How does SL nitro differ from Nitrolingual spray? What are the common side effects and drug interactions with SL nitro?

Questions:
1.U is a 72 yo male with new onset angina. His physician prescribes sublingual nitroglycerine. As the nurse practitioner in the practice you are asked to review the appropriate use of this medication with the patient.
What should the patient be told with respect to:
What are the common side effects of SL nitro
How does SL nitro differ from Nitrolingual spray?
What are the common side effects and drug interactions with SL nitro?
2.SD is a 67 yo with angina. He may be started on diltiazem or metoprolol.
Explain the mechanism of each in treating angina.
What are some of the major side effects they have in common and that they differ in?
3.LG is a 72 yo male with a new diagnosis of angina and impotence. He had been using Viagra as needed. Is there any special concern now that he has been diagnosed with angina? If so what?
4.4.LT is a 35 yo that complains of chest pain. What are causes of drug induced angina and how should an acute angina episode be managed?
5. IT is a 36 yo nurse that comes into the ED complaining of chest pain. Upon history you learn she has been using cocaine. Her PH is 190/90. What are your options re: diagnostics and treatments?
6. DB is a 69 yo with angina and asthma. What is a not a good antianginal to try and why? What are the monitoring parameters for efficacy and toxicity of this agent?

 

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