Calcium Channel Blockers and Hypertension (Pharmacology for Nurses)

This video is about Calcium Channel Blockers, Hypertension and Pharmacology for Nurses
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Timestamps
00:00 Milk and Calcium
01:12 Calcium Channel Blockers Introduction
02:12 Outline for video
03:04 Role of Calcium in the Body
03:24 Role of Calcium in Blood Pressure
03:42 Chronotropic Affect
03:59 Inotropic Affect
04:18 Systemic Vascular Resistance
05:20 Who is prescribed a Calcium Channel Blocker
06:42 Types of Calcium Channel Blockers: Dihydropyridines and Nondihydropidines
09:00 Nondihydropyridines: Verapamil and Diltiazem
10:25 Compare and Contrast dihydropyridines and non dihydropyridines
12:32 Considerations for the administration of calcium channel blockers and follow up
15:11 Side Effects and patient teaching for Calcium Channel Blockers
16:50 NCLEX review
18:36 Wrap up! Whew!
Calcium channel blockers are medications used to treat high blood pressure aka hypertension. Nurses, nursing students, and healthcare providers need to understand how these medications work in order to monitor and teach patients about their impact and side effects.
There are some important questions our patients will ask us and we need to know where to find the right information.
Can I take my CCB with grapefruit juice?
Is it okay if I take it and then measure my blood pressure?
What about other medications, is it safe to use?
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[@joanhenry8586]

Thank you for this video! I was just put on amlodipine for hypertension when lisinopril 20 mg wasnt taking care of it. Amlodipine was added but without any teaching! My 4th day out and I have been short of breath, extremely fatigued and tachycardic. Your explanation has REALLY helped me understand what is “going on”. TY. You have the gift of teaching... no small gift!

[@NurseMinder]

Appreciate the kind words. Teaching is my hearts passion

[@toyalambeth366]

You are shaping the next generation of nurses and you are doing an amazing job. Thank you!

[@natishamarti5307]

Thank you so much for your videos!! They are helping me so much through school!!

[@arthurmartinez8855]

This was an absolutely terrific explanation. The analogy with the calcium remover was great!!

[@NurseMinder]

Ah! So happy it helped

[@sarahflowers8392]

you are helping me pass my pharmacology class!!! My teacher does not teach at all. Its all on me to teach my seld for the exam. I when from a F to a C watching your stuff. Thank you so much.

[@NurseMinder]

Woohoo!!

[@MrEvanston]

Thanks for explaining the grate fruit juice problem with calcium channel blockers. The pharmacist never explained this fact to me. Excellent video!!

[@NurseMinder]

Happy to help :)

[@carolscrazycrochetmore5093]

Thank you for the great ideas 💡!!! Wonderful presentation!!! Thank you for your service. Keep safe 💕

[@NurseMinder]

Thanks for your support

[@wolffdogs1]

Best KZbin on this topic, I’ve watched a dozen others without learning as much.

[@NurseMinder]

Awesome!

[@lotofthankssodeinde2164]

Thank you for your excellent service God bless !

[@NurseMinder]

Thank you kindly

[@angelamartin4329]

I just found your videos and how I wish you were my pharmacology teacher! You are amazing! You teach the way my brain needs! My teacher at U of M flint was a joke. You would be such an asset in our school.

[@NurseMinder]

Thank you!

[@andydawson2070]

A very helpful and informative video. Thank you

[@TheU2nome]

If you're suffering from arteriosclerosis take k2-7 with d3. If you have atrial fibrillation give up coffee. Lose weight and give up the carbs to reduce your bp. Keto and intermittent fasting.

[@NurseMinder]

Is this what worked for you?

[@TheU2nome]

@@NurseMinder I had normal BP but have gone back to keto to lose weight 27 lbs in 4 months ,30 to go. However my mother had suffered a stroke a few months back . Put her on keto , she lost 20 lbs . Quit the ramipril , quit the diltiazem, quit the apaxiban . Quit the Atorvastatin .Blood sugar normal,BP is averaging 135/75 but she is 82. I will try to find the K2-7 study and reply with the link. Oh , also added exercise. Low sodium, ground Flax seed ,organic olive oil.

