MACHANISM OF ADVERSE

DRUG NAME INDICATION CONTRAINDICATION NURSING RESPONSIBILITY

ACTION EFFECTS

GENERIC Reduces cardiac Contraindications Cardiovascular: Before:

NAME: oxygen demand This medication is - hypersensitivity to Face and neck Monitor blood pressure
by used to nitroglycerin and other flushing, and heart rate on a regular basis.
Nitroglycerin decreasing left relieve chest components orthostatic Instruct patient to take medication while
ventricular pain (angina) in - closed-angle hypotension, sitting down and to change positions slowly.
pressure and people that have a glaucoma tachycardia Instruct patient to allow
BRAND(S):
systemic vascular certain heart condi -severe anemia CNS: tablets to dissolve under tongue, and not to
Nitro-Bid, resistance; dilates tion (coronary - increased headache, chew or swallow sublingual tablets.
Nitroglyn coronary arteries artery disease). It intracranial restlessness During:
and improves may also be used pressure GI: Monitor blood pressure
Classifiation : collateral flow to before physical - head trauma nausea, and heart rate on a
ischemic regions/ activities (such - uncorrected vomiting regular during admenstration
Nitratesl as exercise, hypovolemia Instruct patient to seek
sexual activity) emergency help promptly
DOSEG / to help prevent if chest pain is unresolved
ROUTE chest pain after 15 minutes.
oraly
After:
tablet:
Instruct patient not to change brands without
0.2-0.6 mg SL
consulting prescriber.
q 5 mins
Instruct patient to keep
for maximum
tablets in original, airtight container.
of 3
Advise patient to use
doses in 15
caution when engaging in
mins
activities requiring mental alertness.
Advise patient to report
acute headache, rapid heartbeat, unusual
restlessness or dizziness or blurring of vision