Aspirin, Nitroglycerin, Oxygen Flashcards

Aspirin - Class

Acetylsalicylic acid, analgesic, antipyretic, anti-inflammatory, platelet aggregation inhibitor, NSAID

Aspirin - Description

Decreases inflammation, pain and fever. It powerfully inhibits platelet aggregation (makes it slick, which lessens the ability to develop clots)

Aspirin - Indication

Chest pain consistent with MI(myocardial infarction) or cardiac etiology

Aspirin - Contraindication

Known hypersensitivity, asthma Hx, active bleeding ulcer

Aspirin - Precaution

Allergies to other NSAIDs, bleeding disorders, children or teenagers with varicella (chicken pox), influenza-like symptoms

Aspirin - Side Effect

Nausea/vomiting, heartburn, bleeding, bronchospasm, rash, angioedema (swelling around the mouth/lips)

Aspirin - Dose/Route

ADULT: 4 chewable baby ASA (81mg each or 324mg total) PO

Nitroglycerin - Class

Nitrate

Nitroglycerin - Description

Vasodilates (relaxes) blood vessels, which lessens heart workload and allows for more blood to circulate to the heart’s blood vessels

Nitroglycerin - Indication

Chest pain associated with angina and acute myocardial infarction

Nitroglycerin - Contraindication

*HYPOtension (systolic BP <100mmHg), *use of phosphodiesterase inhibitors (ie. Viagra, Cialis) in last 24 hours, known hypersensitivity, severe anemia, trauma, increased ICP, glaucoma, shock

Nitroglycerin - Precaution

Nitroglycerin can lose potency when exposed to light or to the air. Monitor vital signs closely; can cause severe HYPOtension

Nitroglycerin - Side Effect

Headache, HYPOtension, diaphoresis, flushed skin, palpitations

Nitroglycerin - Dose/Route

ADULT: 0.4mg SL or 1 spray (=0.4mg) every 5 min. until pain free or SBP <100mmHg, MAX 3 doses.

Nitroglycerin - Important Info

• Administration is restricted to ONLY patients who already have a doctor’s order with a prescription for the medication. AND must have SBP >100mmHg AND must not have had a phosphodiesterase inhibitor in last 24hrs.

Oxygen - Class

Medical gas

Oxygen - Description

Odorless, colorless, tasteless gas

Oxygen - Indication

Hypoxia, anticipated hypoxia, any patient with a need to improve respiratory efficiency

Oxygen - Contraindication

COPD ( Chronic Obstructive Pulmonary Disease) patient that is not hypoxic and used for a prolonged period of time

Oxygen - Precaution

Supports combustion; because it’s compressed gas in cylinders, do not drop, throw or cause damage to tank

Oxygen - Side Effect

Dry oxygen can irritate mucous membranes

Oxygen - Dose/Route

ALL PATIENTS- NC (nasal Cannula): 1-6L/min; NRB(Nonrebreather): 10-15L/min; BVM(BagValveMask): 15L/min, CPAP(Continuous Positive Airway Pressure) 5-25 cmH2O