IV nitroglycerine alternatives: Difference between revisions

(Created page with "==Background== *Suggestions for substitution during the IV shortage ==Suggested Substitution<ref>http://www.medpagetoday.com/EmergencyMedicine/EmergencyMedicine/45056</ref>==...")
 
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##Once controlled, transition to NTP or isordil PO (nitro paste or longer acting NTG)
##Once controlled, transition to NTP or isordil PO (nitro paste or longer acting NTG)
##If not well controlled
##If not well controlled
##IV enalapril 0.625-1.25mg IV bolus
###IV enalapril 0.625-1.25mg IV bolus
##IV hydralazine 5-10mg IV bolus
###IV hydralazine 5-10mg IV bolus
##IV nitropursside
###IV nitropursside


==Source==
==Source==
<references>
<references>

Revision as of 23:24, 1 April 2014

Background

  • Suggestions for substitution during the IV shortage

Suggested Substitution[1]

  1. Sublingual nitroglycerin, 1-2 tabs or sprays every 5 minutes as needed
    1. Once controlled, transition to NTP or isordil PO (nitro paste or longer acting NTG)
    2. If not well controlled
      1. IV enalapril 0.625-1.25mg IV bolus
      2. IV hydralazine 5-10mg IV bolus
      3. IV nitropursside

Source

<references>