Perfusion and Renal Elimination
6.13 Erectile Agents
Erectile Agents
Sildenafil (Viagra) is commonly known to treat erectile dysfunction. This medication was originally developed for improvement of pulmonary hypertension, but has been found to be useful for additional indications. However, clients taking this medication cannot take nitroglycerin due to severe hypotension.
Mechanism of Action
Sildenafil inhibits phosphodiesterase (PDE-5) in the pulmonary smooth muscle and corpus cavernosum. This allows for relaxation in the smooth muscle.
Indications for Use
Sildenafil is used in the treatment of pulmonary hypertension and erectile dysfunction.
Nursing Considerations Across the Lifespan
Pediatric clients have been shown to have an increase in mortality with sildenafil.
Dose adjustments are needed for clients with hepatic and renal impairment.
Use cautiously with geriatric clients with decreased hepatic, renal, and cardiac functions.
Adverse/Side Effects
Clients taking sildenafil may expect to experience hypotension, visual or hearing loss, priapism (male), headache, or vaso-occlusive crisis. If clients have priapism that lasts longer than 4 hours, they should seek medical attention.[1]
Client Education & Teaching
Clients should be instructed to take medications as directed and should seek immediate medical attention if chest pain occurs. Clients need education regarding the need to report priapism lasting longer than 4 hours or if they notice any dizziness or decrease in hearing ability.[2]
- This work is a derivative of Daily Med by U.S. National Library of Medicine in the public domain. ↵
- uCentral from Unbound Medicine. https://www.unboundmedicine.com/ucentral ↵