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Nitroglycerin: Terry White, RN, EMT-P 1

Nitroglycerin is used to treat ischemic chest pain by relaxing vascular smooth muscle. It can be administered as a 0.4mg sublingual tablet or spray up to every 5 minutes for a maximum of 3 doses (1.2mg) or as a transdermal patch. Contraindications include blood pressure below 100mm Hg or having already received the maximum dose. Side effects include hypotension, reflex tachycardia, and headaches.

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mahmoud fuqaha
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35 views

Nitroglycerin: Terry White, RN, EMT-P 1

Nitroglycerin is used to treat ischemic chest pain by relaxing vascular smooth muscle. It can be administered as a 0.4mg sublingual tablet or spray up to every 5 minutes for a maximum of 3 doses (1.2mg) or as a transdermal patch. Contraindications include blood pressure below 100mm Hg or having already received the maximum dose. Side effects include hypotension, reflex tachycardia, and headaches.

Uploaded by

mahmoud fuqaha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
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NITROGLYCERIN

Terry White, RN, EMT-P 1


Nitroglycerin
• Indications
–Ischemic Chest Pain

Terry White, RN, EMT-P 2


Nitroglycerin
• Contraindications
–BP<100mm Hg
–Pt. Has already taken maximum
dose of three doses (1.2mg)

Terry White, RN, EMT-P 3


Nitroglycerin
• Dose
–.4mg sublingual
• Tablet or Metered-dose Spray
–.4mg Trans-dermal patch
–May repeat at 5 minute intervals
up to 3 doses (1.2mg)
Terry White, RN, EMT-P 4
Nitroglycerin
• Mechanism of Action
–Relaxes vascular smooth muscle

Terry White, RN, EMT-P 5


Nitroglycerin
• Effects
–Decreased pre-load
–Decreased after-load
–Increased blood flow to Ischemic
Myocardium

Terry White, RN, EMT-P 6


Nitroglycerin
• Side Effects
–Hypotension
–Reflex Tachycardia
–Headache

Terry White, RN, EMT-P 7


Nitroglycerin
• Comments
–Most effective when Pt is sitting
–If tablet form - Protect potency
• Store in original brown bottle
• Keep tightly sealed
• Protect from light, air, heat
• Secure new supply every 4 - 6 months
Terry White, RN, EMT-P 8
Nitroglycerin
• Potent Nitroglycerin
–Headache
–Burning sensation under tongue

Terry White, RN, EMT-P 9

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