When administering nitroglycerin The nurse should watch for?
The nurse should monitor the patient’s blood pressure and heart rate. After 5 minutes, the pain level should be reassessed and a second dose of nitroglycerin administered if the patient’s chest pain continues.
What do you need to monitor when administering nitroglycerin?
Any patient administered nitroglycerin who develops hypotension should receive a trial administration of IV fluids. Normal precautions for administration of fluids to patients with any type of heart failure, including monitoring of blood pressure and lung sounds apply.
What are the nursing considerations for glyceryl trinitrate?
NURSING CONSIDERATIONS – Patients on long-acting or transdermal preparations commonly develop tolerance and reduced therapeutic effects. – Evaluate therapeutic response. – Metal-containing transdermal systems should be removed before cardioversion or diathermy. – Periodic blood pressure checks are necessary.
What are the adverse effects of nitroglycerin?
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- Bloating or swelling of the face, arms, hands, lower legs, or feet.
- burning, crawling, itching, numbness, prickling, “pins and needles”, or tingling feelings.
- difficult or labored breathing.
- feeling faint, dizzy, or lightheadedness.
- feeling of warmth or heat.
What is a contraindication to administering nitroglycerin?
Nitroglycerin is contraindicated in patients that have reported allergic symptoms to the medication. [18] Known history of increased intracranial pressure, severe anemia, right-sided myocardial infarction, or hypersensitivity to nitroglycerin are contraindications to nitroglycerin therapy.
What are contraindications of Nitro?
What clinical finding represents a contraindication to the administration of nitroglycerin?
What medications are contraindicated with nitroglycerin?
Administration of nitroglycerin is contraindicated in patients who are using PDE-5 inhibitors (e.g., sildenafil citrate, tadalafil, vardenafil hydrochloride). These compounds have been shown to potentiate the hypotensive effects of organic nitrates.
What are the risks of taking nitroglycerin?
The more common side effects of nitroglycerin can include:
- headache.
- dizziness.
- weakness.
- fast heart rate.
- nausea.
- vomiting.
- flushing (reddening and warming of your skin)
- rash.
What is a contraindication for nitrate administration?
“Nitrates should not be given to patients with hypotension, marked bradycardia or tachycardia, RV infarction, or 5’phosphodiesterase inhibitor use within the previous 24 to 48 hours.”
What are the important teaching points for patients receiving antianginal nitrates?
Instruct patients to avoid eating or smoking during administration as this may alter absorption. Patients should sit during administration to decrease the risk for injury due to the possibility of hypotension, dizziness, and weakness.
Which of the following statements regarding nitroglycerin is correct?
Which of the following statements regarding nitroglycerin is correct? Nitroglycerin usually relieves anginal chest pain within 5 minutes.
How should the nurse instruct the client to administer nitroglycerin spray?
Adults—1 or 2 sprays on or under the tongue at the first sign of an chest pain. Sprays may be repeated every 5 minutes as needed. You must wait 5 minutes before administering a third spray if 2 sprays are used initially. Do not use more than 3 sprays in 15 minutes.
What should you assess before giving nitrates?
If taken together, their effects add up and may lead to a steep fall in blood pressure, cardiovascular collapse, and even death. Now, before administering a nitrate, complete a baseline assessment, including frequency and severity of angina pain and vital signs, especially blood pressure.
What is the most common error associated with the use of an AED?
Common errors include slow chest compression rates, shallow chest compression depths, hyperventilation, long pauses in CPR before shock delivery, and delivery of electrical defibrillation for non-shockable rhythms.
When documenting a patient’s description of his or her?
When documenting a patient’s description of his or her chest pain or discomfort, the EMT should: Use the patient’s own words. You and your EMT partner are the first to arrive at the scene of an unresponsive 70-year-old man.
Which of the following statements regarding Nitroglycerin is correct?
When would it be most appropriate for a patient to take his or her prescribed nitroglycerin?
The tablets is usually taken as needed, either 5 to 10 minutes before activities that may cause attacks of angina or at the first sign of an attack.
What are the clinical effects of Nitrostat?
Nitrostat – Clinical Pharmacology. Elevated central venous and pulmonary capillary wedge pressures, and pulmonary and systemic vascular resistance are also reduced by nitroglycerin therapy. Heart rate is usually slightly increased, presumably due to a compensatory response to the fall in blood pressure.
What kind of drug is Nitrostat?
Nitrostat Description. Nitrostat is a stabilized sublingual compressed nitroglycerin tablet that contains 0.3 mg, 0.4 mg, or 0.6 mg nitroglycerin; as well as lactose monohydrate, NF; glyceryl monostearate, NF; pregelatinized starch, NF; calcium stearate, NF powder; and silicone dioxide, colloidal, NF.
What are the contraindications for Nitrostat?
Nitrostat is contraindicated in patients who are allergic to nitroglycerin, other nitrates or nitrites or any excipient. Nitrostat is contraindicated in patients with acute circulatory failure or shock. Excessive use may lead to the development of tolerance.
What are the nursing implications of nitroglycerin administration?
Nursing Implications 1 Administer IV nitroglycerin with extreme caution to patients with hypotension or hypovolemia… 2 Monitor patient closely for change in levels of consciousness and for dysrhythmias. 3 Be aware that moisture on sublingual tissue is required for dissolution of sublingual tablet. 4 Assess for headaches. Approximately 50%…