Generic Name T Rade Name Classification Minitran Anti Angina Nitroglycerin

Generic name T rade name Classification Minitran anti angina Nitroglycerin patch Indications - Prophylaxis of angina, hypertension

Route

Time/Frequency Normal Dosage- 0.4 mg/hr -0.8 mg/hr

transdermal Contraindications/warnings/interactions - Severe anemia, increase intracranial pressure, allergy to adhesives, hypersensitivity to nitrates and orthostatic hypotension.

M echanism of action-Reduces cardiac oxygen Common side effects-Orthostatic hypotension, tachycardia, demand by decreasing left ventricular end diastolic palpitation, rash. pressure (pre -load) and to lesser extent systemic vascular resistance (after load). Also increases blood flow through the collateral coronary vessels. Lab value alterations- NA

Nursing ConsiderationsAssess location, duration, intensity,and precipitating factors of the patient’s angina pain. Evaluate therapeutic effectiveness (cardiac status) and adverse response (hypotension, arrhythmias). Dosed should be reduced gradually when discontinuing after long-term therapy. Apply transdermal (TD) patches to area without Interactions with other patient drugs, OT C, or herbal hair: press hard to adhere if patch becomes dislodged, apply a new one. medicinesDo not discontinue abruptly. Closely monitor vital signs. Use caution calcium channel blockers, organic nitrates, vasodilators when near a microwave oven, leaking radiation may heat patch’s metallic backing and cause burns. Why would you hold or not give Evaluation- Closely monitor vital this med?N/A signs