Nitroglycerin (NTG) Show
References: American Heart Association. (2006). Handbook of Emergency Cardiac Care (p. 59). Salem, MA: AHA. Dirks, J.L. (2010) Cardiovascular therapeutic management. In L.D. Urden, K.M. Stacy, & M.E. Lough's (Eds.) Critical care nursing: Diagnosis and management (6th ed., pp. 547-548). St. Louis: Mosby Elsevier. Lehne, R.A. (2010). Pharmacology for nursing care (7th ed., pp. 583-586, 592-593). St. Louis: Saunders Elsevier. Wilson, B.A., Shannon, M.T., Shields, K.M., & Stang, C.L. (2007). Prentice Hall Nurse's Drug Guide 2007 (pp. 1170-1174). Upper Saddle River, NJ: Pearson Prentice Hall. Back to Cardiac Medications Front Page Back to Hemodynamic Medications What do you need to monitor when administering nitroglycerin IV?Use Caution/Monitor. Both drugs lower blood pressure. Monitor blood pressure. Monitor Closely (1)nitroglycerin IV, bretylium.
What should you assess before administering nitroglycerin?Assess heart rate, ECG, and heart sounds, especially during exercise (See Appendices G, H). Report fast heart rate (tachycardia) or symptoms of other arrhythmias, including palpitations, chest discomfort, shortness of breath, fainting, and fatigue/weakness.
What adverse effects should the nurse monitor with patients receiving IV nitroglycerin?Adverse effects. CNS: Headache, apprehension, restlessness, weakness, vertigo, dizziness, faintness.. CV: Tachycardia, retrosternal discomfort, palpitations, hypotension, syncope, collapse, orthostatic hypotension, angina.. What precautions are taken when administering nitroglycerin?Nitroglycerin sublingual tablets should not be chewed, crushed, or swallowed. They work much faster when absorbed through the lining of the mouth. Place the tablet under the tongue or between the cheek and gum, and let it dissolve. Do not eat, drink, smoke, or use chewing tobacco while a tablet is dissolving.
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