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9 Cards in this Set
- Front
- Back
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Determine the need for nitroglycerin |
Determine if pt has history and is prescribed nitroglycerin Sudden onset of sweating Squeezing pressure or pain in chest Anxiety irritability appears to be in shock |
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Check for contradictions |
Hypotension Hypovolemia Viagra or similar drugs |
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Inquire about previous doses |
Total doses taken/administered When last dose taken/administered Effects of previous doses Any other interventions |
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Verify medication |
Right patient Right medication Right route Right dose Right time Verify med is not discolored or flaky |
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Assure blood pressure is appropriate |
Take blood pressure- systolic must be above 100 mm hg |
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Obtain medical direction |
Obtain order from medical direction online or offline to administer per protocol |
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Administer nitroglycerin |
Ask pt to lift tounge Have patient or emt place tablet or spray dose under tounge Have patient keep mouth closed until dissolved Tell patient not to chew or swallow Administer spray or tablet every five if pain is not relieved Systolic remains above 100mm hg Up to maxium of three doses |
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Documentations |
Dose Time given Effects of medication |
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Reassess |
Reassess patient blood pressure within 2 minutes Reassess patient response to medication |
