Nitroglycerin

Card Set Information

Author:
Anonymous
ID:
102347
Filename:
Nitroglycerin
Updated:
2011-09-17 17:59:22
Tags:
Lancaster General College Nursing Paramedic
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Description:
Nitroglycerin
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  1. Classification
    Antianginal Agent
  2. Action (4)
    • Relaxes vascular smooth muscle
    • Dilating peripheral arteries and veins
    • Causes pooling of venus blood, decreasing venous return to the heart, which decreases preload
    • Reduces left ventricular systolic wall tension which decreases afterload
  3. Indications (4)
    • Angina
    • Ongoing ischemic chest discomfort
    • Hypertention
    • Myocardial ischemia associated with cocain intoxicaion
  4. Adverse Effects (7)
    • Headache
    • Hypotension
    • Bradycardia
    • Lightheadedness
    • Flushing
    • Cardiovascular Collapse
    • Methemoglobinemia
  5. Contraindications (5)
    • Hypotension
    • Severe Bradycardia or Tachycardia
    • Increased ICP
    • Intracranial Bleeding
    • Use of any erectile dysfunction medications
  6. Use with causion with:
    • Anemia
    • Closed-Angle Glaucoma
    • Hypotension
    • Postural Hypotension
    • Uncorrected Hypovolemia
  7. Sublingual Adult Dosage
    1 Tablet (0.3 - 0.4 mg) at 5min intervals to a maximum of 3 doses
  8. Translingual Spray Adult Dose
    1 (0.4mg) spray at 5min intervals to a max of 3
  9. Ointment Adult Dose
    2% topical (Nitro-Bid ointment); Apply 1-2 inches over chest wall, cover with transparent wrap and secure with tape
  10. IV Bolus Adult Dose
    12.5 - 25mcg
  11. IV Infusion Adult Dose
    • 5mcg/min
    • May increase by 5 to 10mcg/min every 5-10 minutes
  12. End points of dose titration for nitroglycerin
    • Drop in blood pressure of 10%
    • Relief of Chest Pain
    • Return of ST segment to normal on a 12 lead ECG
  13. IV Infusion Pediatric Dose
    0.25 - 0.5mcg/kg/min
  14. IO Infusion Pediatric Dose
    0.5 - 1mcg/kg/min
  15. Usual required IO Pediatric dose
    1 - 3mcg
  16. Maximum IO Pediatric dose
    5mcg/kg/min
  17. Administering nitroglycerin to a patient with _____ _____ _____ can result in _______. Pregnancy class ____.
    • Right Ventricular MI
    • Hypotension
    • C

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