Author Question: A patient with a history of angina is admitted for outpatient cataract surgery. When asked, What ... (Read 27 times)

imanialler · **on:** Jul 23, 2018

A patient with a history of angina is admitted for outpatient cataract surgery. When asked, What medication do you take for the angina? she replies, It is similar to nitroglycerin, and I take it under my tongue.

See, I brought it with me. The nurse is not surprised to see
a. isosorbide mononitrate (Imdur).
b. amyl nitrite.
c. nitroglycerin (Nitrostat).
d. isosorbide (Isordil).

Question 2

A patient is being discharged with a transdermal nitroglycerin patch. Which instruction should be included in the patient education?

a. Rotate the patches on nonhairy areas of your body.
b. Apply the patch to the same site every day to maintain consistent drug absorption.
c. If you get a headache, remove the patch for 4 hours, then reapply it.
d. If you get acute chest pain, apply a second patch right next to the first patch.

steff9894 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Isosorbide is taken sublingually and has similar actions to those of nitroglycerin.
Isosorbide mononitrate is not taken sublingually
Amyl nitrite is an inhalant only.
The patient indicated that it was not nitroglycerin.

Answer to Question 2

ANS: A
Patches should be rotated to prevent local irritation, and they should be applied once daily to a hairless area of skin.
Patches should be rotated to different sites to prevent local irritation.
Transdermal patches should not be taken off except as directed by the prescriber and to prevent drug tolerance, and then a specific application and removal time are indicated.
SL nitroglycerin is not indicated for acute chest pain, because a transdermal patch does not take effect for 30 to 60 minutes.