What should a CMA monitor for when administering nitroglycerin?

When administering nitroglycerin, it is essential for a Certified Medication Aide (CMA) to monitor a variety of factors, particularly chest pain, fainting, headache, blood pressure, and pulse. Nitroglycerin is a medication commonly used to relieve angina (chest pain) by dilating blood vessels, which can lead to a decrease in blood pressure.

Monitoring chest pain helps assess the effectiveness of the medication in relieving the patient's symptoms. Observing for signs of fainting is critical, as lowering blood pressure can lead to reduced cerebral perfusion and potential syncope. Headaches are common side effects due to the vasodilatory effects of nitroglycerin, and noting their occurrence is important for patient safety and comfort.

Blood pressure monitoring is crucial as the medication can cause significant drops in blood pressure, which can lead to complications if not recognized and managed appropriately. Additionally, monitoring the pulse provides important information about the cardiovascular response to the medication. Collectively, these factors help ensure the safe administration of nitroglycerin and the well-being of the patient.