Questions and Answers
What is the trade name of Nifedipine?
What is the generic name of Adalat?
Nifedipine
Which of the following classifications does Nifedipine belong to?
What is Nifedipine used to treat?
Signup and view all the answers
How does Nifedipine control blood pressure?
Signup and view all the answers
Which of the following is a side effect of Nifedipine?
Signup and view all the answers
Nifedipine can be taken with grapefruit juice.
Signup and view all the answers
What should not be done with Nifedipine tablets?
Signup and view all the answers
What is the maximum recommended daily dose of Nifedipine?
Signup and view all the answers
What serious signs should be reported while taking Nifedipine?
Signup and view all the answers
Which of the following is a nursing consideration for Nifedipine?
Signup and view all the answers
What should LPNs recognize regarding medication?
Signup and view all the answers
LPNs must adhere to which of the following during medication administration?
Signup and view all the answers
Study Notes
Medication Overview
- Trade Name: Adalat Procardia
- Generic Name: Nifedipine
- Classifications: Antianginal, Antihypertensive, and Calcium Channel Blocker
Drug Actions
- Nifedipine treats high blood pressure and angina, particularly chest pain from stress or exercise.
- Also used for circulatory disorders like Raynaud's syndrome.
- Works by relaxing blood vessels, thus controlling blood pressure and reducing angina attacks.
- Immediate-acting Nifedipine treats coronary spasm, a sudden artery constriction in the heart.
Side Effects
- Common reported side effects include mood changes, dyspnea, congestive heart failure (CHF), myocardial infarction (MI), abdominal discomfort, diarrhea, palpitations, hyperglycemia, and weight loss.
Drug Interactions
- Beta blockers may enhance nifedipine's effects.
- Theophylline effects might be intensified.
- Other antihypertensives could amplify hypotensive effects.
Contraindications
- Avoid grapefruit or grapefruit juice due to increased medication levels in the bloodstream.
- Do not crush or chew the medication to prevent rapid drug release and increased side effects.
Warnings
- Maximum recommended daily dose is 90-120 mg.
- Overdose symptoms: fainting, severe dizziness, irregular heartbeat.
- If a dose is missed close to the next scheduled dose, skip it and continue the usual regimen without doubling.
Toxic Effects and Adverse Reactions
- Serious allergic reaction signs: abdominal cramps, breathing difficulties, nausea, swelling.
- Heart attack symptoms: chest pain, radiating pain, nausea, sweating, anxiety.
- Intestinal blockage: painful abdomen, vomiting, constipation.
- Severe skin reactions: blistering, widespread rash, or rash with fever.
Nursing Considerations
- Assess for allergies, pregnancy, and lactation history.
- Educate patients on side effects, advising immediate reporting of increased dyspnea or orthopnea.
- Effectiveness monitoring in patients with primary pulmonary hypertension includes observing decreased exertional dyspnea.
Special Considerations
- Pregnancy Category: C.
- Does not affect AV nodal activity.
- Use caution in geriatric patients; be aware of potential hypotension and angina pectoris.
Discharge Teaching
- Instruct patients to take daily pulse rates and weigh themselves at the same time each day.
- Inform about the possibility of palpitations early in treatment and caution when changing positions.
Nursing Teaching
- Regular blood pressure monitoring is essential.
- Report palpitations, weight gain, and any edema in ankles or feet.
- Emphasize avoiding grapefruit.
LPNs Role in Medication Administration
- Must adhere to the 'rights': Right Medication, Client, Dose, Time, Route, Reason, and Documentation.
- Must understand medication effects, side effects, and interactions to take appropriate action.
- Responsible for administering medications within regulatory standards and individual competence.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz provides essential flashcards for understanding Nifedipine, commonly known as Adalat. Each card covers important terminology including trade name, generic name, and drug classifications, along with the drug's action. Perfect for medical students and healthcare professionals.
