Nitroglycerin (Nitrostat, Nitrobid, NTG)

Question 1

Nitroglycerin (Nitrostat, Nitrobid, NTG)

Class:

Answer 1

Nitrate, Vasodilator.

Question 2

Nitroglycerin (Nitrostat, Nitrobid, NTG)

Mechanism of Action:

Answer 2

Broken down to work with different chemicals to produce nitric oxide, a naturally occurring substance in the body. It is a powerful vasodilator.

Question 3

Nitroglycerin (Nitrostat, Nitrobid, NTG)

Indications:

Answer 3

Chest pain associated with acute coronary syndrome and CHF.

Question 4

Nitroglycerin (Nitrostat, Nitrobid, NTG)

Contraindications:

Answer 4

Hypotension, use of erectile dysfunction medications.

Question 5

Nitroglycerin (Nitrostat, Nitrobid, NTG)

Precautions:

Answer 5

Deteriorates rapidly when exposed to light and air. Systolic Blood Pressure must be above 90 mmHg (100 in NH) for administration.

Question 6

Nitroglycerin (Nitrostat, Nitrobid, NTG)

Side Effects:

Answer 6

Instant headache, weakness, dizziness, hypotension, tachycardia, N/V.

Question 7

Nitroglycerin (Nitrostat, Nitrobid, NTG)

Interactions:

Answer 7

Effects of Nitro will be decreased with patients who have used alcohol, beta blockers and erectile dysfunction meds.

Question 8

Nitroglycerin (Nitrostat, Nitrobid, NTG)

Dosage:

Answer 8

0.4 mg every 5 minutes while chest pain persist and systolic BP remains over 100.

(Systolic BP 140+ for congestive heart failure)

Question 9

Nitroglycerin (Nitrostat, Nitrobid, NTG)

Routes:

Answer 9

Sublingual for spray and tablets.

Question 10

Nitroglycerin (Nitrostat, Nitrobid, NTG)

Notes:

Answer 10

Always clean spray after using it.

Question 11

Nitroglycerin (Nitrostat, Nitrobid, NTG)

NH Notes:

Answer 11

National standard curriculum: SBP 90

NH: SBP 100