Antianginals - Nitrates Flashcards

1
Q

Antianginals - Nitrates

Drug Names

A

“-nitro” or “-nitrate”

Prevention: Isosorbide dinitrate and isosorbide mononitrate

Treatment: Nitroglycerin*

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2
Q

Antianginals - Nitrates

Actions

A

Act on smooth muscles to cause relaxation and depress tone of blood vessels - vasodilation

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3
Q

Antianginals - Nitrates

Indications

A

Angina pectoris

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4
Q

Antianginals - Nitrates

Contraindications and cautions

A

CI: allergy, severe anemia, head trauma, cerebral hemorrhage, P & L

Cautions: hepatic/renal disease, hypotension, hypovolemia, conditions that limit CO

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5
Q

Antianginals - Nitrates

Adverse Effects

A

HA, dizzy, weakness, hypotension, arrhythmias*, N/V, flushing, pallor, increased perspiration

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6
Q

Antianginals - Nitrates

Specific Nursing Considerations

A

Crash cart near by
Warn pt about HA
Lie down before taking
Monitor for N/V
Watch respirations
CBC: hemoglobin, hematocrit, liver, kidney
Give 3x every 5 min - go to ER if pain does not go away

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7
Q

Antianginals - Nitrates

DDI

A

Ergot derivatives
Heparin
ED meds

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