Questions and Answers
What is the drug classification for Isordil?
What are the common generic names or trade names for Isordil?
Isosorbide dinitrate/Isordil
What is the usual dosage range for Isordil when taken orally?
PO 5-20 mg bid
Why is a client receiving Isordil?
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How does Isordil work?
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What are the common side effects of Isordil?
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What actions should a nurse take specific to Isordil?
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What should a nurse teach a client about Isordil?
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Which medications may interact with Isordil?
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Study Notes
Isordil Overview
- Classification: Nitrate, used primarily to manage angina pectoris.
Common Names
- Generic Name: Isosorbide dinitrate
- Trade Name: Isordil
Dosage Information
- Typical Oral Dosage: 5-20 mg administered twice daily (bid).
Indications
- Primary Use: Treatment of Angina Pectoris to alleviate chest pain.
Mechanism of Action
- Function: Relaxes vascular smooth muscle.
- Effects: Decreases both preload and afterload, resulting in reduced cardiac oxygen demand.
Side Effects
- Common Reactions:
- Vascular headache
- Dizziness
- Orthostatic hypotension (drop in blood pressure upon standing)
- Flushing
- Methemoglobinemia (a condition that affects blood's ability to carry oxygen).
Nursing Responsibilities
- Pain Assessment: Monitor for duration, intensity, and onset of pain.
- Orthostatic Hypotension Monitoring: Check for signs of low blood pressure when the patient changes positions.
- Methemoglobinemia Assessment: Look for symptoms such as cyanosis of the lips, nausea, vomiting, and signs of shock.
Patient Education
- Medication Compliance: Instruct patients to take prescribed doses consistently; avoid skipping or doubling doses.
- Substance Interaction: Advise against alcohol and certain over-the-counter medications that may interfere with treatment.
- Withdrawal Precautions: Warn against sudden discontinuation to prevent potential heart issues.
Drug Interactions
- Alcohol: Increased risk of hypotension.
- Sidenafil: May lead to fatal hypotension when taken concurrently with Isordil.
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Description
This quiz covers the essential information on Isordil, including its classification, common names, dosage, indications, mechanism of action, and potential side effects. Additionally, it highlights important nursing responsibilities related to patient monitoring and assessment.
