1.What drugs can be classified as Calcium channel blockers?: - Amlodipine
- Nifedipine
- Diltiazem
2.What does Diltiazem/ Verapamil help treat that other Ca channel blockers
do not?: Cardiac dysrhythmias:
- Atrial fibrillation
- Atrial flutter
- SVT
3.What does Ca blockers, like Amlodipine and Nifedipine, treat mainly treat?:
- Hypertension
- Angina Pectoris (Chest pain)
4.What are some complications to Nifedipine?: - Reflex Tachycardia
- Acute toxicity
,- Orthostatic hypertension
- Peripheral edema
5.Who should not use Nifedipine?: - patients with Cardiogenic shock
6.The use of Nifedipine should be used cautiously with what type of
cardiac events?: - Acute MI
- Unstable Angina
- Aortic Stenosis
7.What type of AV block should Nifedipine and Diltiazem be utilized
cautiously with?: - 2nd - degree AV block
- 3rd-degree AV block
8.What type of Hyper or hypo tension is contraindicated to Nifedipine?:
- 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?: -
Metoprolol (aka Beta blockers) should be administered
,10.What drugs can lead to toxicity and should be avoided with in
patients taking Nefidipine?: - Cimetidine
- Famotidine
- Grapefruit juice (duh)
11.What are some S/S of toxicity in patient taking nifedipine?: - Decrease BP
- Increase HR
- Flushing
12.What is some teaching a nurse should teach a patient on Nifedipine?:
- 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?: - SJS (Steven-Johnson-
Syndrome
, 14.What other, besides the main treatments, can Ca channel blockers
(CCB) treat?: - Raynaud's disease
- Migraine HA
15.What impacts does Ca Channel blockers have on a patients gums?: -
Can cause Gingival hyperplasia in gums
16.What Ca Channel blockers can increase the impact of Beta Blockers?:
- Diltiazem can increase effect of beta blockers
- Verapamil can increase effect of beta blockers
17.What Ca Channel blocker causes constipation in patients?: -
Verapamil causes constipation in patients
18.What does Diltiazem, a Ca channel blocker, mainly treat?: - HTN
- Angina
- Super ventricular tachycardia
- A-fib
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