Created by Rebecca Stewart
about 7 years ago
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Question | Answer |
Nitroglycerin: CLASSIFICATION | Nitrates: Antianginal |
Nitrogycerin: ACTION | Decreases myocardial deman for oxygen; Decreases preload by dilating veins, indirectly decreasing afterload |
Nitrogylcerin: USES/THERAPEUTIC EFFECT | To control anginal pain |
Nitroglycerin: SIDE EFFECTS | Nausea, vomiting, headache, blurred vision, dizziness, syncope, weakness, diaphoresis, flushing, confusion, pallor, rash, dry mouth, palpitations, tolerance |
Nitroglycerin: ADVERSE REACTIONS | Hypotension, reflex tachycardia, paradoxical bradycardia; LIFE-THREATENING: Circulatory collapse |
Nitroglycerin: CONTRAINDICATIONS | Increased intracranial pressure, severe anemia, cardiomyopathy, (caution: severe renal or hepatic disease, acute MI, severe hypotension, hypovolemia, pregnancy, breastfeeding |
Nitroglycerin: INTERACTIONS | Increased effect w/ alcohol, beta blockers, calc-channel blockers, antihypertensives, aspirin, benzos, vasodilators,Decreases effects of heparin; Herbs: hawthorn increases nitro levels |
Nitroglycerin: ASSESSMENT | -Obtain baseline vitals -Obtain health and drug histories because Nitroglycerin is contraindicated for hypotension or acute myocardial infarction |
Nitroglycerin: INTERVENTIONS | -monitor vital signs -position patient sitting or lying down when taking 1st nitrate -offer sips of water before giving Sublingual nitrates (dryness inhibits absorption) -monitor effects of IV nitroglycerin -Apply ointment without using fingers (use gloves) -Do not apply ointment on chest |
Nitroglycerin: PATIENT TEACHING | -admin tablet if chest pain occurs -don't ingest alcohol -notify pcp if chest pain is not alleviated -don't use beta blockers and cal blockers without pcp approval -tablet is placed under tongue for quick absorptioin -store away from light and keep dry -apply patch 1x daily; rotate skin sites -suggest acetaminophen for relief of headache |
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