gtn

Hi everyone...im new to ccu.it was my first day today. I just want to know when someone complaines of chest pain do you do an ecg before giving gtn or give gtn first? Also if a patient has ongoing chest pain how often do you carry out a 12 lead ecg?[/quote']

Does gtn mean nitro? Always get EKG first and be on standby with nitro. If the patient is having a right sided MI nitro can further deplete the preload. If the chest pain changes id get another ekg, or i see changes on the monitor, but the pt would maybe need a trip to the cath lab if they had no relief

Does gtn mean nitro? Always get EKG first and be on standby with nitro. If the patient is having a right sided MI nitro can further deplete the preload. If the chest pain changes id get another ekg, or i see changes on the monitor, but the pt would maybe need a trip to the cath lab if they had no relief

Patient's having a right sided MI will really look sick...like they're in shock. These patients are preload-dependent, so preload reduces such as nitro are contraindicated. Also with a TRUE right sided MI, the lungs will sound clear to auscultation.