IV nitroglycerine alternatives: Difference between revisions

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#Sublingual nitroglycerin, 1-2 tabs or sprays every 5 minutes as needed
#Sublingual nitroglycerin, 1-2 tabs or sprays every 5 minutes as needed
##Once controlled
##Once controlled
###Nitropursside OR Isordil PO (nitro paste or longer acting NTG)
###Nitropursside '''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

Revision as of 23:28, 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
      1. Nitropursside 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>