IV nitroglycerine alternatives: Difference between revisions
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==Suggested Substitutions<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 | |||
**Once controlled | |||
***[[Nitropursside]] '''OR''' [[Isordil]] PO (nitro paste or longer acting NTG) | |||
**If not well controlled | |||
***IV [[enalapril]] 0.625-1.25mg IV bolus | |||
***IV [[hydralazine]] 5-10mg IV bolus | |||
***IV [[nitropursside]] | |||
==See Also== | ==See Also== | ||
Revision as of 17:50, 3 December 2015
Background
- Suggestions for substitution during the IV shortage
Nitroglycerine Bioavailability
Half-life[2]: 0.05 h
Suggested Substitutions[3]
- Sublingual nitroglycerin, 1-2 tabs or sprays every 5 minutes as needed
- Once controlled
- Nitropursside OR Isordil PO (nitro paste or longer acting NTG)
- If not well controlled
- IV enalapril 0.625-1.25mg IV bolus
- IV hydralazine 5-10mg IV bolus
- IV nitropursside
- Once controlled
See Also
References
<references>