Transcript Nitroglycerine

NITROGLYCERIN
EMERGENCY MEDICAL
TECHNICIAN - BASIC
Temple College EMS Program
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Nitroglycerin
• Indications
–Ischemic Chest Pain
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Nitroglycerin
• Contraindications
–BP<100mm Hg
–Pt. Has already taken maximum
dose of three doses (1.2mg)
Temple College EMS Program
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Nitroglycerin
• Dose
–.4mg sublingual
• Tablet or Metered-dose Spray
–.4mg Trans-dermal patch
–May repeat at 5 minute intervals
up to 3 doses (1.2mg)
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Nitroglycerin
• Mechanism of Action
–Relaxes vascular smooth muscle
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Nitroglycerin
• Effects
–Decreased pre-load
–Decreased after-load
–Increased blood flow to Ischemic
Myocardium
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Nitroglycerin
• Side Effects
–Hypotension
–Reflex Tachycardia
–Headache
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Nitroglycerin
• Comments
–Most effective when Pt is sitting
–If tablet form - Protect potency
• Store in original brown bottle
• Keep tightly sealed
• Protect from light, air, heat
• Secure new supply every 4 - 6 months
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Nitroglycerin
• Potent Nitroglycerin
–Headache
–Burning sensation under tongue
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