June 9, 2023

What’s going on guys this is the afro nurse and we’re back again with some more medications that we’re going to learn today we’re going to go over amlodipine and low to pain and we’re going to kind of go through this quickly i’m using the davis truck guide here um i decided not to make my own hopefully this is helpful for those that maybe don’t have access to

Davis drug guys you can kind of use this as a resource so amlodipine is a antihypertensive specifically a calcium channel blocker so why would it be administered uh well for hypertension chronic stable angina or uh vasospastic angina um but primarily um any individual that’s taking this calcium channel blocker uh they’re using it to control and manage

Their hypertension um or chest pain that i mean they may be having so it works by inhibiting the transport of calcium into what’s called myocardial and vascular smooth muscle cells and this results in the inhibition of the we call it excitation contraction coupling and subsequent contraction overall it reduces blood pressure and it decreases the frequency

And severity of attacks of angina there’s a reduction in the risk of hospitalization for angina or coronary revascularization in patients with risks recently documented coronary artery disease so quick overview of the pharmacokinetics it is well absorbed crosses the placenta uh metabolized by the liver and you can see what half-life is um it is given po no

No unknown onset peak six to nine hours duration is 24 hours contraindications um if your blood pressure is below 90 systolic blood pressure below 90 you’d want to hold hold that mid and then you know in terms of cautious use uh hepatic impairment um you might have to give it lower dose aortic stenosis or history of heart failure and then we have indications

For maternal lactation and for peace and you can see what those are so in terms of the adverse reactions and side effects edema particularly in a peripheral region angina decrease in heart rate bradycardia hypotension palpitations uh flushing of the skin uh nausea dizziness fatigue so these are all adverse reactions and side effects of amlodipine in terms

Of the interactions you can see what those are um pause the video if you want to read through those is only given po given by mouth so you can see what the dosage uh will be for different age groups adults geriatric patients children um and for any adult with hepatic impairment you can see what that dose would be as well go a little bit into availability i

Don’t really need to know too much about that you can pause the video if you want to look at that nursing implications so you want to monitor blood pressure and pulse obviously before during um dose titration and um yeah periodically during therapy uh you want to monitor your ecg during prolonged therapy i’m assuming if they’re in a hospital for a long period

Of time eyes and nose want to monitor that and daily weight uh you want to assess for heart failure or signs of heart failure so peripheral edema as we talked about before that’s one of the adverse effects rails crackles so you listen to lungs difficulty breathing weight gain and jvd you want to assess uh if the patient has an angina you want to assess the

Location the duration intensity and if there were any precipitating factors that caused the pain and you want to take into account their serum calcium concentrations this meant can be given without food and in regards to teachings take us erected uh instruct the patient uh regarding the correct technique for monitoring their pulse informing them to contact

The hcp of the heart rate is below 50 beats per minute changing position slowly is super super important you want to minimize orthostatic hypotension one of the side effects can cause doubt drizzy can’t talk drowsiness or dizziness so avoid driving and other activities that require you to be alert maintaining good dental hygiene notified healthcare professional

Of all medications that you’re taking vitamins herbal products you want to avoid alcohol obviously let the healthcare provider know if you have irregular heartbeats uh swelling of the hands again that’s peripheral edema dizziness nausea constipation dyspnea be aware of wear protective clothing and we have a couple more here and you can go ahead and pause the

Video if you want to take a look at what some of these teachings are and the main thing that we’re looking for here is just decrease in blood pressure uh decrease in the frequency and severity of anginal attacks a decrease in the need for nitrate therapy and increasing activity tolerance and sense of well-being so going back really quickly to teachings um you

Want to encourage the patient to comply with other interventions for hypertension so obviously weight reduction low sodium diets is really important uh stopping smoking after smoking reducing or stopping alcohol consumption exercising stress management um because obviously the medication can control but it doesn’t cure the hypertension so it’s not a cure for

Hypertension we want to encourage the patient to engage in healthy lifestyles decision making and healthy lifestyle choices and then obviously the last thing here is just monitor teaching the patient and the family how to monitor your blood pressure and how often you need to be taking your blood pressure and when to report your blood pressure to a healthcare

Professional so that is amlodipine um in a nutshell thank you guys for watching thank you guys for learning it’s out for a nurse and i will see you guys later peace

Transcribed from video
Amlodipine By John Azike Jr