What is a contraindication to nitroglycerin administration ACLS?
“Nitrates should not be given to patients with hypotension, marked bradycardia or tachycardia, RV infarction, or 5’phosphodiesterase inhibitor use within the previous 24 to 48 hours.”
When are nitrates contraindicated in MI?
Nitrates have long been used for treatment of ischemic chest pain in acute myocardial infarction but contraindicated in cases of hypotension, bradycardia, 5′ phosphodiesterase inhibitor use, and right ventricular infarction.
Why is GTN not given in inferior MI?
Patients with inferior ST elevation myocardial infarction (STEMI), associated with right ventricular infarction, are thought to be at higher risk of developing hypotension when administered nitroglycerin (NTG).
When should you not take Nitro?
You should not take nitroglycerin if: You have taken the maximum amount of short-acting nitroglycerin prescribed by your doctor. You know your blood pressure is very low. Ask your doctor about this.
Does nitroglycerin increase blood pressure?
Bottom Line. Nitroglycerin dilates veins, relieving chest pain and lowering blood pressure.
When should you not give GTN?
Do not use GTN Spray: • If you are allergic to glyceryl trinitrate or any of the other ingredients of this medicine (listed in section 6). If you have severe low blood pressure. If you have shock caused by low blood pressure. If you have severe anaemia.
Can you give Nitro for a STEMI?
In patients with STEMI ischemia, giving nitroglycerin 10 min after aspirin dosing (compared to giving them simultaneously) leads to a greater than 20% reduction in need for additional nitroglycerin, a greater than 7% decrease in subjective pain experienced by the patient and reduced need for additional opioids.
What are the indications contraindications and adverse effects of nitroglycerin administration?
The contraindications of nitroglycerine therapy include:
- Allergic reactions to nitroglycerin are extremely rare, but reports do exist.
- Known history of increased intracranial pressure, severe anemia, right-sided myocardial infarction, or hypersensitivity to nitroglycerin are contraindications to nitroglycerin therapy.
When administering GTN what precautions and guidelines should the nurse follow?
– Nitrates should be taken while seated because a drop in blood pressure can result in fainting. – Avoid excessive alcohol intake. – Ensure that patients are aware that this medication may cause headache and that simple analgesics can be used to relieve this.
When not to administer nitroglycerin?
Like all vasodilators, nitrates are contraindicated in the setting of hypotension, as well as in LV outflow tract obstruction, and in AHF mimics (e.g., chronic obstructive pulmonary disease) where vasodilation is unlikely to provide a benefit.
What are the contraindications of Nitro?
CONTRAINDICATIONS . Nitroglycerin is contraindicated in patients who are allergic to it. Allergy to the adhesives used in nitroglycerin patches has also been reported, and it similarly constitutes a contraindication to the use of this product. Do not use NITRO-DUR in patients who are taking phosphodiesterase inhibitors (such as sildenafil,
Why is nitroglycerin contraindicated in aortic stenosis?
Why is nitroglycerin contraindicated in aortic stenosis? Nitrates are contraindicated in severe aortic stenosis because of the theoretical yet unproven risk of precipitating profound hypotension. Are diuretics contraindicated in aortic stenosis?
What is the maximum dose of nitroglycerin?
The maximum daily dosage is 75 mg (12.5 cm as squeezed from the tube). The ointment is applied in a thin layer covering approximately 2 to 3 inches of skin, but should not be massaged into the skin.