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8 Cards in this Set

  • Front
  • Back
Nitro Class
vasodilator, organi nitrate, antiganginal
nitro mechanism
relax smooth muscle, dilation of coronary arteries, dilation of peripheral vessels
-dilation of postcapillary vessles>perpheral pooling of blood>decreases venous return to heart> decrease workload
Nitro indication
-trmt and management of angina
-pulmonary congestion d/t LV failure
-ongoing ischemic C/P
-Hypertensive emergencies
Nitro Dose
Spray 0.4mg
Nitro Precautions
Primary side effect-hypotension, others include tachycardia, bradycardia, headache, palpitations and syncope.
Nitro Contra
-Viagra in 24-48 hours
-Suspected inferior MI with possible Right ventricle MI
-Hypotension (<90?)
-Extreme bradycardia
-uncorrected hypovolemia
-inadequate cerebral perfusion
-constrictive pericarditis and pericardial tamponade
Nitro Special
-Hypotension may worsen myocardial ischemia. Hypotension usually responds to IV fluids. Establish IV prior to IV
-monitor rhythm, v.s., before, during and after drug
-tablets lose sensitivity after 3-4 months
-Don't shake spray
Nitro Onset/Duration
SL-1 to 3 minutes IV immediate
SL-10-30 minutes