How do you give an EMT nitroglycerin?

Why is nitroglycerin administered under the tongue?

— — Question: How does nitroglycerin work, when is it used, and why is it placed under the tongue? Answer: Nitroglycerin is used because it dilates the vessels and therefore lowers the blood pressure.

Can Emts assist with nitroglycerin?

Procedure. A certified EMT-B should deliver pre-prescribed nitroglycerin or a brochodilator to a patient if the patient indicates (verbally, by gesture, etc.) their desire to take their medication and the delivery of such medication is not contraindicated by protocol or the EMT-B’s training.

What does nitroglycerin do EMS?

Nitroglycerin is a direct vasodilator, which acts principally on the venous system although it also produces direct coronary artery vasodilation as a result. There is a decrease in venous return, which decreases the workload on the heart and thus, decreases myocardial oxygen deman.

What precautions are taken when administering nitroglycerin?

Nitroglycerin sublingual tablets should not be chewed, crushed, or swallowed. They work much faster when absorbed through the lining of the mouth. Place the tablet under the tongue or between the cheek and gum, and let it dissolve. Do not eat, drink, smoke, or use chewing tobacco while a tablet is dissolving.

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Why are nitroglycerine tablets given sublingually rather than orally?

Glyceryl trinitrate (or nitroglycerin) undergoes extensive hepatic presystemic metabolism when given orally. Therefore, it is usually given by the sublingual route, by which it is well absorbed and rapidly taken up into the circulation.

Which route of administration for nitroglycerin is most common?

Nitroglycerin sublingual tablets should not be chewed, crushed, or swallowed. They work much faster when absorbed through the lining of the mouth. Place the tablet under the tongue or between the cheek and gum, and let it dissolve.

What medications can an EMT assist a patient with?

Medications authorized for administration by EMTs are:

  • Activated Charcoal.
  • Albuterol.
  • Aspirin.
  • Epinephrine, 1:1,000 via EpiPen® or vial.
  • Nitroglycerin (Tablet or Spray)
  • Oral Glucose Gel.
  • Oxygen.
  • Tylenol.

What can paramedics do that EMTs Cannot?

The basic difference between EMTs and paramedics lies in their level of education and the kind of procedures they are allowed to perform. While EMTs can administer CPR, glucose, and oxygen, paramedics can perform more complex procedures such as inserting IV lines, administering drugs, and applying pacemakers.

What is the action of nitroglycerin?

The principal pharmacological action of nitroglycerin is relaxation of vascular smooth muscle. Although venous effects predominate, nitroglycerin produces, in a dose-related manner, dilation of both arterial and venous beds.

What does nitroglycerin do to the body?

Nitroglycerin works by relaxing the smooth muscle and blood vessels in your body. This increases the amount of blood and oxygen that reaches your heart. In turn, your heart doesn’t work as hard. This reduces chest pain.

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What does nitroglycerin do for the heart?

It is used to treat angina symptoms, such as chest pain or pressure, that happens when there is not enough blood flowing to the heart. To improve blood flow to the heart, nitroglycerin opens up (dilates) the arteries in the heart (coronary arteries), which improves symptoms and reduces how hard the heart has to work.