NTG

Question 1

NTG (Class)

Answer 1

nitrite/vasodilator

Question 2

NTG (MOI)

Answer 2

causes vasodilation, thereby:

decreases preload, myocardial workload, myocardial oxygen consumption

increases perfusion through coronary vessels to myocardium

Question 3

NTG (Indications)

Answer 3

chest pain of suspected cardiac origin

respiratory distress of suspected cardiac origin (chf)

Question 4

NTG (Contraindications)

Answer 4

shock and suspected intracranial bleeding

Question 5

NTG (adverse reactions/side effects)

Answer 5

transient hypotension (can be profound)

temporary pulsating headache and/or facial flushing

dizziness

Question 6

NTG (Dosage and Administration)

Answer 6

0.4-0.8 SL q 5 min. x3 (if bp <100 systolic. may repeat prn

Question 7

NTG (Special information)

Answer 7

check bp before and after

prepare patient for administration (start IV if BP is borderline, but not required prior to administration)

store in dark container and replace opened contained every 30 days

assess effectiveness by patient reassessment

if hypotension devlops, consider fluid challenge

some brands do not cause bitter taste under tongue as in past. not a reliable indicator of efficacy

ask patient about ED drug use and date/time taken

not NTG should be given under SO to a patient who has taken viagra (sildenofil) or levitra (lardenafil) within 24hrs or cialis (tadalafil) within 48hrs

if patient is on viagra, etc, and OLMC cannot be reached, start IV and give small doses of morphine with prn fluid boluses instead of NTG

use with caution in patient with inferior/right side MI

Question 8

NTG (Pediatric note)

Answer 8

not indicated