SL and Long Acting Nitrates (SIHD) Flashcards
Can you give IV NTG right away for treatment of angina?
No, Administer Sublingual NTG before IV.
When is it best to use a long acting nitrate?
If the person cannot tolerate a beta blocker.
What are the counseling pearls of SL NTG?
Take sitting down
Dissolve under the tongue
Take 3 doses every 5 minutes
Call 911 if chest pain is not relieved
How long should a patient pause long acting nitrates in order to avoid tolerance?
10-14 hours
How long should we replace our SL NTG?
Every 6 months for SL
Every 3 years for NTG Spray
What is the contraindication for NTG?
PDE5 inhibitors (Tadalafil, Sildenafil))
How long after taking PDE5 inhibitors should a patient wait before taking NTG?
48 hours- Tadalafil
24 hours- Sildenafil
Why would you recommend IV NTG?
Ongoing chest pain, persistent ischemia not relieved by 3 doses of SL NTG
Which treatments come before NTG for acute coronary syndrome?
Oxygen if O2 sat<90 and high intensity Statins
What is a counseling pearl for storage of SL NTG?
Do not remove from original packaging.
