Nitroprusside (Nitropress) Nursing Considerations

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Kara Tarr
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Outline

Generic Name

nitroprusside

Trade Name

Nitropress

Indication

hypertensive crisis, cardiogenic shock

Action

peripheral vasodilation of arteries and veins decreasing preload and afterload

Therapeutic Class

antihypertensive

Pharmacologic Class

vasodilator

Nursing Considerations

• monitor HR, BP, and EKG continuously during therapy
• may cause cyanide toxicity
• sympathomimetics may decrease effectiveness
• PAOP monitoring may help with MI and CHF patients

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Transcript

Hey guys, let’s talk about Nitropress eye also known as a nitro press. This is an injectable medication, as you can see here, Nitropress eye as a substance. So the therapeutic class or how the drug work in the body is an anti-hypertensive and the pharmacologic class is a vasodilator. And remember, this is the chemical effect of the drug. So Nitropress side works by peripheral vaso, dilation of arteries and veins decreasing preload and afterload, which is why we use Nitropress side for hypertensive crisis, as well as Carde shock. So with Nitropress side, sometimes we can see side effects that include flushing, skin rash, and also nausea, a few nursing considerations for Nitropress side, monitor your patient’s heart rate, blood pressure and EKG. And it’s important to know that Matics may decrease the effectiveness of Nitropress side Nitropress side may also cause cyan toxicity. So with this cyanide toxicity kits should be available because Nitropress eye does contain cyanide molecules and can create an issue in your patient also to help with your patients who have MI or your CHF patient, it’s helpful to monitor P a O P also guys teach your patients to tell their provider. 

If they have a history of head injury, if they have a brain tumor seizures, anemia, or hypertension, okay, here is a little help, full tip for Nitropress eye. And you may already know this, but Nitropress is very sensitive to light exposure. So this means that all bottles, bags and syringes of this drug should be covered with an Amber bag or aluminum foil have always seen it be covered with a dark Amber dark brown bag. Nitropress eye it’s light brown in color. So if your medication does not have this color, it should definitely not be used on your patient. That’s it for Nitropress or Nitropress now go out and be your best self today. And as always happy nursing.

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Pharm 1

Concepts Covered:

  • Test Taking Strategies
  • Learning Pharmacology
  • Medication Administration
  • Dosage Calculations
  • Adult
  • Emergency Care of the Cardiac Patient
  • Cardiac Disorders
  • Cardiovascular Disorders
  • Vascular Disorders
  • Hematologic Disorders
  • Acute & Chronic Renal Disorders
  • Disorders of Pancreas
  • Female Reproductive Disorders
  • Immunological Disorders
  • Urinary System
  • Central Nervous System Disorders – Brain
  • Pregnancy Risks
  • Neurological
  • Disorders of the Posterior Pituitary Gland
  • Shock
  • Male Reproductive Disorders
  • Urinary Disorders

Study Plan Lessons

12 Points to Answering Pharmacology Questions
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method – O
The SOCK Method – C
The SOCK Method – K
Basics of Calculations
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
IV Infusions (Solutions)
Complex Calculations (Dosage Calculations/Med Math)
Interactive Practice Drip Calculations
Pediatric Dosage Calculations
ACLS (Advanced cardiac life support) Drugs
Amiodarone (Pacerone) Nursing Considerations
Adenosine (Adenocard) Nursing Considerations
Procainamide (Pronestyl) Nursing Considerations
Anti-Platelet Aggregate
Clopidogrel (Plavix) Nursing Considerations
Coumarins
Warfarin (Coumadin) Nursing Considerations
Thrombin Inhibitors
Enoxaparin (Lovenox) Nursing Considerations
Heparin (Hep-Lock) Nursing Considerations
Thrombolytics
Alteplase (tPA, Activase) Nursing Considerations
Streptokinase (Streptase) Nursing Considerations
Antidiabetic Agents
Glipizide (Glucotrol) Nursing Considerations
Metformin (Glucophage) Nursing Considerations
Insulin
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
Essential NCLEX Meds by Class
Renin Angiotensin Aldosterone System
Sympatholytics (Alpha & Beta Blockers)
Atenolol (Tenormin) Nursing Considerations
Metoprolol (Toprol XL) Nursing Considerations
Propranolol (Inderal) Nursing Considerations
ACE (angiotensin-converting enzyme) Inhibitors
Captopril (Capoten) Nursing Considerations
Enalapril (Vasotec) Nursing Considerations
Lisinopril (Prinivil) Nursing Considerations
Angiotensin Receptor Blockers
Losartan (Cozaar) Nursing Considerations
Calcium Channel Blockers
Amlodipine (Norvasc) Nursing Considerations
Diltiazem (Cardizem) Nursing Considerations
Nifedipine (Procardia) Nursing Considerations
Verapamil (Calan) Nursing Considerations
Cardiac Glycosides
Digoxin (Lanoxin) Nursing Considerations
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Furosemide (Lasix) Nursing Considerations
Hydrochlorothiazide (Hydrodiuril) Nursing Considerations
Spironolactone (Aldactone) Nursing Considerations
Mannitol (Osmitrol) Nursing Considerations
Glucagon (GlucaGen) Nursing Considerations
HMG-CoA Reductase Inhibitors (Statins)
Atorvastatin (Lipitor) Nursing Considerations
Magnesium Sulfate
Nitro Compounds
Nitroglycerin (Nitrostat) Nursing Considerations
Nitroprusside (Nitropress) Nursing Considerations
Vasopressin
Epinephrine (EpiPen) Nursing Considerations
Norepinephrine (Levophed) Nursing Considerations
Vasopressin (Pitressin) Nursing Considerations
Anti-Infective – Sulfonamides
Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations
Insulin Drips