Cardio Nitrates

Question 1

Name two nitrates

Answer 1

✅GTN

✅ISMN

Question 2

MOC of nitrates

Answer 2

✅Nitrates to NO
✅Low intracellular calcium - arterial vasodilation
✅Relaxation of venous capacitance vessels
✅Reduced left ventricular filling
✅ Cardiac work and MCOD

Question 3

Side effects of nitrates

Answer 3

✅ Hypotension
✅ Flushing
✅ Headache
✅ Light headed

Question 4

Warnings of nitrates

Answer 4

✅ SAS
✅ Haemodynamic instability
✅ Hypotension

Question 5

Common indications of nitrates

Answer 5

✅ GTN - Acute angina and ACS
✅ISMN - Prophylaxis of angina
✅ Pulmonary oedema alongside furesomide and oxygen.

Question 6

Interactions

Answer 6

✅ Phosphodiesterase inhibitor

Question 7

Communication with nitrates

Answer 7

✅ Explain it can cause headache
✅ Its given to relieve chest pain
✅ Use sublingual before task and wait for 5 mins due to postural hypertension

Question 8

Monitor

Answer 8

✅ BP -shouldn’t drop to less than 90

✅ Symptoms - chest pain, breathlessness

Question 9

How is it give

Answer 9

✅ GTN - IV and sublingual

✅ ISMN - Tablets and patches