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Drug NameGeneric Name : nitroglycerin Brand Name:
Classification:
Antianginal, Nitrate Dosage & RouteAvailable forms : Injection—0.5, 5 mg/mL; injection solution—25, 50, 100, 200 mg; sublingual tablets—0.3, 0.4, 0.6 mg; translingual spray—0.4 mg/spray; transmucosal tablets—1, 2, 3 mg; transmucosal SR tablets—1, 2, 2.5, 3, 5 mg; oral SR capsules—2.5, 6.5, 9 mg; transdermal—0.1, 0.2, 0.3, 0.4, 0.6, 0.8 mg/hr; topical ointment—2% ADULTSIV
Sublingual
SR (oral)
Topical
Transdermal
Translingual
Transmucosal
Therapeutic actions
Indications
Adverse effects
Contraindications
Nursing considerationsAssessment
What should the nurse teach a patient about the use of antianginal medication?Patient Teaching & Education
Instruct patients to avoid eating or smoking during administration as this may alter absorption. Patients should sit during administration to decrease the risk for injury due to the possibility of hypotension, dizziness, and weakness.
What would be points the nurse will instruct the client on to manage angina with nitroglycerin?Adults—1 tablet placed under the tongue or between the cheek and gum at the first sign of an angina attack. 1 tablet may be used every 5 minutes as needed, for up to 15 minutes. Do not take more than 3 tablets in 15 minutes. To prevent angina from exercise or stress, use 1 tablet 5 to 10 minutes before the activity.
For which adverse effects would the nurse assess the patient after administering nitrates?Common side effects of nitrates include headache, dizziness, flushing, nausea and vomiting. Another important side effect of nitrates is orthostatic hypotension, where the blood pressure falls significantly when the client stands up too quickly.
What is the most common side effect of nitrates?The most common side effects of nitrates include headaches, dizziness or light-headedness, flushing or a warm feeling in the face.
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