Related Questions

Is it safe and beneficial to give a heart attack victim nitrostat (nitroglycerin) before doing cpr?

No. If someone is in need of cpr, the only thing that should delay the initiation of chest compressions is calling 911. Chest compressions at the proper speed and depth are the most important thing to do to save someone's life. If an automated external defibrillator (AED) is present, it is important to place that on the patient as soon as possible as this is a life saving maneuver as well. Read more...
Heart attack. If someone needs CPR nitro is not given. CPR is usually given to someone who is experiencing cardiac or cardio-pulmonary arrest. Read more...

What does nitroglycerin do during a heart attack?

Reduce pain. There is actually some debate about the use of nitroglycerine in the setting of all heart attacks. It is known that nitroglycerine dilates the veins and to a lesser extent the arteries and sort of "unloads" the heart. As such it will make it easier for the heart to pump under the stressful circumstances of a heart attack. However, when the blood pressure is low, it is not a good idea. Read more...
Dilation. Nitrates like Nitroglycerin cause the arteries to dilate so more blood flows (higher rate). This is to try to mitigate the lack of blood flow to the affected part of the heart through increased flow in the affected arteries and in collateral circulation. Read more...

What is the significance of placing nitroglycerin under the tongue during heart attack?

Sublingual. The blood vessels under the tongue are very close to the surface lining of the mouth. Placing Nitroglycerin there allows it to dissolve and quickly enter the blood stream. Read more...
Vasodilation. It causes the arteries to dilate so more blood can flow to the affected area of the heart thereby reducing the damage being caused. Read more...

What is the significance of placing nitroglycerin under the tongue of a patient suffering heart attack?

Emergency. Placing a sublingual meds would serve the same purpose as giving meds through IV -- as you probably know, Nitroglycerin can relieve cardiac chest pain (angina pectoris) quickly and potentially halt the progression to a heart attack -. Read more...
Pain relief . Nitroglycerin relaxes blood vessels and improves blood flow to the heart. During a heart attack blood flow is decreased and this causes damage to the heart which can be fatal. Increased blood flow decreases the pain and injury and can improve survival. Read more...

If someone is on viagra (sildenafil) they cannot take nitroglycerin. So what would be given in an ambulance to a heart attack patient who regularly takes viagra (sildenafil)?

No easy answer. Based on BP and how frequent the patient is monitored and how active the chest pain. The key is drop in BP and that may cause more harm, Also viagra (sildenafil) has a short half-life, so if the patient took if many hours prior, and has a stable BP, NTG is an option, and then there is a hypertensive patient, NTG may be beneficial to get the BP down and decrease workload. Read more...