|
Nitroglycerin: |
Nitrate |
|
|
|
IVP DOSING |
| 12.5-25 mcg |
I've never given this stuff as a bolus... But it's certainly an exciting option. Let's try it!!! |
|
INFUSION DOSING |
|
Start your infusion here, and titrate as needed for whatever reason your giving it. Hopefully NOT for BP controll, but, VERY possibly!!! |
5 mcg/min |
|
SL DOSING |
| 0.3-0.5 mg | Q 3-5 minutes x 3. Alright, we got it already!!! |
|
TD DOSING |
|
This paste now comes in little condiment-like packages, so don't put it near your lunch! Actually, the packages have taken all the fun out of it (I prefered it when we got to guess...) Also, try taking it off before you call for the Dopamine drip! |
1-2 inches |
By
suppling an exogenous source of nitric oxide to vascular cells, nitro
systemically dilates both veins and arteries, decreasing preload and afterload,
and thereby O2 demand.
It increases blood flow to the heart by dilating large coronary vessels.
This increases blood flow through collateral coronary circulation, and
thus effectively relieves coronary vasospasm, angina and ischemia, and halts the
progression of AMI.
Used for the treatment and prevention of myocardial ischemia and acute
angina, and also for acute hypertension.
Side
Effects: HA, ¯
BP,
HR, syncope, flushing, N/V, tongue tingling.
Contraindicated:
in hypotension, hypovolemia, ICB, aortic stenosis, RVMI, serious bradycardia of
tachycardia, recent use of Viagra (sildenafil) within 24 hours.
Tolerance develops rapidly, and requires escalating doses when given
continuously.
 |