nitroglycerin

Question 1

Trade names for nitroglycerin

Answer 1

Nitro-Bid
Nitrolingual
Nitrostat
Others

Question 2

Classes for nitroglycerin

Answer 2

Vasodilator
Antianginal
Nitrate

Question 3

Standard supplies for nitroglycerin

Answer 3

Tablet

Spray bottle

Question 4

MOA for nitroglycerin

Answer 4

Relaxes vascular smooth muscle
Dilates coronary arteries resulting in increased blood flow to the myocardium
Decreases workload on the heart
Decreases myocardial O2 demand
Decreases preload
Decreases afterload

Question 5

Indications for nitroglycerin

Answer 5

Chest pain and signs/symptoms suggestive of ACS

CHF with pulmonary edema

Question 6

Contraindications for nitroglycerin

Answer 6

Hemodynamically significant hypotension
Hypovolemia
The Pt has taken an erectile dysfunction medication in the previous 48 hours including:
-sildenafil (Viagra)
-tadalafil (Cialis)
-vardenafil (Levitra)
-Other phosphodiesterase-5 inhibitor medications

Not recommended for use with pediatric patients

Question 7

Adverse reactions for nitroglycerin

Answer 7

Hypotension
Bradycardia
Tachycardia
Headache
Dizziness
Weakness
Syncope
Nausea
Vomiting

Question 8

Route of administration for nitroglycerin

Answer 8

Sublingual

Question 9

Onset/Peak/Duration for nitroglycerin

Answer 9

O: 1-3 minutes
P: 5-10 minutes
D: 20-30 minutes

Question 10

Adult dosages for nitroglycerin

Answer 10

Tablet: 0.4 mg
Single spray: 0.4 mg
May repeat dosage in 3-5 min twice after initial dosage