Nitroglycerin

Question 1

Nitroglycerin:class

Answer 1

vasodilator

Question 2

Nitroglycerin:route

Answer 2

sublingual

Question 3

Nitroglycerin:adult dose

Answer 3

1 spray (0.4 mg) or 1 tablet (0.4 mg) SLmay repeat twice @ 5 minute interval

Question 4

Nitroglycerin:pedi dose

Answer 4

not used in pre-hospital setting

Question 5

Nitroglycerin:drug action

Answer 5

dilates coronary and systemic vesselsdecreases PVR, preload and afterloaddecreases cardiac workloaddecreases O2 demand on heart

Question 6

Nitroglycerin:indications

Answer 6

chest pain of cardiac originpulmonary edema associated with CHF

Question 7

Nitroglycerin:precautions

Answer 7

for acute coronary syndrome, perform 12 lead first;watch BP close;ensure patient is sitting or lying down;may sting under tongue or taste bitter;if suspected inferior wall AMI, ensure IV in place prior to administration

Question 8

Nitroglycerin:side effects

Answer 8

hypotension;headache;postural hypotension/syncope;reflex tachycardia;nausea/vomiting;diaphoresis

Question 9

Nitroglycerin:contraindications

Answer 9

systolic BP < 90 mmHg;increased intracranial pressure;viagra/levitra in last 24 hrs;cialis in last 48 hrs;hypersensitivity;extreme bradycardias, HR < 50extreme tachycardias, HR > 100