In which condition is leg pain produced upon increased activity and ischemia to tissues, but then the pain is reduced with rest?

This is a mnemonic to remember the common suffix of drugs that block the beta receptors in the heart and blood vessels, which can lower blood pressure, heart rate, and reduce chest pain. For example, metoprolol, atenolol, and propranolol are beta blockers.

Choice A is wrong because calcium channel blockers do not end in DIPINE.

Calcium channel blockers are drugs that block the entry of calcium into the cells of the heart and blood vessels, which can relax the blood vessels and lower blood pressure.

Some calcium channel blockers end in DIPINE, such as amlodipine and nifedipine, but not all of them.

For example, verapamil and diltiazem are also calcium channel blockers.

Choice C is wrong because ACE inhibitors do not end in ZoSIN.

ACE inhibitors are drugs that inhibit the enzyme angiotensin-converting enzyme (ACE), which can lower blood pressure and prevent heart failure.

ACE inhibitors usually end in PRIL, such as lisinopril, enalapril, and captopril.

Choice D is wrong because angiotensin II receptor blockers do not end in STATIN.

Angiotensin II receptor blockers are drugs that block the action of angiotensin II, a hormone that constricts blood vessels and raises blood pressure.

Angiotensin II receptor blockers usually end in SARTAN, such as losartan, valsartan, and irbesartan.

The normal range for blood pressure is less than 120/80 mmHg.

The normal range for heart rate is 60 to 100 beats per minute.

The nurse should contact the provider and ask the patient if they are feeling light headed or dizzy.

Choice A is wrong because administering the medication could worsen the patient’s condition.Furosemide is a diuretic that can cause dehydration, electrolyte imbalance, and hypotension.The patient already has a low serum potassium level of 2.8 mEq/L, which is below the normal range of 3.5 to 5.0 mEq/L.Giving furosemide could lower the potassium level further and increase the risk of cardiac arrhythmias.The patient also has a significant drop in blood pressure from lying to sitting position, which indicates orthostatic hypotension.Giving furosemide could lower the blood pressure more and cause dizziness, fainting, or falls.

Choice D is wrong because encouraging the patient to get up quickly and walk around could also cause dizziness, fainting, or falls due to orthostatic hypotension.The patient should be advised to change positions slowly and carefully, and to avoid activities that require alertness until their blood pressure stabilizes.

Choice E is wrong because holding the medication without contacting the provider could delay the appropriate treatment for the patient’s fluid retention.The nurse should notify the provider of the patient’s vital signs, laboratory results, and symptoms, and follow their orders regarding the medication dosage or alternative therapy.