DRUG ACTION INDICATION CONTRAINDICATION ADVERSE NURSING PATIENT

REACTION RESPONSIBILTIES TEACHING

 A nitrate that  To prevent chronic  Contraindicated  CNS:  Closely monitor  Caution

Nitoglycerin
reduces cardiac angina attacks in patients with headache, vital signs during patient to
oxygen demand  Acute angina early MP (oral dizziness, infusion, take
by decreasing and sublingual), weakness particularly nitroglyceri
pectoris; to prevent
left ventricular severe anemia.  CV: blood pressure, n regularly,
or minimize angina
Increased orthostatic
end-diastolic attacks before especially in a as
intracranial hypotension,
pressure stressful events tachycardia,
patient with an prescribed,
(preload) and, to  Hypertension from pressure, angle- MI. excessive and to have
flushing,
a lesser extent, surgery, heart closure glaucoma, palpitations, hypotension may it accessible
systemic failure after MI, orthostatic fainting worsen the MI at all times
vascular angina pectoris in hypotension,  EENT: S.L.  To apply  Advise
resistance acute situations. To allergy to burning ointment, patient that
(afterload). Also produce controlled adhesives  GI: nausea, measure the stopping
increase blood hypotension during (transdermal). Or vomiting prescribed drug
flow through the surgery (by I.V hypersensitivity  SKIN: amount on the abruptly
collateral infusion) to nitrates. I.V. cutaneous application causes
coronary vessels nitroglycerin is vasodilation, paper; then place spasm of the
contraindicated in contact the paper on any coronary
patients dermatitis, nonhairy area. arteries
hypersensitive to rash
Don’t rub in.  Teach
I.V. form, w/ Cover w/ plastic patient how
cardiac film to aid to give the
tamponade, absorption and to prescribed
restrive protect clothing. form of
cardiomyopathy Remove all nitrogly
or constrictive excess ointment cerin
pericarditis from previous
site before
applying next
dose