Nitroglycerine
ADULT:
Chest pain BP > 100:
0.4 mg SL, may repeat every 3 min. to a maximum of 3 doses.
CHF / Pulmonary Rales BP ≥ 100 - 150:
0.4 mg SL, may repeat every 3 min. to a maximum of 3 doses.
CHF / Pulmonary Rales BP ≥ 150:
0.8 mg SL, may repeat every 3 min. to a maximum of 3 doses.
PEDS:
Not approved for Peds (BHO).
INDICATIONS:
- Chest pain of suspected cardiac origin.
- Pulmonary Rales / suspected CHF.
CONTRAINDICATIONS:
- No NTG if Erectile Dysfunction drugs (i.e.: Viagra, Levitra, Cialis, etc.) were used in past 24 hours.
- Note: ED medications can be used for other medical conditions such as Pulmonary Hypertension.
COMMENTS:
- Use with Caution if given with other vasodilators (e.g. morphine).
- BH may order the administration of NTG > 3 doses.
- Document BP and pain scale before and after each dose.
- Pt’s with history of Pulmonary Hypertension may be on ED meds.
GONITRO PROCEDURES:
- Tap packet to ensure medication is all together.
- Tear packet at tear line.
- Pour entire packet under the patient’s tongue.
