IV nitroglycerine alternatives: Difference between revisions

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*Suggestions for substitution during the IV shortage
*Suggestions for substitution during the IV shortage


==Suggested Substitution<ref>http://www.medpagetoday.com/EmergencyMedicine/EmergencyMedicine/45056</ref>==
==Suggested Substitutions<ref>http://www.medpagetoday.com/EmergencyMedicine/EmergencyMedicine/45056</ref>==
#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

Revision as of 00:31, 2 April 2014

Background

  • Suggestions for substitution during the IV shortage

Suggested Substitutions[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>