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21 Cards in this Set

  • Front
  • Back
Nitroglycerine:

Class?
Vasodilator
Nitroglycerine:

Action?
smooth muscle relaxant; dilation of arterioles and veins in the periphery; reduces preload and afterload; decreases the work load of the heart; myocardial oxygen demand
Nitroglycerine:

Indications?
Angina; Ischemic CP; Hypertension; CHF; Pulmonary Edema
Nitroglycerine:

Contraindicatons?
Hypotension/Hypovolemia; intracranial bleeding/Head injury; Use of ED drugs ex: viagra, levitra, cialis... w/in 24 hrs
Nitroglycerine:

Reactions?
Headache; Hypotension; Syncope; Reflex Tachycardia, Flushing; Nausea; Vomitting; Daphoresis; Muscle Twitching
Nitroglycerine:

Interactions?
Increases effect of other vasodilators; Incompatible with other IV Drugs
Nitroglycerine:

Supplied?
Tablets: .15mg, .3mg, .4mg (most common), .6mg

Spray: .4mg sublingual

IV: (Tridal) varies
Nitroglycerine:

Dosage?
Tablets: 0.3-0.4mg SL; may repeat in 3-5 min to max of 3 doses
Spray: 0.4mg SL; 1-2 sprays
IV: 10-20 mcg/min; increase by 5-10 mcg/min every 5 min untill desired effect reached
Nitroglycerine:

Action?
Onset: 1-3 min
Peak Effect: 5-10min
Duration: 20-30 min
IV 1-10 min after discontinuing
Nitroglycerine:

Special Considerations?
Pregnancy class: C
Hypotension in Geriatric pts;
Decomposes in light (needs air tight container);
Stinging effect poss.
Aspirin:

Class?
Platelet inhibitor; Anti-Inflammatory
Aspirin:

Action?
Prostaglandin inhibition
Aspirin:

Indication?
New onset of CP suggestive of AMI;
Poss. Cerebrovascular Accident
Aspirin:

Contraindication?
Hypersensitivity; Active ulcer disease; Asthma
Aspirin:

Reactions?
Heartburn; GI Bleeding; Bleeding; Nausea/Vomitting; Wheezing
Aspirin:

Interactions?
use caution with NSAIDS (nonsteroid Anti-inflammatory drugs)
Aspirin:

Supplied?
Tablets: 65mg, 81mg, 325mg, 500mg, 650mg, 975mg
Capsules: 325mg, 500mg
Controlled-release tabs: 800mg
Suppositories: varies from 60mg-1.2g
Aspirin:

Dosage Adult?
Adults:
mild pain/fever: 325mg-650mg PO q 4 hrs
AMI: 160-325mg PO (Chewed)
Aspirin:

Dosage Pediatric?
Over 12 yrs:
mild pain/fever: 40mg-100mg /kg/day in divided doses
Aspirin:

Duration?
Onset: 30-45 min
Peak effect: variable
Duration: 4-6 hrs variable
Aspirin:

Special Considerations?
Pregnancy class: D