Questions and Answers
What is the class of Procardia (nifedine)?
What action does Procardia (nifedine) perform?
Stops movement of calcium in myocardial and vascular smooth cells.
What is the primary indication for Procardia (nifedine)?
Management of hypertension.
What route is Procardia (nifedine) administered?
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The usual dose of Procardia (nifedine) is ___ mg tid.
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Which of the following are side effects of Procardia (nifedine)? (Select all that apply)
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Which drugs interact with Procardia (nifedine)? (Select all that apply)
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What food should be avoided when taking Procardia (nifedine)?
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What is one important aspect of patient teaching for Procardia (nifedine)?
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What should be monitored before administering Procardia (nifedine)?
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Study Notes
Procardia (Nifedipine) Overview
- Nifedipine, marketed as Procardia, is classified as an antihypertensive medication.
- It primarily functions by inhibiting calcium movement within myocardial and vascular smooth muscle cells.
Indications and Administration
- Procardia is indicated for managing hypertension, contributing to lower blood pressure and reducing cardiovascular risks.
- The medication is administered orally (PO).
Dosage Guidelines
- Dosage varies according to the formulation:
- Immediate release: 10-20 mg twice daily (bid)
- Titration may be from 10-30 mg three times daily (tid) depending on patient needs.
- Extended-release: 30-90 mg daily.
Side Effects
- Potential side effects include:
- Congestive Heart Failure (CHF)
- Headaches
- Arrhythmias
- Flushing
- Peripheral edema (swelling in limbs).
Drug Interactions
- Significant interactions to be aware of:
- Fentanyl
- Alcohol
- Nitrates
- Non-steroidal anti-inflammatory drugs (NSAIDs).
Food Interactions
- Grapefruit and grapefruit juice can significantly affect the medication's metabolism, potentially leading to increased side effects.
Patient Education
- Patients should avoid grapefruit and its juice to prevent adverse effects.
- Instruct patients on how to monitor their pulse regularly.
- Advise changing positions slowly to reduce orthostatic hypotension risk.
- Emphasize the importance of wearing protective clothing and using sunscreen due to potential photosensitivity.
- Encourage immediate contact with healthcare professionals if pulse drops below 50 bpm.
Nursing Implications
- Monitor pulse and blood pressure prior to administration to ensure patient safety.
- Assess the patient's fall risk and implement prevention strategies.
- Track intake, output, and daily weight to monitor for fluid retention or other side effects.
- Evaluate characteristics of anginal pain, noting location, duration, intensity, and any triggering factors.
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Description
This quiz focuses on Procardia (nifedine), an antihypertensive medication. It covers key concepts including its action, indications, administration routes, and dosage information. Perfect for medical students and healthcare professionals looking to refresh their knowledge on this drug.
