Question

58, What effect does NTG (nitroglycerine) exert on: a. Blood vessels b. BP 59. Important patient teaching for NTG: a. Drug action? b. Storage? c. How many tablets should be taken? d. In what time frame? Should MD be notified if headache develop? NO e. 60, Beta blockers and calcium channel blockers BP and pulse. 61. A patient on transdermal nitroglycerine (NTG) patch asks the nurse: a. "Why do I have to take off the patch at night?" b. "Where should I apply it?" 62. What are common gastrointestinal side effects of cholesterol lowering agents? 63. The following drugs can cause what impact on potassium levels? a. Spironolactone (Aldactone) b. Furosemide (Lasix) c. Hydrochlorothiazide (HCTZ d. Lupin (Lisinopril) 64. Erectile dysfunction medications can interact adversely with which cardiac medication? 65. What is the antidote for bleeding due to heparin?

Answer 1

58. Blood vessels

Nitroglycerine cause vasodilatation.

59. Storage

The tablets must be stored away from direct sunlight and heat, in glass bottles.

60. Reduce BP and Reduce pulse

61. a. Why do I have to take out the patch at night?

62. The GI side effects are:

• Diarrhea
• Constipation
• Nausea
• Stomach cramps
• Muscle soreness, pain, or weakness
• Vomiting

63. Spironolactone - Hyperkalemia

Furosemide - Hypokalemia

   Hydrochloothiazide - Hypokalemia

   Lisinopril - Hyperkalemia

64. ED medicine like Sildenafil can cause a serious adverse effect when used with Nitrates. It can cause a serious drop in blood pressure and can lead to dizziness, fainting, and rarely heart attack or stroke.

65. Protamine sulfate (1% solution) by slow infusion will neutralize Heparin sodium.