GTN patch

Question 1

Preperation

Answer 1

20cm2 patch

Question 2

Indications

Answer 2

“Cameron Can’t Actually talk Fluent Italian”

CPO not rapidly responding to SL GTN, Control of hypertension for AD, not responding to SL GTN, Control of hypertension: prior to Fibronoylsis for STEM, during Interhospital transfer of STEMI or stroke clot retrieval

Question 3

Contraindications

Answer 3

“Annie Baker Hates Vegetables” Severe Allergy, systolic Blood pressure less than 100mmHg, HR less than 40/ greater 150, VT

Question 4

Cautions

Answer 4

“Dylan Ditched Some Small Puppies” Drug for erectile dysfunction taken within 24 hours, Dsyrrthymias, STEMI esp, of RV, mitral/ aortic Stenosis, Poor perfusion, Pt small, frail/ physiological unstable

Question 5

Action

Answer 5

Causes the formation of nitric oxide a vasodilator that acts on vascular smooth muscle causing venous and arterial vasodilation which results in the decrease in myocardium demand for oxygen.

This is because of the reduction in preload which reduces ventricular filling and cardiac output. And the reduction of afterload which reduces the force the left ventricular must overcome to eject blood into arteries.

Question 6

Route

Answer 6

Transdermal transfer system - via lateral aspect of upper arm onto skin that has minimal hair and is dry

Question 7

Dose

Answer 7

0.5mg released per hour and will last 18 hours. If removed effects will dissipate over 10-20minutes

Question 8

Side effects

Answer 8

“Happy Doesn’t Trust the Feds”

Hypotension, Headache, Dizziness, Tachycardia, Flushed.