2015 Trumbull Memorial Hospital Demo

Nitroglycerin (Tab, Paste)

Nitroglycerin (Tab, Paste)

Action

Onset

Vasodilator

2 minutes

Indications Chest Pain / MI Pulmonary Edema / CHF

Adult Dose 1 tab (0.4 mg) SL every 5 minutes, maintain SBP > 100 mmHg 1” of paste, maintain SBP > 100 mmHg. If hypotension occurs, wipe paste off chest.

Pediatric Dose Not indicated.

Contraindications Known hypersensitivity, pericardial tamponade, restrictive cardiomyopathy, constrictive pericarditis, do not administer if patient has taken the following drugs in the hours stated: Drug Hours

Cialis 48 Levitra 24 Viagra 24

Adverse Reactions Most are dose related to results from nitroglycerin’s activity as a vasodilator. Headache most common. Transient episodes of lightheadedness, sometimes related to hypotension may occur. Hypotension is infrequent but may be severe in some patients. Syncope, crescendo angina, and rebound hypertension may occur but they are uncommon. Precautions Severe hypotension and shock can occur even with smaller doses. Use caution with volume depleted patients. Hypotension induced by nitroglycerin can be accompanied by hypotension and increased angina pectoris.

Considerations Check for transdermal patch prior to administration.

213

EMR

EMT

AEMT

Paramedic

Extended