[@TheU2nome]

@@NurseMinder kzbin.info/www/bejne/qGnYlKKhea-HmNU When I do keto I concentrate on cruciferous and low starch vegetables .The meat is usually steamed salmon or beef liver. I really can't verify the atrial fibrillation but we quit coffee , no episodes yet for my mother. I have seen a study that did implicate coffee in atrial fibrillation if i find it and it seems scientific I will post it.

[@user-um1rx5cx9r]

You explain great, even at a pace that suits those who do not speak English. And the puzzles at the end with the explanation, great

[@NurseMinder]

Awesome! I usually am told I talk to fast so I appreciate those comments

[@khadijehpoori315]

I really appreciate for your videos

[@sampsonpaintsil52]

Good education,I’m taking Amaldopine,and you really,explained the the way channel blockers work,thanks

[@NurseMinder]

Woohoo!!

[@drSJV]

Great energy 🙂 Thank you for your videos!

[@NurseMinder]

Ah! Thanks 😊

[@asmaalgamdi738]

Thank you so much you did so great

[@durelljames7690]

Very educational.

[@sanitabaptiste7212]

Thank you so much, your explanation really help.

[@NurseMinder]

Thank you for writing :)

[@gwendolyntucker3439]

Very clear, excellent teaching.❤

[@NurseMinder]

😊

[@SumanKumarPolepaka2017]

Great explanation, very helpful and gives peace of mind while taking these medications.God bless you.

[@NurseMinder]

Thank you

[@SumanKumarPolepaka2017]

May i as you why my diastolic reading is high compared to systolic , the bottom one higher than the top

[@SumanKumarPolepaka2017]

@@NurseMinder please reply thanks

[@0423akira1]

@@SumanKumarPolepaka2017 I’m having the same issue. Are you still experiencing this?

[@lydiapereira1942]

Thank you great video.

[@NurseMinder]

😊

[@KrisTC]

I am loving your videos, just learning a bit more about the medications I am on. I have never been given any info on them. Your awesome. Thank you

[@NurseMinder]

Thanks for sharing!

[@Leti1971]

Oh my God! I was just prescribed HBP medication (Amlodipine) and was told by a doctor to cut it in half the first week!!! I was feeling bad like the pill was not right for me so I went back showed that by using half and making big life style changes my blood pressure numbers have dropped drastically, but I was feeling dizzy and just bad. I took my blood pressure everyday and took my notes to the doc as they had suggested. She got very upset telling me my blood pressure still out of control because I had a reading of 123/82 and that she might add a second medication. I lost faith in doctors, and now hearing you don't cut calcium channel blocker pills in half oh no,,,how can I go back to that doctor and believe she's doing the right thing?

[@NurseMinder]

Is it a sustained release tab? I don’t imagine it is a capsule. Sustained release, once cut, is absorbed more rapidly. If it is not a sustained release tab, you will be ok

[@ntsako54]

Awesome presentation 👏

[@NurseMinder]

Thank you

[@alangold8414]

A delight to view as a Cardiac Nurse now restarting Amlodipine grudgingly you have refocused me. Shall follow your channel

[@NurseMinder]

Oh thats a stinger!

[@nageshshenoyk1390]

wow, really nice presentation. So much information in such a simple way.... hats off. keep it coming. thanks a lot

[@keagansilas2259]

you probably dont give a damn but does anybody know of a method to get back into an instagram account..? I somehow forgot my account password. I would love any tricks you can give me

[@valentinojordy2185]

@Keagan Silas instablaster ;)

[@keagansilas2259]

@Valentino Jordy Thanks for your reply. I got to the site thru google and im trying it out atm. Takes a while so I will reply here later when my account password hopefully is recovered.

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@Valentino Jordy it did the trick and I now got access to my account again. I am so happy! Thank you so much you saved my account!

[@valentinojordy2185]

@Keagan Silas no problem =)

[@phylisswright4847]

Good info. Thanks

[@NurseMinder]

😊

[@godschild7393]

You saved my life

[@NurseMinder]

🎉

[@ehitaykirta811]

Great

[@alexbaluku55]

Thanks alot ..

[@NurseMinder]

You are welcome

[@michaelchege5833]

Enjoyed it

[@kizzywitch]

I’ve been on verapamil for 30 years and I was told not to drink grapefruit or pineapple juice…can you let me know if that’s correct about the pineapple too? Great video thanks for sharing.

