27.05 Nitroprusside (Nitropress)

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Included In This Lesson

Outline

Generic Name

nitroprusside

Trade Name

Nitropress

Indication

hypertensive crisis, cardiogenic shock

Action

peripheral vasodilation of arteries and veins decreasing preload and afterload

Therapeutic Class

antihypertensive

Pharmacologic Class

vasodilator

Nursing Considerations

• monitor HR, BP, and EKG continuously during therapy
• may cause cyanide toxicity
• sympathomimetics may decrease effectiveness
• PAOP monitoring may help with MI and CHF patients