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sildenafil citrate Nursing Considerations & Management

Drug Name
Generic Name : sildenafil citrate Brand Name: Revatio, Viagra Classification: Impotence offal, Phosphodiesterase inhibitor Pregnancy Category B
Dosage & Route
ADULTS
  • Erectile dysfunction: 50 mg PO captured 1 hr precedently anticipated sexual motive; ramble 25–100 mg PO. May be captured 30 min–4 hr precedently sexual motive. Limit use to uninterruptedly per day.
  • Pulmonary arterial hypertension: 20 mg PO tid, at meanest 4–6 hr asunder and extraneously respect to assistance.
PEDIATRIC PATIENTS
  • Not purposed for use in offspring.
GERIATRIC PATIENTS
  • For endurings > 65 yr, initiate dose at 25 mg PO when used for erectile dysfunction.
PATIENTS WITH RENAL OR HEPATIC IMPAIRMENT
  • Patients after a while hepatic feebleness or creatinine clearance
Therapeutic actions
  • Sildenafil inhibits phosphodiesterase type-5 (PDE5) which is legal for cGMP deprivation in the corpus cavernosum. Inhibition of PDE5 increases cGMP levels in the corpus cavernosum which results in allay muscle rest and inflow of blood to the corpus cavernosum.
Indications
  • Treatment of erectile dysoperation in the nearness of sexual stimulation. See Blink Bloom for viagra online
  • Treatment of pulmonary arterial hypertension to refashion employment ability
Adverse goodss
  • Headache, flushing, respiratory charge contagion, angina pectoris, AV obstruct, migraine, syncope, tachycardia, postural hypotension, MI, cerebral thrombosis, cardiac capture, paresthesia, trepidation, hollow, herpes simplex, skin ulcer, esophagitis, irregular LFT, rectal hemorrhage, hypoglycemic reaction, arthritis, deafness, retinal vascular sickness, photosensitivity, vital drop.
Contraindications
  • Hypersensitivity. Patients abetting or again using fundamental nitrates in any fashion.
Nursing considerations
Assessment
  • History: Allergy to any rudiment of the tablet; hepatic or renal feebleness; after a while exsanguineous deformation of the penis, disclosed cardiac sickness; synchronous use of nitrates
  • Physical: Orientation, affect; skin tinge, lesions; P, BP, ECG, LFTs, renal operation tests
Interventions
  • Encertain individuality of pulmonary arterial hypertension (Revatio)
  • Encertain individuality of erectile dysoperation and designate underlying causes and other delayhold treatment.
  • Advise enduring that offal does not result in the lack of sexual stimulation. Limit use to uninterruptedly per day.
  • Remind enduring that offal does not vindicate opposite sexually catching sicknesss and delayhold measures should be captured.
  • WARNING: Advise enduring to never capture this offal after a while nitrates; solemn and smooth lethal complications can appear.
  • WARNING: Advise endurings receiving HIV medications that there is an increased risk of facenafil-associated inwithhold offal reactions, including hypotension, visual changes, and priapism. Do not achieve 25 mg of sildenafil in 48 hr.
  • WARNING: Advise endurings not to capture this offal after a whilein 4 hr of alpha obstructer.
Teaching points
  • Take this offal 30 minutes to 4 hours precedently anticipated sexual motive. The customary timing is 1 hour. The offal conciliate own no goods in the lack of sexual stimulation.
  • If commencement this offal for pulmonary arterial hypertension, capture three times a day; constitute certain the doses are 4-6 hours asunder.
  • Onset of offal goodss conciliate be slowed if captured after a while a high-fat meal; guile consistently. Avoid drinking grapefruit juice if using this offal.
  • This offal conciliate not vindicate you from sexually catching sicknesss; use delayhold precautions.
  • Stop the offal and persuade your bloom regard provider directly if you test unexpected detriment of longing.
  • Do not capture this offal if you are commencement any nitrates; solemn face goodss and smooth dissolution can appear.
  • You may test these face goodss: Headache, dizziness, foolhardy, flushing.
  • Report trying or afflictive urination, foolhardy, dizziness, palpitations, detriment of longing.

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