Nitrates- Test 3- (4 points)-Patho/pharm II

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Author:
nika.steffan
ID:
180599
Filename:
Nitrates- Test 3- (4 points)-Patho/pharm II
Updated:
2012-10-29 17:45:50
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Nitrates Test points Patho pharm II
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Nitrates- Test 3- (4 points)-Patho/pharm II
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  1. What are the three main classes of drugs used to treat angina? 
    • 1. Nitrates
    • 2. Ca channel blockers
    • 3. Beta blockers
  2. Common nitrates used to treat and prevent angina = 
    • 1. Isordil
    • 2. Nitroglycerin (NTG) - all forms
  3. How do nitrates work? 
    • - promote peripheral vasodilation
    • - reduce MVO2
  4. What are the uses of nitrates? 
    • angina - tx and px
    • prevent vasospasms - post procedures
    • Prevent anginal attacks - by reducing afterload
    • CHF
  5. What are the side effects associated with nitrates?
    • Hypotension - monitor BP before and throughout!! 
    • Reflex tachycardia
    • HA
    • N/V
    • tolerance
  6. You may develop _____ while taking nitrates. How can this be avoided?
    Tolerance - avoid by having nitrate-free periods usually at night.
  7. When taking nitrates- Hypotension is worsened when also taking....
    • ETOH
    • Beta-blockers
    • Ca channel blockers
    • Viagra
  8. When should you take nitrates?
    • at first sign of chest pain 
    • - take 3 tablets five mins apart
  9. What are the contraindications and precautions when taking nitrates? 
    • Contraindicated- Hypotension
    • Caution- acute MI, hyperthyroidism, anemia, glaucoma, head injury, uncorrected hypovolemia
  10. What different ways are Nitrates administered? 
    • 1. Tablet- PO, SL
    • 2. Spray
    • 3. Topical- patch/ointment; rotate, avoid ausculation sites, dont get on fingers, take off old papers
    • 4. IV- drip admin by pump only!continuous BP, PAP, CO monitoring. Titrated to client's pain control. 
  11. Possible appropriate nursing diagnosis:
    • 1. risk for injury
    • 2. pain
    • 3. impaired skin integrity
    • 4. fluid volume alterations

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