[@NurseMinder]

I suspect it is the acidity and how it would interact with the medications

[@RobynKearnsIloveMyDogJewelry]

Hi I have high blood pressure. Up and down... My doctor prescribed Diltiazem 24 H ER (CD) 120 Mg. I'm worried about taking this after reading so MANY bad side effects. I also have anxiety. Any info and or comments would be great. Thank you

[@NurseMinder]

Hi Robyn. It’s normal to feel worried when there are many known side effects. What I will offer to you is that the list of effects is for awareness. Many people have no to minor symptoms and enjoy the benefits of treatment without issue. Stay connected with your healthcare team if issues come up. It will be the best way they can ensure you have the right dose and drug :)

[@crod8387]

Hello, today I learned that calcium channel blockers are formulated to increase heart rate and blood pressure. Also that beta blockers have the opposite effects decreasing hr and blood pressure. I have been prescribed both for HBP. Are they working against each other? I am taking metoprolol succinate ER 25 mg and Amlodipine besylate 10 mg. Thank you for clarifying this for me!

[@NurseMinder]

Calcium is needed for contraction of the heart muscle. By using a CCB, you are slowing the movement of calcium into the cell, increasing the length of time between contractions = decreasing heart rate

[@JCEcho13]

I am impressed 👍🏼👍🏼 let me check on other vids. I hope tge vids are classifed in certain "playlist" so I can follow through 😊👆🏼

[@NurseMinder]

Thanks. Playlists do exist ❤️

[@alexanderyalung5618]

Can we just limitbpur calcium

[@jamespeters7445]

Thanks for the very informative and well presented video…👍 Quick question: Is it ok to do 30-40min/day brisk walks on 5mg Amlodipine? And more generally, can you do low intensity aerobic exercises while on Amlodipine? Thanks in advance…

[@NurseMinder]

Hi James. Short answer is yes you can exercise. Here is a study that may be relevant to your situation pubmed.ncbi.nlm.nih.gov/10689266/

[@NurseMinder]

What you want to watch for are signs of Dizziness, lightheadedness, fainting. If it is hot outside, excess sweating increases water loss and affects blood pressure Always check with your healthcare team for advice if you have concerns

[@jamespeters7445]

Thanks for the response.

[@DossBoyVidz]

I'm 32 African American And Im About To Start Taking This Medicine I Wonder Do I Have To Take This Pill Long Term?

[@NurseMinder]

It is a good conversation for your healthcare team. If you have already tried modifying environmental things such as diet, exercise, stress and blood pressure has not changed then it may be a life long treatment

[@treubleurobotics]

So good

[@NurseMinder]

Thank you!

[@handbaggirl7778]

I’m taking verapamil for pvcs . I had never heard of this medicine . The beta blocker wasn’t working for me . Is this a safe medication ?

[@NurseMinder]

Verapamil is a calcium channel blocker and used to treat PVCs, it just has a different approach

[@gaylegonzalez71]

👌ty!

[@NurseMinder]

You are welcome!

[@lakme2003]

Are DHP contraindicated for patients with asthma or COPD? Thank you so much 🙈❤ !

[@NurseMinder]

As with any medication, the benefits are weighed against any medication you risks. CCB are used in patients with asthma and COPD Always good to ask your doctor

[@lakme2003]

Thank you so much for your response !

[@sampsonpaintsil52]

Please when are you going to do a video on the Kidney,thanks

[@NurseMinder]

I will be talking about diuretics soon. Do you have a particular topic you are looking for?

[@sampsonpaintsil52]

NurseMinder yes how the Kidney works and everything about the Kidney,thanks

[@slimbaroosco]

Do all calcium channel blockers cause ankles to swell ??? Mine did.😢 My primary didnt seem to even know no why. Do all calcium channel blockers cause edema? Thanks

[@NurseMinder]

They are known to cause edema, but some of the newer generation drugs are less likely to cause as much swelling

[@slimbaroosco]

@@NurseMinder really, can I get a couple names ?

[@REspinosa3]

Can this be given with 1st degree heart block?

[@NurseMinder]

1st degree block is often not treated pharmacologically. CCB can cause a heart block and is one thing we check

[@brendanstoran7555]

What’s the best non pharmaceutical way of lowering blood pressure?

