Antianginal drugs are used primarily to restore the balance between the oxygen supply and demand of the heart. These drugs dilate the coronary vessels to increase the flow of oxygen to the ischemic regions. Other than that, they also decrease the workload of the heart so the organ would have less demand for oxygen. Learn about antianginal drugs, nitrates, beta-blockers, and calcium channel blockers in this simplified guide for nursing pharmacology. Show
Antianginal Drugs: Generic and Brand Names
Disease spotlight: Coronary Artery DiseaseCoronary Artery Disease (CAD) is the narrowing of blood vessels supplying oxygen and nutrients to the heart, primarily due to the development of fatty tumors (atheromas) in the lumen of blood vessels in a process called atherosclerosis.
Nitrates
Therapeutic Action
Indications
Pharmacokinetics
Contraindications and Cautions
Adverse Effects
Interactions
Nursing ManagementNursing Assessment
Nursing Diagnoses
Implementation with Rationale
Evaluation
Beta-Adrenergic Blockers
Therapeutic action
Indications
Pharmacokinetics
Contraindications and Cautions
Adverse Effects
Interactions
Nursing ConsiderationsNursing Assessment
Nursing Diagnosis
Implementation with Rationale
Evaluation
Calcium-Channel Blockers
Therapeutic Action
Pharmacokinetics
Contraindications and Cautions
Adverse Effects
Interactions
Nursing ConsiderationsNursing Assessment
Nursing Diagnosis
Implementation with Rationale
Evaluation
Practice Quiz: Antianginal DrugsQuiz time! Take our 5-item quiz about antianginal agents! 1. Type of angina which involves spasm of the blood vessels A. Stable angina 2. Contraction and relaxation in each cardiac cycle is controlled by: A. autonomic nervous system 3. All of the following can cause arrhythmia, except: A. acidosis 4. Verapamil and diltiazem belong to which class of antiarrhythmics? A. Class IV 5. The conduction system of the heart include the following: A. Sinoatrial node 1. Answer: D. Prinzmetal angina. It is an unusual type of angina that involves the spasm of blood vessels and not just by narrowing of vessels. Person with prinzmetal angina has angina at rest and associated ECG changes. 2. Answer: B. the heart. Contraction and relaxation is controlled by impulses arising spontaneously in the SA node and transmitted via a specialized conducting system to activate all parts of the muscle almost simultaneously. These rhythmic and continuous contractions are controlled by the heart itself. 3. Answer: D. None of the above. Electrolyte disturbances, hypoxic conditions, acidosis or accumulation of waste products, and structural damage of the conduction system can lead to arrhythmia. 4. Answer: A. Class IV. Verapamil and diltiazem are calcium-channel blockers and belong to Class IV antiarrhythmics. 5. Answer: A. Sinoatrial node. Path of conduction is as follows: SA node -> AV node -> Bundle of His -> Purkinje fibers. Recommended ResourcesRecommended resources and reference books. Disclosure: Includes Amazon affiliate links.
See AlsoHere are other nursing pharmacology study guides:
Gastrointestinal System Drugs
Respiratory System Drugs
Endocrine System Drugs
Autonomic Nervous System Drugs
Immune System Drugs
Chemotherapeutic Agents
Reproductive System Drugs
Nervous System Drugs
Cardiovascular System Drugs
References and SourcesReferences and sources for this pharmacology guide for Antianginal Drugs:
What do you need to monitor when administering nitroglycerin IV?Monitoring: Check BP before and after every increment. Advise MD if systolic BP <100 mmHg. Withdrawal: slowly titrate down by decreasing by 5mcg/min every 30 min.
What is the most common adverse effect of nitroglycerin for which the patient is monitored?Patients may report symptoms of orthostatic hypotension, which manifest as dizziness, weakness, palpitations, and vertigo. Profound hypotension may occur in patients with preload-dependent conditions.
What are adverse reactions to nitroglycerin?Serious skin reactions can occur with this medicine. Check with your doctor right away if you have cracks in the skin, feeling of warmth, loss of heat from the body, rash, red, swollen skin, redness of the face, neck, arms, and occasionally, upper chest, or scaly skin while you are using this medicine.
What are the nursing considerations for nitroglycerin?Nursing Considerations. May cause. Blurred vision. Dryness of the mouth. Skin reactions.. Contraindications. Severe anemia. Increased ICP.. Monitor. Hemodynamics. Chest pain.. |