MACHANISM OF ADVERSE

DRUG NAME INDICATION CONTRAINDICATION NURSING RESPONSIBILITY

ACTION EFFECTS

GENERIC NAME: Reduces cardiac This medication Contraindications Cardiovascular: Before:

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