IV nitroglycerine alternatives: Difference between revisions
| Line 12: | Line 12: | ||
*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 | ||
***[[ | ***[[Nitroprusside]] '''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 17:51, 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
- Nitroprusside 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>