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 89 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
:D TYSM

parshano

  • Member
  • Posts: 333
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Immunoglobulin injections may give short-term protection against, or reduce severity of certain diseases. They help people who have an inherited problem making their own antibodies, or those who are having certain types of cancer treatments.

Did you know?

Although puberty usually occurs in the early teenage years, the world's youngest parents were two Chinese children who had their first baby when they were 8 and 9 years of age.

Did you know?

Vaccines cause herd immunity. If the majority of people in a community have been vaccinated against a disease, an unvaccinated person is less likely to get the disease since others are less likely to become sick from it and spread the disease.

Did you know?

Eat fiber! A diet high in fiber can help lower cholesterol levels by as much as 10%.

Did you know?

Always store hazardous household chemicals in their original containers out of reach of children. These include bleach, paint, strippers and products containing turpentine, garden chemicals, oven cleaners, fondue fuels, nail polish, and nail polish remover.

Part of this child's pattern of daily living is attending child care during the work day Part of this child's pattern of daily living is attending child care during the work day
Taking a Patient’s Temperature with a Tympanic Thermometer Taking a Patient’s Temperature with a Tympanic Thermometer
Examples of indirect care Examples of indirect care
Patient teaching: nail assessment Patient teaching: nail assessment
Oral pseudo membraneous candidiasis in a patient with AIDS. Oral pseudo membraneous candidiasis in a patient with AIDS.
In oogenesis, cells enter meiosis as primary oocytes In oogenesis, cells enter meiosis as primary oocytes
Video: Introduction to Diabetes

For a complete list of videos, visit our video library