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Yes it dilates everything; it's main S/E's are hypotension, flushing and HA. It is used for chest pain, MI's etc to dilate coronary arteries and improve blood flow.
If it's used on the legs (where on the legs, exactly?) it's probably being used to improve circulation. If it's used on the lower legs the patient may have occlusive disease that the doc's are trying to treat medically before surgery.
Nitrobid, nitropaste, nitro SL, nitrospray, nitro 0.4mg etc., it's all the same thing in your drug book because it's all the same drug. Therefore all the interactions and indications are the same as with generic "nitroglycerin".
PS IV Tubing is always vented, and Nitro IV gets along with nothing.
Nitropaste applied to the dorsum (top) of the foot helps with restoring circulation there, at least sometimes. I know of many docs that have ordered it as a trial before attempting surgery on a poor surgical risk. And I have seen results from it.
We also usd to put nitropaste on the thigh when patients would complain of headaches from it when on the chest. Works too!
Hope that this helps............... :balloons:
wow never seen it applied there usually ordered to ACW . but i suppose you could put it there....... I usually have a line in my patient before putting it on. are you in the nursing home doing this? check a bp before. and shortly after application.
You will find that every once in a while you may have a patient that gets a severe headache from nitropaste, especially when it is on the chest. Try moving it to the thigh and the headahce will either go away or improve greatly. I have applied NTP to the foot in both the telemetry/step-down unit as well as ICU. This is usually ordered by vascular surgeons for the purpose of trying to dilate the blood vessels there to get some blood flow to the foot.
:balloons:
belladelicious
112 Posts
Hey guys, I have to give nitropaste 2% 1" to the leg, tomorrow. I can't find it anywhere, I've looked in 2 drug books.
Can anyone help me? My teacher said I'll need to know why it's usually not given on the leg...
is there another name for this? That's what the MAR said word for word, and it always have 2 names for the drug. Can anyone help me find what I'm looking for? I must know everything about this drug tomorrow!