27.05 Nitroprusside (Nitropress)

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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

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