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DRUG STUDY

MEDICATION DRUG INDICATION / MECHANISM OF DOSING & ADVERSE NURSING


CLASSIFICATION CONTRAINDICATION ACTION ADMINISTRATION EFFECTS RESPONSIBILITIES
nitroglycerin Nitrates Indications: Reduces cardiac tablet: Cardiovascular: Monitor blood pressure
(Nitrostat oxygen demand by 0.2-0.6 mg SL q 5 mins Face and neck and heart rate on a
Sublingual) - treatment of angina decreasing left for maximum of 3 flushing, orthostatic regular basis.
pectoris ventricular doses in 15 mins hypotension,
pressure and tachycardia Instruct patient to take
systemic vascular medication while sitting
resistance; dilates CNS: down and to change
coronary arteries headache, positions slowly.
Contraindications and improves restlessness
collateral flow to Instruct patient to allow
- hypersensitivity to ischemic regions/ GI: tablets to dissolve under
nitroglycerin and other nausea, vomiting tongue, and not to chew
components or swallow sublingual
tablets.
- closed-angle glaucoma
Instruct patient to seek
-severe anemia emergency help promptly
if chest pain is unresolved
- increased intracranial after 15 minutes.
pressure
Instruct patient not to
- head trauma change brands without
consulting prescriber.
- uncorrected hypovolemia
Instruct patient to keep
tablets in original, air-
tight container.

Advise patient to use


caution when engaging in
activities requiring mental
alertness.

Advise patient to report


acute headache, rapid
heartbeat, unusual
restlessness or dizziness,
or blurring of vision

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