogenic shock
6. The use of Nifedipine should be used cautiously with what type of cardiacevents?
ANS - Acute MI
- Unstable Angina
- Aortic Stenosis
7. What type of AV block should Nifedipine and Diltiazem be utilized cautiouslywith?
ANS - 2nd - degree AV block
- 3rd-degree AV block
8. What type of Hyper or hypo tension is contraindicated to Nifedipine?
ANS -Hypotension is contraindicated to Nifedipine
9. If a patient is on Nifedipine and shows signs of Reflex Tachycardia, what drug should
be administered to decrease the reflex tachycardia?
ANS - Metoprolol(aka Beta blockers) should be administered
10. What drugs can lead to toxicity and should be avoided with in patientstaking
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Nefidipine?
ANS - Cimetidine
- Famotidine
- Grapefruit juice (duh)
11. What are some S/S of toxicity in patient taking nifedipine?
ANS - Decrease BP
- Increase HR
- Flushing
12. What is some teaching a nurse should teach a patient on Nifedipine?
ANS -Observe for swelling in lower extremities, Notify HC provider if it does
- Monitor for postural hypotension (aka get up slowly)
13. What syndrome is linked to Nifedipine?
ANS - SJS (Steven-Johnson-Syndrome
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14. What other, besides the main treatments, can Ca channel blockers (CCB)treat?
ANS - Raynaud's disease
- Migraine HA
15. What impacts does Ca Channel blockers have on a patients gums?
ANS - Cancause Gingival hyperplasia in gums
16. What Ca Channel blockers can increase the impact of Beta Blockers?
ANS -Diltiazem can increase effect of beta blockers
- Verapamil can increase effect of beta blockers
17. What Ca Channel blocker causes constipation in patients?
ANS - Verapamilcauses constipation in patients
18. What does Diltiazem, a Ca channel blocker, mainly treat?
ANS - HTN
- Angina
- Super ventricular tachycardia
- A-fib
- A-Flutter
19. What impact does Diltiazem have on Digoxin?
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