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Nitroglycerin medication administration of sublingual tablets and oral spray: Nursing pharmacology review and demonstration on how to administer sublingual or oral spray nitroglycerin to a patient. What is it nitroglycerin used for? It used to relieve or prevent chest pain. It is part of the drug family of nitrates, and because of this it causes vasodilation of the blood vessels. This will lead to an increase in blood supply to the heart, which will help decrease its workload. What can you expect to see in a patient who has received nitroglycerin? Facial flushing, burning or tingling under tongue, headache, dizziness, hypotension etc. Things to Consider BEFORE Giving Nitro: No known allergy to Nitroglycerin Confirm the patient has NOT recently taken a phosphodiesterase inhibitor like Sildenafil (Viagra) or Tadalafil (Cialis)...can lead to severe hypotension Not for patients with increased intracranial pressure When giving nitroglycerin have the patient sit down and: Follow your hospitals protocol for chest pain, which usually includes following an order set. This will include obtaining a 12 Lead EKG, drawing cardiac enzymes, administering nitroglycerin along with other medications. It is important to obtain baseline vital signs: this medication will lower the blood pressure. In addition, make sure the patient’s SBP is within parameters before administering. Most hospital protocols require SBP (systolic blood pressure) to be greater than 90, if it is not contact the MD for further orders. When giving sublingual or oral spray nitroglycerin you will monitor the patient’s blood pressure and chest pain rating throughout. After the first dose of nitro, you can give a 2nd dose of the medication in 5 minutes if the patient is still having chest pain and the patient’s blood pressure is within parameters. If the patient is still having chest pain after a 2nd dose, a 3rd dose can be given within 5 minutes if the patient's blood pressure is within parameters. No more than 3 doses are given. Contact the physician for further orders. Notes: http://www.registerednursern.com/nitroglycerin-sublingual-oral-spray-nursing-pharmacology-administration-review/ More Nursing Skill Videos: https://www.youtube.com/watch?v=1Xc7RYkz-CE&list=PLQrdx7rRsKfUhd_qQYEbp0Eab3uUKhgKb Cardiac NCLEX Review Series: https://www.youtube.com/watch?v=phu_x9FS7WY&list=PLQrdx7rRsKfV8fuU05Yzw1fAcLbKUu4bB Subscribe: http://www.youtube.com/subscription_center?add_user=registerednursern Nursing School Supplies: http://www.registerednursern.com/the-ultimate-list-of-nursing-medical-supplies-and-items-a-new-nurse-student-nurse-needs-to-buy/ Popular Playlists: NCLEX Reviews: https://www.youtube.com/playlist?list=PLQrdx7rRsKfWtwCDmLHyX2UeHofCIcgo0 Fluid & Electrolytes: https://www.youtube.com/playlist?list=PLQrdx7rRsKfWJSZ9pL8L3Q1dzdlxUzeKv Nursing Skills: https://www.youtube.com/playlist?list=PLQrdx7rRsKfUhd_qQYEbp0Eab3uUKhgKb Nursing School Study Tips: https://www.youtube.com/playlist?list=PLQrdx7rRsKfWBO40qeDmmaMwMHJEWc9Ms Nursing School Tips & Questions" https://www.youtube.com/playlist?list=PLQrdx7rRsKfVQok-t1X5ZMGgQr3IMBY9M Teaching Tutorials: https://www.youtube.com/playlist?list=PLQrdx7rRsKfUkW_DpJekN_Y0lFkVNFyVF Types of Nursing Specialties: https://www.youtube.com/playlist?list=PLQrdx7rRsKfW8dRD72gUFa5W7XdfoxArp Healthcare Salary Information: https://www.youtube.com/playlist?list=PLQrdx7rRsKfVN0vmEP59Tx2bIaB_3Qhdh New Nurse Tips: https://www.youtube.com/playlist?list=PLQrdx7rRsKfVTqH6LIoAD2zROuzX9GXZy Nursing Career Help: https://www.youtube.com/playlist?list=PLQrdx7rRsKfVXjptWyvj2sx1k1587B_pj EKG Teaching Tutorials: https://www.youtube.com/playlist?list=PLQrdx7rRsKfU-A9UTclI0tOYrNJ1N5SNt Dosage & Calculations for Nurses: https://www.youtube.com/playlist?list=PLQrdx7rRsKfUYdl0TZQ0Tc2-hLlXlHNXq Diabetes Health Managment: https://www.youtube.com/playlist?list=PLQrdx7rRsKfXtEx17D7zC1efmWIX-iIs9
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