For Nitroglycerin to be administered

n7lxi said:
It's sildenafil citrate, the same med as Viagra, but used to treat pulmonary HTN.
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Can you imagine the uproar if the general public found this out?? I can see it now...

"YOU'RE GIVING ME PENIS PILLS TO FIX MY LUNGS!?!?!?!?!?!"

Random, somewhat off topic thought but medication suffixes are the only way I can identify meds half the time. Getting better at just knowing them off the bat but the suffixes are a lifesaver.
 
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NVRob said:
Can you imagine the uproar if the general public found this out?? I can see it now...

"YOU'RE GIVING ME PENIS PILLS TO FIX MY LUNGS!?!?!?!?!?!"
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Probably less outrage than "You're giving me rat poison to thin my blood!?!"
 
Your local protocols/guidelines and NR may be different.
Here I have b/p 90 sys for nitro. Easy to remember N for nitro and N for ninety. If vessel dilation from 3 sprays of nitro doesn't relieve pain more nitro isn't likely to work. Time for something else, eg: morphine. We have a higher min b/p for morphine than nitro, 100sys.

Such is life.
 
Outbac1 said:
Your local protocols/guidelines and NR may be different.
Here I have b/p 90 sys for nitro. Easy to remember N for nitro and N for ninety. If vessel dilation from 3 sprays of nitro doesn't relieve pain more nitro isn't likely to work. Time for something else, eg: morphine. We have a higher min b/p for morphine than nitro, 100sys.

Such is life.
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Hey also most common side effect is sudden headache and lightheadness, right?
Next would be N/V?
 
JPINFV said:
Poor Revatio, always left out of the contraindication list.
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It's amazing how many providers have no clue about that. "Why does lady have Viagra on her med list?" Facepalm
 
patzyboi said:
Hey also most common side effect is sudden headache and lightheadness, right?
Next would be N/V?
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A headache is common. I haven't found "lightheadedness" to be a common side effect. If it happens it could be from a drop in b/p. The n&v can often be eased with gravol or similar. Catching side effects early is why we always recheck vitals and ask the pt what they feel like after the medication has been given. We also chart both medication given and medication response. You really can't have one without the other.
 
patzyboi said:
Hey also most common side effect is sudden headache and lightheadness, right?
Next would be N/V?
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Now why would NTG give you a headache and cause them to be lightheaded?

Ready, go!
 
NVRob said:
Now why would NTG give you a headache and cause them to be lightheaded?

Ready, go!
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Ooh ooh ooh!!!! I know!!!! I know!!!!

Pick me!!!!

* dances around with hand in the air*
 
Because it causes the veins and arteries in the brain to dilate. When it dilates too much it causes pain. I'm going to bed!
 
achilles said:
because it causes the veins and arteries in the brain to dilate. When it dilates too much it causes pain. I'm going to bed!
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you didn't raise your hand!
 
Anjel said:
Ooh ooh ooh!!!! I know!!!! I know!!!!

Pick me!!!!

* dances around with hand in the air*
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Whatcha got Anjel?

Achilles put it very basically but correctly.

I'm sure someone smarter than me is going to come along and tell me I'm wrong anyways but hey, until it happens....... :D
 
NVRob said:
Whatcha got Anjel?

Achilles put it very basically but correctly.

I'm sure someone smarter than me is going to come along and tell me I'm wrong anyways but hey, until it happens....... :D
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Because the veins have nervous terminals around them and there are some beta sympthetic fibers which are sensitive to pain.
 
patzyboi said:
does the minimum systolic blood pressure have to be >90 or >100?

I was taught that it has to be >100, but there are a lot of people who say its >90.
Need to know that just because there might be a NTG question on the NR test.
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Textbook, or real world?

Real world, go off what your medical director says. EMTs at my agency are capped at 100, while Paramedics are capped at 90.
 
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