This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient who takes nitroglycerin for stable angina pectoris develops hypertension. The primary care ... (Read 67 times)

panfilo

  • Hero Member
  • *****
  • Posts: 572
on: Jul 24, 2018
A patient who takes nitroglycerin for stable angina pectoris develops hypertension. The primary care NP should contact the patient's cardiologist to discuss adding:
 
  a. amlodipine (Norvasc).
  b. diltiazem (Cardizem).
  c. verapamil HCl (Calan).
  d. nifedipine (Procardia XL).

Question 2

A patient who has stable angina pectoris and a history of previous myocardial infarction takes nitroglycerin and verapamil. The patient asks the primary care nurse practitioner (NP) why it is necessary to take verapamil.
 
  The NP should tell the patient that verapamil: a. improves blood flow and oxygen delivery to the heart.
  b. increases the rate of contraction of the cardiac muscle.
  c. increases the force of contraction of the cardiac muscle.
  d. has a positive inotropic effect to increase cardiac output.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

mceravolo

  • Sr. Member
  • ****
  • Posts: 349
Reply #1 on: Jul 24, 2018
Answer to Question 1

D
Nifedipine and related drugs are potent vasodilators, which makes them more effective for hypertension than verapamil and diltiazem. Amlodipine is not a first-line drug.

Answer to Question 2

A
Verapamil decreases the force of smooth muscle contraction in the smooth muscle of the coronary and peripheral vessels; this results in coronary artery dilation, which lowers coronary resistance and improves blood flow through collateral vessels as well as oxygen delivery to ischemic areas of the heart. Calcium channel blockers do not increase the rate or force of contraction of the heart.


panfilo

  • Member
  • Posts: 572
Reply 2 on: Jul 24, 2018
Thanks for the timely response, appreciate it

billybob123

  • Member
  • Posts: 336
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

Nearly all drugs pass into human breast milk. How often a drug is taken influences the amount of drug that will pass into the milk. Medications taken 30 to 60 minutes before breastfeeding are likely to be at peak blood levels when the baby is nursing.

Did you know?

The word drug comes from the Dutch word droog (meaning "dry"). For centuries, most drugs came from dried plants, hence the name.

Did you know?

Illicit drug use costs the United States approximately $181 billion every year.

Did you know?

Glaucoma is a leading cause of blindness. As of yet, there is no cure. Everyone is at risk, and there may be no warning signs. It is six to eight times more common in African Americans than in whites. The best and most effective way to detect glaucoma is to receive a dilated eye examination.

Did you know?

Most fungi that pathogenically affect humans live in soil. If a person is not healthy, has an open wound, or is immunocompromised, a fungal infection can be very aggressive.

Documenting the health history is a crucial step in providing patient care Documenting the health history is a crucial step in providing patient care
The nurse assesses the patient's ability to use the walker correctly The nurse assesses the patient's ability to use the walker correctly
Examples of portal hypertension vascular distention complications. Examples of portal hypertension vascular distention complications.
Stages of Hypertension Cont. Stages of Hypertension Cont.
Develop a Patient Teaching Handout About Stress Develop a Patient Teaching Handout About Stress
Receptive language usually develops before expressive language Receptive language usually develops before expressive language
Video: Humerus Adduction Animation

For a complete list of videos, visit our video library