Ans: -If patient has a confirmed inferior wall stemi or right ventricular
infarction
-avoid nitro if patient has hypotension, bradycardia, or tachycardia
-if patient recently has taken sildenafil, vardenafil, or tadalafil in the past 24-
48 hrs
What is a physiological effect of nitroglycerin?
Bronchodilation
Reduces preload
Binds to opioid receptors
Platelet aggregation inhibition
Ans: Reduces preload
Which clinical findings represents a contraindication to the administration
of nitroglycerin?
Anterior wall infarction
Posterior wall infarction
Lateral wall infarction
Confirmed right ventricular infarction
Ans: Confirmed right ventricular infarction
When is morphine indicated?
Ans: In STEMI patients with severe chest discomfort that does not respond
to nitrates
What should you always monitor after giving morphine?