ACCURATE ANSWERS |LATEST VERSION 2025\26
emergencies
,Common Reactions: hypotension, migraine headache
Nursing Indications:
-IV must be prepared in glass bottles and use special sets intended for NTG
-transdermal patch labeled as mg/hour
-transdermal patches may be ordered to be removed at night to allow for a
nitrate free period
-do not crush sublingual drug product
-Isorbide mononitrate is a sustained release nitrate
-Viagra potentiates the hypotensive affects of nitrates; concurrent use is
contra indicated
-beta and calcium channel blocker's, antihypertensive, and antidepressants
may enhance hypotensive effects
Patient Education:
-patient teaching related to NTG sublingual: tell patient to always carry bottle
with them. Keep them in original dark glass bottle and replace six months after
opening. Tell patient to put one tablet under tongue at first sign of anginal
attack. Advise patient to sit or lie down for 10 to 15 minutes after taking drug to
decrease side effects. Instruct patient to take additional SL tablets (up to
three) at five minute intervals if pain is not relieved. If pain is still present after
15 minutes, call 911
-use caution with elderly patients- risk of hypotension
-do not chew or swallow sublingual tablets
,-do not chew extended release capsules
-NTG spray is sprayed directly on mucous membranes-do not inhale
-transdermal patches are placed on hair free area of skin ; rotate sites
-May cause dizziness; use caution when changing position
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Patient education for beta blockers Parasympathetic blockers
Corticosteroids Coronary Vasodilators/Antianginals
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Definition 2 of 71
Chlorpromazine (Diabinese), Glipizide (glucotrol), glyburide (diabeta, glynase,
prestab, micronase), tolbutamide (orinase), metformin (glucophage),
tolazamide (tolinase)
General information:
-stimulates insulin release from pancreatic beta cells and reduces glucose
outside by the liver
, -onset one hour, peak 3 to 4 hours, duration 60 hours
-common side effects: anorexia, nausea, vomiting, epigastric discomfort,
heartburn, hypoglycemia
-give drug before breakfast. If severe G.I. upset, divide dose - one before
breakfast and one before evening meal
-IV glucose for severe hypoglycemia
-not to be used for type one diabetes, in pregnancy, or lactation
-avoid alcohol and take at the same time each day
-Glipizide (glucotrol) has very few drug to drug interactions and is
recommended for the elderly
-diabinese not recommended for the elderly
-increased risk of hypoglycemia if taken with juniper berries, ginseng, garlic,
fenugreek, coriander, dandelion root, or celery
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Macrolides Parasympathetic blockers
Oral hypoglycemic agents Herbal supplements/alternative therapy