Please use this identifier to cite or link to this item: https://hdl.handle.net/1/988
Title: Sublingual nitroglycerin practices in patients with coronary artery disease in Australia
Authors: Warrington, Darryl ;Gallagher, Robyn ;Belshaw, J.;Kirkness, A.;Roach, K.;Sadler, L.
Issue Date: Nov-2010
Source: Volume 25, Issue 6, pp. 480-486
Journal title: Journal of Cardiovascular Nursing
Abstract: BACKGROUND AND RESEARCH OBJECTIVE: Sublingual nitroglycerin (SLNTG) medications are a recommended treatment for people with coronary artery disease (CAD); however, prescription and knowledge may be suboptimal. This study set out to determine how often SLNTG is prescribed and the knowledge and factors associated in patients with CAD. SUBJECTS AND METHODS: Patients (n = 142) were recruited from cardiac rehabilitation and surveyed regarding SLNTG prescription and key knowledge areas related to SLNTG in those prescribed (n = 89). Multiple regression analysis was used to determine independent predictors of knowledge. RESULTS AND CONCLUSIONS: Despite having CAD, 37% were not prescribed SLNTG, and of those prescribed, only 43% received related instruction. Knowledge of SLNTG was low at a mean 7.11 (SD, 2.05) points of a possible 14. Most participants (96%) knew to use SLNTG to treat chest pain/discomfort, and no participant described inappropriate symptoms for treatment. Although most patients (80%) knew to have the SLNTG available at all times, only 46% did so in reality. One in 5 participants reported that they would not call an ambulance if chest pain was unrelieved by SLNTG. Participants had more SLNTG knowledge if they were married, were male, and had been instructed about SLNTG and had less knowledge if their hospital discharge diagnosis included angina. The reporting of calling an ambulance for unrelieved symptoms was increased by having more knowledge of SLNTG, but decreased if participants had prior use of SLNTG, were married, or had more comorbidities. Consideration of prescription for SLNTG and related instruction, particularly for their chest-pain action plan, needs to be provided more systematically for patients with CAD.
URI: https://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/988
DOI: 10.1097/JCN.0b013e3181dc82ac
Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/?term=sublingual+nitroglycerin+practices+in+patients+with+coronary+artery+disease
ISSN: 0889-4655
Publicaton type: Journal Article
Keywords: Nursing
Drug Therapy
Cardiovascular Disease
Appears in Collections:Nursing

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