Flashcards
Nitroglycerin
Cards in this deck (11)
- 1Nitroglycerin: CLASSIFICATIONNitrates: Antianginal
- 2Nitrogycerin: ACTIONDecreases myocardial deman for oxygen;
Decreases preload by dilating veins, indirectly decreasing afterload - 3Nitrogylcerin: USES/THERAPEUTIC EFFECTTo control anginal pain
- 4Nitroglycerin: SIDE EFFECTSNausea, vomiting, headache, blurred vision, dizziness, syncope, weakness, diaphoresis, flushing, confusion, pallor, rash, dry mouth, palpitations, tolerance
- 5Nitroglycerin: ADVERSE REACTIONSHypotension, reflex tachycardia, paradoxical bradycardia;
LIFE-THREATENING: Circulatory collapse - 6Nitroglycerin: CONTRAINDICATIONSIncreased intracranial pressure, severe anemia, cardiomyopathy,
(caution: severe renal or hepatic disease, acute MI, severe hypotension, hypovolemia, pregnancy, breastfeeding - 7Nitroglycerin: INTERACTIONSIncreased effect w/ alcohol, beta blockers, calc-channel blockers, antihypertensives, aspirin, benzos, vasodilators,Decreases effects of heparin; Herbs: hawthorn increases nitro levels
- 8Nitroglycerin: ASSESSMENT-Obtain baseline vitals
-Obtain health and drug histories because Nitroglycerin is contraindicated for hypotension or acute myocardial infarction - 9Nitroglycerin: 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 - 10Nitroglycerin: 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 - 11—
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- Pharm Unit 8: Nitrogycerin
- Created by
- Rebecca Stewart · Jun 2017
- Updated
- Jun 2, 2017
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