Let me talk about the vasodilators it is a cardiac medication particularly here i am going to discuss nitrate so vasodilators or nitrate relax the smooth muscles in the blood vessel and can reduce the blood pressure and also relieve the anxiety what are the drugs we use is the best dilator particularly we use hydrolyzin or nitro prusite drug of choice for
Hypertensive crisis other nitro vasodilator we use nitroglycerin or isosorbid mononitrate or isosorbid dinitrate shortly called nitrate or we call nitroglycerin so how they work the mechanism of action the basal dilators to reduce the preload and afterload of the heart the effect over the heart they lower the blood pressure and increase the oxygenation of
The tissue right so what are the common side effects they can cause palpitation they can cause tachycardia or hypotension as i told you all hypertensive medication is a common side effect they can causes or they can cause hypotension dizziness headache diaphoresis excessive sweating syncope or weakness what are the contraindication or what is the important
Education we need to explain to this patient keep it mind do not take nitroglycerin or nitrate with sildenafil we called viagra do not put together a client can take one or the others but never both as it causes severe hypotension right keep in mind in case of emergencies or angina pectoris we give nitroglycerin or nitrate sublingually if given nitroglycerin
Sublingually a nuts can give only up to the three tablet over 15 minutes give one tablet every five minutes and call emergency medical services after second tablet of net regression is given it is good to call 9-1-1 and do not eat or drink while taking it it is good to give sublingually so if the giving nitroglycerin via the patch you can see a picture natural
Glycerin trans thermal patch if you give the patch never place over a pacemaker or remove the patch before patient going into mri very important for nclex board exam if the md or physician i order nitroglycerin id place on a infusion palm always when we preserve the nitroglycerin it is good to keep in a dark bottle and prevent from sunlight what else what are
The other nursing implication tell your patient hydrolyzing better to take with food and nitrate or nitropruside it is good to protect from the light and always monitoring and continuous check the ekz and blood pressure because patient tends to develop hypotension and also nitroglycerin when you prescribed it is good for sublingual sublingualis and do not
Break down or swallow all do not eat or do not drink while taking it you
Transcribed from video
Vasodilator Nitroglycerine Nitrate NGT CARDIAC pharmacology NCLEX Review By Evolution Health Academy
