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7000 MEDICATIONS
NITROGLYCERINE (NITROSTAT, NITROQUICK, etc)
Description
Short-acting peripheral venodilator decreasing cardiac preload and afterload
Onset & Duration
Onset: 1-3 min.
Duration: 20-30 min.
Indications
• Pain or discomfort due to suspected Acute Coronary Syndrome
• Pulmonary edema due to congestive heart failure
Contraindications
• Suspected right ventricular ST-segment elevation MI (Inferior STEMI pattern plus ST elevation in
right sided-precordial leads)
• Hypotension SBP < 100
• Recent use of erectile dysfunction (ED) medication (e.g. Viagra, Cialis)
Adverse Reactions
• Hypotension
• Headache
• Syncope
Dosage and Administration
0.4 mg (1/150 gr) sublingually or spray, every 5 minutes
PRN up to a total of 3 doses for persistent CP.
Nitropaste: 1” to chest if patient responds to SL NTG.
Protocol
• Adult Chest Pain
• CHF/Pulmonary Edema
NWRETAC Combined Medical Protocols Approved: April 11, 2013. Next Revision: April 2014
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