Nitro

Question 1

Nitro

Class

Answer 1

Nitrate/Vasodilator

Question 2

Nitro

Action

Answer 2

Causes vasodilation, thereby:

• • blood return to R heart (preload)
• • myocardial workload
• • myocardial O2 consumption
• • perfusion through coronary vessels to myocardium

Question 3

Nitro

Indication

Answer 3

• Chest pain of suspected cardiac origin.

- Resp distress of suspected cardiac origin. (CHF)

Question 4

Nitro

Dose/Route

Answer 4

Chest Pn…
0.4mg SL or Spray q 5min x3
(bp > 90 systolic)

Resp Dist…
0.4mg SL or Spray q 5min x3
(bp 100-150 systolic)

Severe Resp Dist…
0.8mg SL or Spray q 5min x3
(bp > 150 systolic)

Question 5

Nitro

Side Effects

Answer 5

Transient Hypotension
(can be profound)

Temporary pulsating H/A

Facial flushing

Question 6

Nitro

Contraindications

Answer 6

Shock

Suspected intracranial bleeding

Question 7

Nitro

Special Information

Answer 7

ED Meds:

• Can not give under SO if pt has taken ED meds within 24 hrs for Viagra, Levitra or 48 hrs Cialis.
• If so, and cant contact OLMC start IV & small dose of Morphine w/ prn fluid bolus instead of NTG.
• Store in dark container, replace open bottle every 30 days.
• Check BP prior & after admin.
• Prep Pt; start IV (recommended if borderline low BP, not required prior to admin)
• Assess effectiveness by reassessing pt.
• Some brands do not cause bitter taste, not reliable indicator.
• If hypotension develops, consider fluid challenge.

Question 8

Nitro

Peds Note

Answer 8

Not indicated