Isosorbide Mononitrate (Imdur)

ATI-format individual drug card with NCLEX-focused assessment, safety, teaching, and source attribution.

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Isosorbide Mononitrate (Imdur)

ATI class: Nitrate / Antianginal

Action

  • ATI/source-folder candidate for Isosorbide Mononitrate (Imdur); verify mechanism against the source table before validation.

Therapeutic use

  • Review under Coronary Artery Disease medication safety.

Nursing assessment

  • Assess chest pain pattern, blood pressure, pulse, headache, dizziness, and syncope risk.
  • Ask about recent phosphodiesterase-5 inhibitor use.
  • Assess adherence to nitrate-free interval if prescribed.

Administration

  • Verify route against the order and source table.

Side effects

  • Verify common side effects against the source table.

Adverse effects

  • Severe hypotension
  • Syncope
  • Headache
  • Dizziness
  • Reflex tachycardia

Interactions

  • Sildenafil
  • Tadalafil
  • Vardenafil
  • Riociguat
  • Alcohol
  • Other antihypertensives

Contraindications

  • See source-specific contraindications and precautions before administration.

Precautions

  • Recent PDE-5 inhibitor use, severe hypotension, or concurrent riociguat.
  • Use caution with volume depletion, right ventricular infarct concern, and older adult fall risk.

Client teaching

  • Do not use erectile dysfunction medications with nitrates.
  • Rise slowly and sit or lie down if dizzy.
  • Report unrelieved chest pain according to emergency instructions.
  • Follow dosing schedule to prevent tolerance.

Medication outcomes

  • Therapeutic response with no priority adverse effects.

Antidote / rescue

  • No specific antidote is seeded; hold/question unsafe doses and manage toxicity per provider, facility, or poison-control guidance.

NCLEX priority cues

  • PDE-5 inhibitor plus nitrate can cause life-threatening hypotension.
  • Assess blood pressure before nitrate dosing.
  • Unrelieved chest pain is not routine medication teaching.

Medication classes

Nitrates

Source attribution

Google Drive source topic: Coronary Artery Disease
google-drive
Sentinel pharmacology API reference
sentinel-api
Manual ATI-format NCLEX candidate normalization
manual-seed

Related study cards

Shows the medication class, ATI cues, source references, and connected study cards for this drug.

12 study links
Med classmedication class
Nitrates

Dilates veins and coronary vessels to reduce workload and improve oxygen supply-demand balance.

ATI cueInteraction
Alcohol

ATI medication interaction concept.

ATI cueClass
Antianginal

ATI medication class concept.

ATI cueNursing Assessment
Ask about recent phosphodiesterase-5 inhibitor use.

ATI medication nursing assessment concept.

ATI cueNursing Assessment
Assess adherence to nitrate-free interval if prescribed.

ATI medication nursing assessment concept.

ATI cueNCLEX Priority Cue
Assess blood pressure before nitrate dosing.

ATI medication nclex priority cue concept.

ATI cueNursing Assessment
Assess chest pain pattern, blood pressure, pulse, headache, dizziness, and syncope risk.

ATI medication nursing assessment concept.

ATI cueMechanism of Action
ATI/source-folder candidate for Isosorbide Mononitrate (Imdur); verify mechanism against the source table before validation.

ATI medication mechanism of action concept.

ATI cueAdverse Effect
Dizziness

ATI medication adverse effect concept.

ATI cueClient Teaching
Do not use erectile dysfunction medications with nitrates.

ATI medication client teaching concept.

ATI cueClient Teaching
Follow dosing schedule to prevent tolerance.

ATI medication client teaching concept.

ATI cueAdverse Effect
Headache

ATI medication adverse effect concept.