Babe, I am feeling some pressure and tightness in my chest. I think I need to go to the hospital.
Oh no! I hope you are not having a heart attack!
Your blood pressure is very high at 163/93. I am going to prescribe you Cardizem to take daily. This is a calcium channel blocker and vasodilator.
So, I will take this at the same time each day even if I feel well. I will NOT double dose, and I will avoid drinking grapefruit juice.
That is correct. Also, monitoring your blood pressure at home will be helpful in managing your treatment.
Drug: Diltiazem (Cardizem) Action: Inhibits transport of calcium into myocardial and vascular smooth muscle cells, vasodilation resulting in decreased BP, decreased frequency and severity of attacks of angina. Indications: Hypertension, angina pectoris, supraventricular tachyarrhythmias and rapid ventricular rates in atrial flutter or fibrillation. Adverse Effects: orthostatic hypotension, palpitations, tachycardia or bradycardia, constipation, nausea, peripheral edema, dyspnea, rash, and flushing.
Potential Drug Interactions: Beta Blockers, Digoxin, Amiodarone, Statins, Cyclosporine, Azole antifungals, clarithromycin, erythromycin, and HIV drugs. Use Cautiously In: older clients with kidney or liver impairment, GERD, serious ventricular arrhythmias, or heart failure. Dietary Considerations: Avoid 6-8 glasses of grapefruit juice/day, avoid alcohol use, and avoid OTC medications and herbal products, esp. NSAIDS and cold preparations.
Elizabeth: Drug and Action, Morgan: Indications with References, Spencer: Client Education/Client Validation, Justin: Storyboard References: F.A. Davis Co. (2017). Davis’s Drug Guide for Nurses, Powered by Skyscape (20.2.0/2017.10.03) [Mobile application software]. Henry, N. J. (2016). RN pharmacology for nursing: Review module(7th ed.). Overland Park, KS: Assessment Technologies Institute.