Isosorbide Mononitrate (Imdur) PDF

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Summary

adult 1 ati assignments...

Description

ACTIVE LEARNING TEMPLATE:

Medication

Katelyn Mehalic STUDENT NAME _____________________________________ Isosorbide Mononitrate (Imdur) Nitrate CATEGORY CLASS ______________________________________________________________________

MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________

PURPOSE OF MEDICATION

Expected Pharmacological Action vasodilates the blood vessels which will reduce the hearts oxygen demand, pre-load and afterload.

Therapeutic Use Used primarily for preventing or treating chest pain (angina) that results from coronary artery disease. Isosorbide Dinitrate used only for prevention

Complications headache, reflex tachycardia, facial flushing, orthostatic hypotension, n/v, blurred vision, dry mouth, burning or tingling under tongue, Severe low BP is presented with cold/clammy skin, pulselessness, and fainting/dizziness.

Contraindications/Precautions Avoid tolerance by allowing at least 12 drug free hours a day in the dosing schedule. Nitrates have a short half-life of 5-7 minutes. Very suseptible to the first-pass effect.

Interactions

Medication Administration PO Maximum single daily dose: 240 mg.Take on empty stomach

Nursing Interventions Record angina, assess if pt. is taking any ED medications. Vitals, Assist pt. with ambulation or ADL’s due to Sx. Assess for facial flushing

antihypertensive medications, alcohol, erectile dysfunction meds, beta blockers

Client Education Evaluation of Medication Effectiveness Patient has no chest pain or decreased occurance

ACTIVE LEARNING TEMPLATES

Warn patient of possible headache. Do not crush, or break apart tablets. Avoid alcohol. Do not swallow; dissolve under tongue. Move from sitting to standing slowly. Headache relief w/ Aspirin...