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Nitroglycerin (Nitrostat) Nursing Considerations

Nitroglycerin (Nitrostat) Nursing Considerations

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Outline

Generic Name

Nitroglycerin

Trade/Brand Name

Nitrostat

Indication

Prevention of angina
Heart failure
Anal fissures
Severe hypertension
Acute MI

Action

Enters vascular smooth muscle
- Nitric oxide causes relaxation of smooth muscle cells
  - Vasodilation occurs

Therapeutic Class

Antianginal agent
Vasodilator

Pharmacologic Class

Vasodilator

Nursing Considerations

May cause
- Blurred vision
- Dryness of the mouth
- Skin reactions
Contraindications
- Severe anemia
- Increased ICP
Monitor
- Hemodynamics
- Chest pain

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Transcript

Hey guys, let’s take a look at the drug nitroglycerine. Also known as Nitrostat. This is an oral sublingual transdermal and IV medication. And here you can see it in a few different forms. So the therapeutic class of nit Ogly or how it works in the body is an antianginal also a vasodilator, the pharmacologic class or chemical effect of the drug as a vasodilator. So nitroglycerin works by entering vascular smooth muscle nitric oxide is formed, which causes vaso dilation. We use nitroglycerine for the prevention of angina for heart failure, anal FIS, severe hypertension and acute MI. So some of the side effects that nitroglycerine can cause are hypotension, headache, dizziness, and orthostatic hypotension. Guys. It’s important that you teach your patients that headache is common and not to stop taking this medication because of this, tell them to report it to their provider before they stop taking the medication.

So nursing considerations for nitroglycerine, in addition to the side effects mentioned, nitroglycerine may cause blurred vision, dry of the mouth and skin reactions. Nitroglycerine should not be used in patients who have severe anemia or increased intracranial pressure monitor the hemodynamics of your patient as well as their chest pain, teach your patient to not use nitroglycerine are using any erectile dysfunction medications, and also they should limit their alcohol use. So guys in surgery, where I work, we actually use nitroglycerine paste occasionally during breast reduction procedures that require a free nibble graft, which mean removing the nipple entirely and then reattaching it. So nitroglycerine is applied to this area to increase the blood flow to the nipple. That’s it for nitroglycerine or Nitrostat now go out and be your best self today and as always happy nursing.

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Concepts Covered:

Study Plan Lessons

02.03 Swan-Ganz Catheters for CCRN Review

02.04 Pulmonary Artery Wedge Pressure (PAWP) for CCRN Review

06.01 Organ Failure, Dysfunction & Trauma for CCRN Review

09.01 Acute Renal Failure Overview for CCRN Review

09.02 Acute Tubular Necrosis for CCRN Review

09.05 Chronic Renal Failure for CCRN Review

ABGs Nursing Normal Lab Values

ACE (angiotensin-converting enzyme) Inhibitors

Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)

Acute Inflammatory Disease (Myocarditis, Endocarditis, Pericarditis) for Progressive Care Certified Nurse (PCCN)

Acute Kidney Injury Case Study (60 min)

Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)

Adult Vital Signs (VS)

Albumin Lab Values

Alkaline Phosphatase (ALK PHOS) Lab Values

Amitriptyline (Elavil) Nursing Considerations

Anemia for Progressive Care Certified Nurse (PCCN)

Angiotensin Receptor Blockers

Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)

AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)

Backwards and Forwards

Blood Urea Nitrogen (BUN) Lab Values

Brain Natriuretic Peptide (BNP) Lab Values

Calcium and Magnesium Imbalance for Certified Emergency Nursing (CEN)

Cardiac (Heart) Disease in Pregnancy

Cardiac Course Introduction

Cardiac Glycosides

Cardiac Surgery (Post-ICU Care) for Progressive Care Certified Nurse (PCCN)

Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)

Cardiogenic Shock For PCCN for Progressive Care Certified Nurse (PCCN)

Cardiomyopathies (Dilated, Hypertrophic, Restrictive) for Progressive Care Certified Nurse (PCCN)

Cardiopulmonary Arrest for Certified Emergency Nursing (CEN)

Causes of Dyspnea Nursing Mnemonic (The 6 P’s)

Chronic Kidney Disease (CKD) Case Study (45 min)

Cirrhosis Case Study (45 min)

Congenital Heart Defects (CHD)

Congestive Heart Failure (CHF) Labs

Congestive Heart Failure Concept Map

COPD Exacerbation for Progressive Care Certified Nurse (PCCN)

Creatinine (Cr) Lab Values

Creatinine Clearance Lab Values

Critical Thinking

Defects of Decreased Pulmonary Blood Flow

Defects of Increased Pulmonary Blood Flow

Disease Specific Medications

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Dobutamine (Dobutrex) Nursing Considerations

Dysrhythmias for Certified Emergency Nursing (CEN)

Dysrhythmias Labs

Endocarditis for Certified Emergency Nursing (CEN)

Erythrocyte Sedimentation Rate (ESR) Lab Values

Fluid Volume Deficit

Fluid Volume Overload

Heart (Cardiac) and Great Vessels Assessment

Heart (Cardiac) Failure Module Intro

Heart (Cardiac) Failure Therapeutic Management

Heart (Cardiac) Sound Locations and Auscultation

Heart (Heart) Failure Exacerbation

Heart Failure – Live Tutoring Archive

Heart Failure – Right Sided Nursing Mnemonic (HEAD)

Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)

Heart Failure 2 – Live Tutoring Archive

Heart Failure Case Study (45 min)

