What are the nursing interventions for nitroglycerin?

What are the nursing interventions for nitroglycerin?

Interventions

• Give sublingual preparations under the tongue or in the buccal pouch.
• Give sustained-release preparations with water; warn the patient not to chew the tablets or capsules; do not crush these preparations.

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 should you assess before administering nitroglycerin?

Assess heart rate, ECG, and heart sounds, especially during exercise (See Appendices G, H). Report fast heart rate (tachycardia) or symptoms of other arrhythmias, including palpitations, chest discomfort, shortness of breath, fainting, and fatigue/weakness.

What are 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.

When would we assist in the administration of nitroglycerin?

Nitroglycerin comes as a sublingual tablet to take under the tongue. 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 contraindications of nitroglycerin?

The contraindications of nitroglycerine therapy include:

• Allergic reactions to nitroglycerin are extremely rare, but reports do exist.
• Known history of increased intracranial pressure, severe anemia, right-sided myocardial infarction, or hypersensitivity to nitroglycerin are contraindications to nitroglycerin therapy.

Which of the following is a contraindication for administering nitroglycerin?

What are the CONTRAINDICATIONS for administering Nitroglycerin? Hypotension, hypovolemia, intracranial bleeding or head injury, pericardial tamponade, severe bradycardia or tachycardia, RV infarction, previous administration in the last 24 hours: tadalafil (Cialis) (48 hours), vardenafil (Levitra), sildenafil (Viagra).

What are contraindications for 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.

When do you give a patient nitroglycerin?

What is a contraindication to nitroglycerin administration?

Which of the following is a contraindication for the administration of nitroglycerin?

The best known symptom of a heart problem is: A. difficulty breathing. B.

How often should I apply nitroglycerin patches to my arm?

Usual dose is 1–2 inches q 8 hr; up to 4–5 inches q 4 hr have been used. 1 inch = 15 mg nitroglycerin. Apply one patch each day. Adjust to higher doses by using patches that deliver more drug or by applying more than one patch. Apply patch to arm; remove at bedtime.

How are nitroglycerin transdermal patches used to treat angina?

Nitroglycerin transdermal patches are used to prevent episodes of angina (chest pain) in people who have coronary artery disease (narrowing of the blood vessels that supply blood to the heart). Nitroglycerin transdermal patches can only be used to prevent attacks of angina; they cannot be used to treat an attack…

What are the nursing implications of nitroglycerin injections?

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%…

What to do if you become pregnant while using nitroglycerin patches?

If you become pregnant while using nitroglycerin patches, call your doctor. if you are having surgery, including dental surgery, tell the doctor or dentist that you are using nitroglycerin patches. ask your doctor about the safe use of alcoholic beverages while you are using nitroglycerin skin patches.