Question

While transferring a patient with a Nitroglycerin drip, the patient becomes hypotensive. The patient has a history of ACS without pulmonary edema. You should first:

Answer 1

If a patient with ACS becomes hypotensive on a Nitroglycerin drip, stop the infusion, raise the patient's legs, increase IV fluids if possible, and monitor blood pressure. Vasopressors may be needed if there is no improvement, all under medical oversight.

Step-by-step explanation:

When a patient with a history of Acute Coronary Syndrome (ACS) becomes hypotensive while on a Nitroglycerin drip, the first step is to assess the patient's vital signs and level of consciousness. As Nitroglycerin is a vasodilator, it can lower blood pressure; therefore, it's crucial to stop the Nitroglycerin infusion if hypotension occurs. The healthcare provider should then raise the patient's legs to improve venous return, increase intravenous fluids if not contraindicated, and continue to monitor blood pressure closely. If the patient does not improve, it may be necessary to administer vasopressors. However, this should all be done under proper medical supervision with appropriate adjustments based on the patient's condition and protocols set by the medical facility.

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