Heart Failure for Certified Emergency Nursing (CEN)

Heart Failure-Left-Sided Nursing Mnemonic (CHOP)

Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)

Hepatic Disorders (Cirrhosis, Hepatitis, Portal Hypertension) for Progressive Care Certified Nurse (PCCN)

Hyperkalemia – Causes Nursing Mnemonic (MACHINE)

Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)

Hypertension- Complications Nursing Mnemonic (The 4 C’s)

Hypertensive Emergency

Hyperthermia (Thermoregulation)

Hypertonic Solutions (IV solutions)

Hypoglycemia for Progressive Care Certified Nurse (PCCN)

Isotonic Solutions (IV solutions)

Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)

Malnutrition (Failure to Thrive, Malabsorption Disorders) for Progressive Care Certified Nurse (PCCN)

Metoprolol (Toprol XL) Nursing Considerations

Minimally-Invasive Cardiac Surgery (Non-Sternal Approach) for Progressive Care Certified Nurse (PCCN)

Mixed (Cardiac) Heart Defects

Myocardial Infarction (MI) Case Study (45 min)

Nitro Compounds

Nitroglycerin (Nitrostat) Nursing Considerations

Nursing Care and Pathophysiology for Cardiogenic Shock

Nursing Care and Pathophysiology for Cardiomyopathy

Nursing Care and Pathophysiology for Cushings Syndrome

Nursing Care and Pathophysiology for Heart Failure (CHF)

Nursing Care and Pathophysiology for Pulmonary Edema

Nursing Care and Pathophysiology for Pulmonary Embolism

Nursing Care and Pathophysiology for Rhabdomyolysis

Nursing Care and Pathophysiology for SIRS & MODS

Nursing Care and Pathophysiology for Syphilis (STI)

Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)

Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)

Nursing Care and Pathophysiology of Endocarditis and Pericarditis

Nursing Care and Pathophysiology of Hypertension (HTN)

Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption

Nursing Care Plan (NCP) for Activity Intolerance

Nursing Care Plan (NCP) for Acute Kidney Injury

Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome

Nursing Care Plan (NCP) for Anaphylaxis

Nursing Care Plan (NCP) for Angina

Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)

Nursing Care Plan (NCP) for Blunt Chest Trauma

Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)

Nursing Care Plan (NCP) for Burn Injury (First, Second, Third degree)

Nursing Care Plan (NCP) for Cardiogenic Shock

Nursing Care Plan (NCP) for Cardiomyopathy

Nursing Care Plan (NCP) for Chronic Kidney Disease

Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)

Nursing Care Plan (NCP) for Congenital Heart Defects

Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)

Nursing Care Plan (NCP) for Decreased Cardiac Output

Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)

Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)

Nursing Care Plan (NCP) for Ectopic Pregnancy

Nursing Care Plan (NCP) for Encephalopathy

Nursing Care Plan (NCP) for Endocarditis

Nursing Care Plan (NCP) for Epiglottitis

Nursing Care Plan (NCP) for Guillain-Barre

Nursing Care Plan (NCP) for Heart Valve Disorders

Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)

Nursing Care Plan (NCP) for Hypertension (HTN)

Nursing Care Plan (NCP) for Hypovolemic Shock

Nursing Care Plan (NCP) for Impaired Gas Exchange

Nursing Care Plan (NCP) for Imperforate Anus

Nursing Care Plan (NCP) for Myocardial Infarction (MI)

Nursing Care Plan (NCP) for Omphalocele

Nursing Care Plan (NCP) for Pancreatitis

Nursing Care Plan (NCP) for Pericarditis

Nursing Care Plan (NCP) for Pneumonia

Nursing Care Plan (NCP) for Pulmonary Embolism

Nursing Care Plan (NCP) for Respiratory Failure

Nursing Care Plan (NCP) for Rheumatic Fever

Nursing Care Plan (NCP) for Risk for Fall

Nursing Care Plan (NCP) for Sepsis

Nursing Care Plan (NCP) for Syncope (Fainting)

Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)

Nursing Care Plan (NCP) for Thoracentesis (Procedure)

Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)

Nursing Care Plan for Coronary Artery Disease (CAD)

Nursing Care Plan for Distributive Shock

Nursing Care Plan for Myocarditis

Nursing Care Plan for Pulmonary Edema

Nursing Case Study for Acute Kidney Injury

Nursing Case Study for Cardiogenic Shock

Nutrition (Diet) in Disease

Obstructive Heart (Cardiac) Defects

Palliative Care for Progressive Care Certified Nurse (PCCN)

Pediatric Advanced Life Support (PALS)

Peritoneal Dialysis (PD)

Pleural Effusion for Certified Emergency Nursing (CEN)

Pleural Space Complications (Pneumothorax, Hemothorax, Pleural Effusion, Empyema, Chylothorax) for Progressive Care Certified Nurse (PCCN)

Potassium-K (Hyperkalemia, Hypokalemia)

Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)

Preload and Afterload

Pulmonary Hypertension for Certified Emergency Nursing (CEN)

Renin Angiotensin Aldosterone System (RAAS)

Resources for Lesson Creation

Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)

Rheumatic Fever

Shock States (Anaphylactic, Hypovolemic) For PCCN for Progressive Care Certified Nurse (PCCN)

Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)

Specialty Diets (Nutrition)

Start and End with the Linchpin

Stroke Concept Map

Sympatholytics (Alpha & Beta Blockers)

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

Tenet 2 Linchpins & Connections