What medication is a contraindication for nitroglycerin?

Nitroglycerin is contraindicated in patients who are allergic to it. Sublingual nitroglycerin therapy is contraindicated in patients with early myocardial infarction, severe anemia, increased intracranial pressure, and those with a known hypersensitivity to nitroglycerin.

What are the contraindications for nitrate administration?

Contraindications

  • Allergy to nitrates.
  • Concomitant use of phosphodiesterase (PDE) inhibitors such as tadalafil and sildenafil.
  • Right ventricular infarction.
  • Hypertrophic cardiomyopathy.

When should you not take nitroglycerin?

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.

Which of the following is a contraindication for nitroglycerin administration quizlet?

What are the CONTRAINDICATIONS for administering Nitroglycerin? Hypotension, hypovolemia, intracranial bleeding or head injury, pericardial tamponade, severe bradycardia or tachycardia, RV infarction, previous administration in the last 24 hours: tadalafil (Cialis) (48 hours), vardenafil (Levitra), sildenafil (Viagra).

Is Nitro contraindicated with bradycardia?

“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 is nitroglycerin contraindicated in ACS?

30,37–39 EMS providers should administer up to 3 nitroglycerin doses (tablets or spray) at intervals of 3 to 5 minutes. Nitrates in all forms are contraindicated in patients with initial systoloic blood pressure 90 mm Hg or 30 mm Hg below baseline and in patients with right ventricular infarction.

What do you monitor when administering nitroglycerin?

Any patient administered nitroglycerin who develops hypotension should receive a trial administration of IV fluids. Normal precautions for administration of fluids to patients with any type of heart failure, including monitoring of blood pressure and lung sounds apply.

What is the side effect of nitroglycerin?

Headache, dizziness, lightheadedness, nausea, flushing, and burning/tingling under the tongue may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

What are nursing considerations for nitroglycerin?

Nursing Implications:

  • Check blood pressure and pulse before each administration of NTG–blood pressure can drop precipitously after a single dose.
  • NTG is highly unstable and should be stored in light resistant container in cool environment (not the refrigerator).

What is the minimum blood pressure for the administration of nitroglycerin?

To minimize the risks of nitrates following acute MI, nitroglycerin should not be administered to patients with systolic blood pressure less than 90 mmHg or a change of 30 mmHg or more below baseline, severe bradycardia (less than 50 beats per minute), tachycardia, or suspected right ventricular infarction.