Aspirin and Nitro 2018Notes .com

1 Aspirin and Nitroglycerin

2 Aspirin lAspirin (asa) is a platelet function inhibitor lit works as an ____________________ lslows clotting of the blood lhelps to slow or dissolve clots--the most ____________________ cause of an AMI. lAspirin is ____________________ given for pain!

3 Aspirin Indications: -all suspected AMI's -____________________ angina -give early as possible Contraindications: -____________________ -history of GI bleeds or other bleeding disorders

4 Aspirin Procedure lAssure patient is NOT allergic to asa lGive ____________________ (standard tablet) orally ?Standard dose is 160-325mg lHave patient swallow or ____________________ tablet lGive only enough water to swallow if needed lDocument time and dosage lTell hospital aspirin was given l

5 Nitroglycerin Nitroglycerin (NTG) is a ____________________ -dilates the ____________________ arteries -improves blood flow to the heart -decreases cardiac work load -l____________________ blood pressure NTG comes in pills, sprays, and patches

6 Nitroglycerin

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6 Nitroglycerin

7 Nitroglycerin Indications: -all suspected ____________________ with chest pain -stable or unstable angina -give early as possible

8 Nitroglycerin Contraindications: l____________________ l____________________ (low BP) ?below 100 systolic or per local protocols lhead injury lRecent doses of sexual enhancement drugs ?Levitra, Viagra, Cialis

9 Nitroglycerin Potency lNitroglycerin loses____________________ over time. ?Especially if exposed to light lWhen nitroglycerin tablets lose potency: ?May not feel the ____________________ sensation ?May not experience the burning sensation and headache lFizzing only occurs with a potent tablet, not in the spray form.

10 Nitroglycerin Procedure lAssure patient is not allergic lTake vital signs (especially BP) lHave patient sit or lie down lGive ____________________ (1 tablet or spray) sublingually (under the tongue) lIf using spray, spray first once into the air then spray under the tongue lDo ____________________ shake spray prior to administration

11 Nitroglycerin Procedure (Cont.) lIf pain is not relieved, you may repeat dose ____________________ every five minutes to a maximum of 3

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lIf pain is not relieved, you may repeat dose ____________________ every five minutes to a maximum of 3 ?Check BP before each dose ?If BP falls below 90-100 systolic, do not repeat

lPatient should not be given or allowed to take more than ____________________ nitros in a few minutes without further medical direction ?if patient has taken one dose, you can only give 2 doses, etc.

12 Nitroglycerin Procedure (Cont.) lDo NOT give more than 3 without medical direction orders lDo not repeat dosage if ____________________ is relieved lDocument times, dosage, and effects lReport to hospital

13 Nitroglycerin Points to Remember lPatient should get a ____________________ lNTG should taste bitter under the tongue lNTG is sensitive to light lNTG tablets are only good for about 30 days after bottle is opened lNTG spray is easier and more efficient for EMS lDo ____________________ shake Nitro spray lThe presence of a nitro patch or paste does not contraindicate Nitro SL

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