Nitrates (2)

Question 1

Nitroglycerin

Answer 1

Brand Name: Nitrostat

Classification: Nitrate

Action: Relaxes vascular smooth muscle causing vasodilation, decreased cardiac work, and improved coronary blood flow.

Indications: Chest Pain and CHF

Contraindications: Hypotension and Increased ICP

Dose: 0.4 mg

Routes: SL (tablet or spray)

Adverse Effects: Headache, Dizziness, Weakness, Tachycardia, Hypotension

Other: Tablets will lose effectiveness after exposure to air. Monitor BP closely

Question 2

Nitroglycerin Paste

Answer 2

Brand Name: Nitroglycerin Paste

Classification: Nitrate

Action: Relaxes vascular smooth muscle causing vasodilation, decreased cardiac work, and improved coronary blood flow

Indications: Chest pain and CHF

Contraindications: Hypotension and Increased ICP

Dose: 0.5-1.0 inch

Routes: Transdermal

Adverse Effects: Headache, Dizziness, Weakness, Tachycardia, Hypotension

Other: Do not get paste on your finger, as this may cause a headache. Monitor BP closely