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Isosorbide Dinitrate: Uses and Precautions

This document summarizes information about the drug Isosorbide dinitrate including its mechanism of action, indications, contraindications, side effects, and nursing responsibilities. Isosorbide dinitrate relaxes blood vessels to reduce blood pressure and oxygen demand on the heart, making it useful for treating angina. It should not be used in people with allergies to nitrates or severe medical conditions. Common side effects include headaches and low blood pressure when changing positions. Nurses should assess patients' medical history and vital signs, ensure proper administration, and monitor for worsening symptoms or tolerance issues.

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Jaessa Feliciano
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3K views2 pages

Isosorbide Dinitrate: Uses and Precautions

This document summarizes information about the drug Isosorbide dinitrate including its mechanism of action, indications, contraindications, side effects, and nursing responsibilities. Isosorbide dinitrate relaxes blood vessels to reduce blood pressure and oxygen demand on the heart, making it useful for treating angina. It should not be used in people with allergies to nitrates or severe medical conditions. Common side effects include headaches and low blood pressure when changing positions. Nurses should assess patients' medical history and vital signs, ensure proper administration, and monitor for worsening symptoms or tolerance issues.

Uploaded by

Jaessa Feliciano
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Mechanism of Nursing

Name of Drug Indication Contraindication Side Effect


Actions responsibilities
Generic Name:
Isosorbide dinitrate It relaxes vascular Dinitrate: Treatment Contraindicated with Frequent: Assessment:
smooth muscle with and prevention of allergy to nitrates, Headache, >History: Allergy to
Brand Name: a resultant decrease angina pectoris severe anemia, head Dizziness, Weakness, nitrates, severe
Isoket in venous return and trauma, cerebral Nausea, Flushing, a anemia, GI
decrease in arterial hemorrhage, drop in blood hypermobility, head
Classification: BP, which reduces hypertrophic pressure that occurs trauma, cerebral
Antianginal left ventricular cardiomyopathy, when moving from a hemorrhage,
workload and narrow-angle lying down or sitting hypertrophic
Dosage: decreases myocardial glaucoma, postdural position to sitting or cardiomyopathy,
Injection: 0.5 mg/ml oxygen hypotension standing, which pregnancy, lactation
consumption. results in dizziness Physical: Skin color,
Route: Use cautiously with and lightheadedness T, lesions;
I.V pregnancy, lactation, (postural orientation, reflexes,
acute MI, CHF. hypotension), affect; P, BP,
Increased heart rate orthostatic BP,
(tachycardia), baseline ECG,
Decreased heart rate peripheral perfusion;
(bradycardia), R, adventitious
Allergic skin sounds; liver
reactions, Fainting. evaluation, normal
output; CBC, Hgb

> Give sublingual


preparations under
the tongue or in the
buccal pouch;
discourage the
patient from
swallowing.
>Create a nitrate-free
period to minimize
tolerance.
> Keep life support
equipment readily
available if overdose
occurs or cardiac
condition worsens.
> Gradually reduce
dose if anginal
treatment is being
terminated; rapid
discontinuation can
lead to problems of
withdrawal.

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