Case Study: GTN Mechanism and Function, Side Effects, Sub-lingual GTN Spray Administration

Case Study

Table of Contents
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
GTN Mechanism and Function....................................................................................................1
Side Effects of GTN.....................................................................................................................2
Method to use Sub-lingual GTN Spray and its Administration...................................................2
Information Provided to Carl Shapiro..........................................................................................2
CONCLUSION................................................................................................................................3
REFERENCES................................................................................................................................4

INTRODUCTION
Cardiovascular is considered as a heart condition that includes diseased vessels,
problems related to structure of heart and blood vessels and blood clots. This report is about a
case study in which a 54 year old man who presented to coronary care unit and complaining of
symptoms that are related to cardiovascular disease. The actions of GTN are provided in study
along with its side effects. The effectiveness of sub-lingual spray will be explained with
administration.
CASE STUDY I
Question 1
GTN Mechanism and Function
Nitroglycerin which is also known as Glyceryl Trinitrate is a medicine that is used for
heart failure, high blood pressure, painful periods, anal fissures and reduce the pain in chest due
to less blood flow to the heart. This medicine also can be used for the pain of the heart attack.
There are different ways can be used to get relief in chest pain that is related to heart attack or
chest pain due to improper blood flow in heart.
GTN works in two different ways to provide relief to the patient form the chest and heart
attack pain. In the first process GTN relaxes the blood vessels in body and causing them wide.
This reduces the strain in heart which is helpful for heart to pump blood in body. In other type it
also relaxes and widens the blood vessels in heart that increases blood flow in heart muscles.
This is how it provides relief to the patient in extreme chest pain due to poor blood flow and
heart failure (Munro, Jansen-Olesen and Olesen, 2017). The main action of the Gtn in body is to
reduce the pulmonary vascular resistance. Glyceryl trinitrate is also known as a vasodilation
agent. It is principle of pharmacological action that relaxes the vascular smooth muscle. The
oxygen carrying capacity can be reduced by several conditions. In first process it reduces the
concentration of red blood cells or decrease the saturation of the haemoglobin. This reduced
saturation of haemoglobin is decreased by GTN that reduce the demand of Cardiac muscle for
oxygen.
In the administration of GTN a 500 microgram medicine should be taken to get rid of
pain and if pain do not resolve so repetitive doses can be taken in interval of five minutes for
total three doses. If after this pain do not resolves it is suggested to call emergency services
immediately. This is how three continuous doses can be taken in interval of 5 minutes for each
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