Mr. Johnson an 80 yo male who is being admitted for a possible MI after he had taken his 3 sublingual pills of Nitroglycerin (NTG) without relief of his chest pain. In the ED his chest pain was relieved with an intravenous solution of nitroglycerin. However, all is lab work and ECG came back negative for MI. He will be weaned off his IV nitro and started on NTG transdermal patches 10mg/24 hrs. He will also be prescribed diltiazem 30mg once a day.
1. When will you give him his first dose of diltiazem?
2. Mr. Johnson states that he will probably not need any more NTG tablets again. What do you want to tell him?
1.Diltiazem is a calcium channel blocker used to treated acute or angina pain,to reduce high blood pressure where betablockers cannot be used.It is recommended in the morning time because the risk of symptoms are more in the morning. The first Dise can be started the next day morning after weaning off the patient from NTG injection
2.NTG patch are prescribed to deliver continuous controlled release of NTG in to the skin and effectively controls and prevent chest pain. This is usually changed after the required treatment day and converted to oral tablet form.He has to be informed that the tablet will be started sooner.
Mr. Johnson an 80 yo male who is being admitted for a possible MI after he...
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