NURSING CARE

Nitroglycerin acts directly on vascular smooth muscles, causing arterial and

venous vasodilation, but the venous effects are more important.

Interaction:
With beta blockers, Neuroleptics, antidepressants, acetylsysteine.

Nursing Care.
 Assess The adverse effects of this medication are common, although
mild and transient. Nursing should supervise the appearance of:
Headaches, throbbing and persistent due to vasodilation, which should
disappear after the administration of analgesics.

 Tachycardia and collapse as well as skin rash also due to its vasodilator
effect, which is why we will monitor the patient with a cardiac monitor.

 At high doses we can find cyanosis, bradycardia and also hypoxia.

 In case of severe orthostatic hypotension, we must stop the perfusion, so

we will periodically monitor the patient's blood pressure values.

 Control of the appearance of nausea and vomiting.

 Administer in special infusion sets, not PVC, as 40-80% of the dose can
be absorbed in common PVC infusion sets.

 BP control.

 Administer in a continuous infusion pump (do not administer boluses of

medication through the same lumen) – Skin rashes

 Discontinue infusion slowly due to possible rebound effect.

 Dilute in Dext5% protected from light and heat.

 NURSING CARE
It is administered intravenously in infusion with 100 cm every hour.
Before giving this medication, look at the solution carefully. This should be light in color and
free of floating particles.

It is important that you use the medication exactly as directed. Pethidine can cause
dependence.