Welcome to your Angina Drugs
1.
Which of the following best describes why nitroglycerin is given sublingually versus other formulations (oral or transdermal)?
2.
You are doing your rounds on patients when a nurse suddenly calls for help. A 54-year old female patient being treated for chronic heart failure suddenly has had a change in status. She came into the ED about an hour ago for a CHF exacerbation and began treatment of with fluids and metoprolol, furosemide, lisinopril, and a continuous sodium nitroprusside IV drip. When you enter her room, you notice the patient appears confused, has unstable vitals with tachycardia and tachypnea despite an SpO2 of 96%, and has bright red and flushed skin. There is vomit on the bed. The patient complains of headache and abdominal discomfort. She is currently on 100% O2 4L by nasal cannula. Which of the following is the best treatment for the patient’s acute changes?
