Term
What is the action of a nitrate? |
|
Definition
decrease myocardial o2 demand |
|
|
Term
Nitrates decrease myocardial o2 demand by: (4) |
|
Definition
venodilate (decrease preload) peripherally vasodilate (decrease afterload) increase myocardial o2 supply coronary vasodilate |
|
|
Term
What 2 types of nitrates are avail.? |
|
Definition
|
|
Term
What are 2 long acting nitrates? |
|
Definition
Imdur (isosorbide mononitrate) Isordil (isosorbide dinitrate) |
|
|
Term
What is a short acting nitrate? |
|
Definition
|
|
Term
Would you HOLD or GIVE nitro when your pt is going to the cath lab? |
|
Definition
|
|
Term
In what position would you give nitro? |
|
Definition
|
|
Term
Use caution in a pt with a known ___?___ |
|
Definition
|
|
Term
You would anticipate an __?__ and admin. __?__ |
|
Definition
|
|
Term
Why would you remove and clean nitro patch before applying another one? |
|
Definition
|
|
Term
When applying a topical nitro, what should you remember to do? |
|
Definition
wear gloves place in hair free area rotate area of application take old patch off before applying new one |
|
|
Term
Titrate IV nitro to relieve these s/s |
|
Definition
|
|
Term
What are the teaching points that you would inform your pt. of? |
|
Definition
store in a dark place when open bottle, good for 3 mths throw away after 90 days |
|
|
Term
What are administration instructions would you give to your pt. regarding nitros? |
|
Definition
1 tab every 5 mins. x 3 if no relief after 2nd dose, call 9-1-1 |
|
|
Term
Nitros are used in what 2 cardiac disorders? |
|
Definition
|
|