D.K., a 72-year-old man, had a myocardial infarction (MI) 5 years ago. He has been diagnosed with classic (stable) angina. D.K. is prescribed acebutolol. His baseline vital signs are blood pressure 108/58; pulse 56 (at times irregular); and respirations 28. His past medication history includes asthma.
D.K. comes to the clinic with complaints of “dizzy spell and wheezing” His blood pressure is 86/50, pulse 46, and respirations 30. His acebutolol was stopped, and diltiazem, was ordered.
benefits of diltiazem
increases blood supply and thus oxygen to the heart.it relaxes blood vessels, so the heart has no need to work hard.
Mr.D.K.has a history of myocardial infarction, so, consuming diltiazem reduces the risk of chest pain.
other drug regimens
antianginal drugs - eg: nitroglycerine(direct and non-specific smooth muscle relaxation)
salicylates-eg: Aspirin (platelet inhibitors)
anticoagulants-eg: heparin
fibrinolytic agents- eg: streptokinase
anti-hyperlipidemic -eg: rosuvastatin
advantages of calcium channel blockers
can be given to patients with obstructive pulmonary disease, safely.
can be used to those patients who are contraindicated with beta blockers.
high clearance rate. (> 90 % metabolised through the liver and excreted in urine)
disadvantages
after long term use of diltiazem, there is more chance to rebound worsening of angina.
D.K., a 72-year-old man, had a myocardial infarction (MI) 5 years ago. He has been diagnosed...
D.K., a 72-year-old man, had a myocardial infarction (MI) 5 years ago. He has been diagnosed with classic (stable) angina. D.K. is prescribed acebutolol. His baseline vital signs are blood pressure 108/58; pulse 56 (at times irregular); and respirations 28. His past medication history includes asthma. D.K. comes to the clinic with complaints of “dizzy spell and wheezing” His blood pressure is 86/50, pulse 46, and respirations 30. His acebutolol was stopped, and diltiazem, was ordered. What are the nursing...
D.K., a 72-year-old man, had a myocardial infarction (MI) 5 years ago. He has been diagnosed with classic (stable) angina. D.K. is prescribed acebutolol. His baseline vital signs are blood pressure 108/58; pulse 56 (at times irregular); and respirations 28. His past medication history includes asthma. D.K. comes to the clinic with complaints of “dizzy spell and wheezing” His blood pressure is 86/50, pulse 46, and respirations 30. His acebutolol was stopped, and diltiazem, was ordered. 1. What are the...
D.K., a 72-year-old man, had a myocardial infarction (MI) 5 years ago. He has been diagnosed with classic (stable) angina. D.K. is prescribed acebutolol. His baseline vital signs are blood pressure 108/58; pulse 56 (at times irregular); and respirations 28. His past medication history includes asthma. D.K. comes to the clinic with complaints of “dizzy spell and wheezing” His blood pressure is 86/50, pulse 46, and respirations 30. His acebutolol was stopped, and diltiazem, was ordered. Explain some of the...
D.K., a 72-year-old man, had a myocardial infarction (MI) 5 years ago. He has been diagnosed with classic (stable) angina. D.K. is prescribed acebutolol. His baseline vital signs are blood pressure 108/58; pulse 56 (at times irregular); and respirations 28. His past medication history includes asthma. D.K. comes to the clinic with complaints of “dizzy spell and wheezing” His blood pressure is 86/50, pulse 46, and respirations 30. His acebutolol was stopped, and diltiazem, was ordered. D.K’s friend was given...
D.K., a 72-year-old man, had a myocardial infarction (MI) 5 years ago. He has been diagnosed with classic (stable) angina. D.K. is prescribed acebutolol. His baseline vital signs are blood pressure 108/58; pulse 56 (at times irregular); and respirations 28. His past medication history includes asthma. How do beta blockers work to manage angina?
D.K., a 72-year-old man, had a myocardial infarction (MI) 5 years ago. He has been diagnosed with classic (stable) angina. D.K. is prescribed acebutolol. His baseline vital signs are blood pressure 108/58; pulse 56 (at times irregular); and respirations 28. His past medication history includes asthma. What assessments should the nurse make while D.K. is taking acebutolol?
D.K., a 72-year-old man, had a myocardial infarction (MI) 5 years ago. He has been diagnosed with classic (stable) angina. D.K. is prescribed acebutolol. His baseline vital signs are blood pressure 108/58; pulse 56 (at times irregular); and respirations 28. His past medication history includes asthma. Would another beta blocker, propranolol, be an appropriate medication for D.K.? How are these two beta blocker different. Explain your answer
D.K. comes to the clinic with complaints of “dizzy spell and wheezing” His blood pressure is 86/50, pulse 46, and respirations 30. His acebutolol was stopped, and diltiazem, was ordered. What are the nursing considerations and teaching for patients taking calcium channel blockers like diltiazem? Provide rationale for your answer
Mr. S. is a 56-year-old man who had an anterior wall myocardial infarction 5 years ago. His medical history is significant for diabetes type 2, obesity (body mass index of 35), and hypertension. He arrived on the cardiac care unit from the emergency room with three-pillow orthopnea, PND, and lower-extremity edema that has gotten progressively worse over the last week. He denies chest pain or pressure or palpitations. On examination, his vital signs are as follows: blood pressure 80/50, heart...
Paul is a 57 year old male with a history of myocardial infarction. He underwent cardiac bypass surgery three years ago and recently had been noticing shortness of breath and swelling of his feet and ankles. He had been following a daily exercise regimen, walking one mile a day. Paul is overweight, but claims to eat a healthy diet and walks regularly He awoke with breathlessness during the last couple of nights. His blood pressure was 110/52, and his pulse...