[@NurseMinder]

It really depends on what is happening in the body. The first level intervention is to lose weight, eat healthy, lower stress, decrease alcohol, exercise, meditation

[@brendanstoran7555]

@@NurseMinder thank you,

[@Sandi533]

Is calcium vitamin the same as this calcium? My insurance recommended 1200mg calcium for women. I’m confused.

[@NurseMinder]

Calcium is a supplement you can take. The medication I am talking about is not the same thing. What I am talking about is a medication that will block the cells from using calcium

[@Sandi533]

@@NurseMinder thx

[@Ange10]

Should we not eat less calcium foods to lower blood presses?

[@NurseMinder]

Calcium is a needed element in our body for a lot of reasons. Any diet restrictions should be considered with your family doc

[@NurseMinder]

Calcium is needed for many body functions. Restricting it may cause your bones to release stored calcium, weakening your bone structure. Any diet changes for blood pressure should be made with consultation with your doc

[@Ange10]

The calcium blocker block a vital nutrient hence all the side affects!

[@BuilderMega]

I am 29 year old male I’ve been on amlodipine besylate 5mg for 6 months I still have high blood pressure dr up me to 10mg now I have symptoms of flushing headaches dry skin but my biggest issue is it seems now that after taking 10mg my blood pressure is even higher why would my blood pressure go up even higher with this new dose of 10mg instead of lowering it

[@NurseMinder]

Good question for your healthcare team. Not a typical response. If you are taking any other drugs it may decrease how well the medication can work

[@sewndebisdream6953]

I'm on it too,started on 10mg but down to 5mg cause of harsh stomach pains and bad taste in mouth...5 mg seem to be better,blood pressure not down much but I feel better.

[@olblu8746]

I take verapamil 120 mg. Twice a day. I suffer alot from gas, belching, and constipation! Help me please! I have to stay away from people!!!

[@NurseMinder]

Could it be related to diet?

[@olblu8746]

@@NurseMinder hadn't given diet alot of thought. I'll start today, thanks. GOD bless you.

[@nancyhoward2876]

I wish this were a little louder. I like to ride my exercise bike when I watch You Tube. I can barely hear this when I'm on the bike.

[@NurseMinder]

Appreciate the feedback

[@idftsman8498]

Did you know that France actually gives meds to raise blood pressure if its too low, :) and, why not just drink more Grapefruit Juice in stead of taking meds? ( since it does the same thing) :)

[@NurseMinder]

Blood pressure involves a few dynamics and yes, there are meds to increase it if it is too low :)

[@user-bn2wy7bh1b]

They affect you liver and kidney too.

[@NurseMinder]

Many drugs are metabolized in the liver and excreted by kidneys, so assessing health of these organs helps healthcare providers prescribe the right drug and dose

[@627marin]

Nifedipine caused my heart rate to sky rocket

[@NurseMinder]

Did they change meds or adjust the dose?

[@goldike5776]

Do you do torturing?

[@NurseMinder]

I used to, not so much anymore

[@KitKatToeBeans]

Except calcium deficiency can cause high blood pressure….🤷🏽‍♀️

[@NurseMinder]

Check out this article, it is an interesting read and it seems this has been a topic of debate for a while www.frontiersin.org/articles/10.3389/fcvm.2021.719165/full Typically high calcium is associated with hypertension which is why we are treating it with a Calcium Channel blocker and what I see in this article is low calcium sets of a chain reaction and leads to other pathways which may cause high blood pressure. At it's root high blood pressure is serious and needs to be treated and knowing the cause is the critical first step to designing a treatment plan

[@michaelwinslow5592]

Oops Benzodiazepines are not a ccb not even close.

[@NurseMinder]

You are right :). Not all our shortcuts in learning pharmacology will work in all situations

[@nenadcubric2663]

CCB or ACE make my Anxiety worse

[@NurseMinder]

What do you find helps?

[@nenadcubric2663]

@@NurseMinder Beta Blocker, Propranolol or Atenolol or Clonidine

[@nicetightsize8jeans]

This drug ruined my life

[@NurseMinder]

Oh dear!

[@rinabuli5674]

I USED KEFIR WHICH HAS CALCHIUM AND MY BLOOD PRESURE WAS HIGH .I STOPED AND NOW MY BLOOD PRESURE IS NORMAL.WHY?

[@NurseMinder]

Would be a great topic to bring to your healthcare team as they will have more info about your health journey