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Indications
Hypertension
Angina
Acute coronary syndrome
Side effects
Hypotension
Hot, flushed face
Headache
Adverse reactions
Severe hypotension
Methemoglobinemia (rbc’s contain mad methemoglobin, so hemoglobin can’t release o2)
Severe allergic reaction
Bradycardia or Tachycadia
Precautions
Head trauma
Cerebral hemorrhage
Cardioversion (procedure used to restore heart rhythm, remove patch prior to procedure)
Contraindications
ED drugs (viagra)
Increased ICP
Severe anemia'
Pericardial tamponade
Nursing considerations
Monitor BP
Monitor placement site
Monitor headache/pain levels
Monitor sx of Methemoglobinemia (o2 sat, blue/gray skin)
Patient education
Rotate site
Remove prior patch before applying new one
Area of placement should be clean + free of hair