A client has been prescribed a calcium channel blocker for angina. The nurse knows this medication should be used with caution in combination with which drug classes? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. NSAIDs
2. Cardiac glycosides
3. Beta blockers
4. Diuretics
5. Hypolipidemics
Correct Answer: 2, 3
Rationale 1: CCBs should be used with caution in clients taking medications that slow conduction through the AV node.
Rationale 2: CCBs should be used with caution in clients taking other cardiovascular medications that slow conduction through the AV node, particularly digoxin or beta-adrenergic blockers. The combined effects of these drugs can cause partial or complete AV heart block, heart failure, or dysrhythmias.
Rationale 3: CCBs should be used with caution in clients taking other cardiovascular medications that slow conduction through the AV node, particularly digoxin or beta-adrenergic blockers. The combined effects of these drugs can cause partial or complete AV heart block, heart failure, or dysrhythmias.
Rationale 4: CCBs should be used with caution in clients taking medications that slow conduction through the AV node.
Rationale 5: CCBs should be used with caution in clients taking medications that slow conduction through the AV node. Hypolipidemics are safe.
Global Rationale: CCBs should be used with caution in clients taking other cardiovascular medications that slow conduction through the AV node, particularly digoxin or beta-adrenergic blockers. The combined effects of these drugs can cause partial or complete AV heart block, heart failure, or dysrhythmias. CCBs are safe with NSAIDs, diuretics, and hypolipidemics.
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