IV nitroglycerine alternatives: Difference between revisions
| Line 4: | Line 4: | ||
==Suggested Substitution<ref>http://www.medpagetoday.com/EmergencyMedicine/EmergencyMedicine/45056</ref>== | ==Suggested Substitution<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 | ||
###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 | ||
Revision as of 23:25, 1 April 2014
Background
- Suggestions for substitution during the IV shortage
Suggested Substitution[1]
- Sublingual nitroglycerin, 1-2 tabs or sprays every 5 minutes as needed
- Once controlled
- NTP 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
Source
<references>