Interactions with other patient drugs, OTC orherbal medicines
(ask patient specifically)
Additive hypotension may occur when usedconcurrently with other antihypertensives (Prinivil,Coreg) or acute ingestion of alcohol.
Lab value alterations caused by medicine
Total serum calcium concentrations are not affected bycalcium channel blockers.
Be sure to teach the patient the following about thismedication
Advise patient to take medication as directed, even if feeling well. Take missed doses as soon as possible unlessalmost time for next dose; do not double doses. May needto be discontinued gradually. Instruct patient on correcttechnique for monitoring pulse. Instruct patient to contacthealth care professional if heart rate is <50 bpm. Caution patient to change positions slowly to minimize orthostatichypotension. May cause drowsiness or dizziness. Advise patient to avoid driving or other activities requiringalertness until response to the medication is known.Instruct patient on importance of maintaining good dentalhygiene and seeing dentist frequently for teeth cleaning to prevent tenderness, bleeding, and gingival hyperplasia(gum enlargement). Instruct patient to avoid concurrentuse of alcohol or OTC medications, especially cold preparations, without consulting health care professional.Advise patient to notify health care professional if irregular heartbeats, dyspnea, swelling of hands and feet, pronounced dizziness, nausea, constipation, or hypotensionoccurs or if headache is severe or persistent. Caution patient to wear protective clothing and use sunscreen to prevent photosensitivity reactions. Advise patient to informhealth care professional of medication regimen beforetreatment or surgery. Encourage patient to comply withother interventions for hypertension (weight reduction,low-sodium diet, smoking cessation, moderation of alcoholconsumption, regular exercise, and stress management).Medication controls but does not cure hypertension.Instruct patient and family in proper technique for monitoring blood pressure. Advise patient to take blood pressure weekly and to report significant changes to healthcare professional.
Nursing Process- Assessment
Monitor blood pressure and pulse beforetherapy, during dose titration, and periodically during therapy. Monitor ECG periodically during prolonged therapy.Monitor intake and output ratios and dailyweight. Assess for signs of CHF
(peripheral edema, rales/crackles,
Why would you hold or not give thismed?
Blood pressure < 90 mm Hg or heartrate < 50 bpm.
Check after giving
Decrease in blood pressure.