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2018-02-10T17:21:30Z

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Protected "Antianginals" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "==Section 8 - MEDICATION GUIDELINES== ===8.05 ANTIANGINALS=== ====Nitroglycerin Drip (NITROL, TRIDIL, NITROSTAT) / Antianginal==== '''DESCRIPTION''' * Reduces cardiac oxygen..."

2018-02-10T17:17:15Z

Created page with "==Section 8 - MEDICATION GUIDELINES== ===8.05 ANTIANGINALS=== ====Nitroglycerin Drip (NITROL, TRIDIL, NITROSTAT) / Antianginal==== '''DESCRIPTION''' * Reduces cardiac oxygen..."

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==Section 8 - MEDICATION GUIDELINES==
===8.05 ANTIANGINALS===

====Nitroglycerin Drip (NITROL, TRIDIL, NITROSTAT) / Antianginal====
'''DESCRIPTION'''
* Reduces cardiac oxygen demand by decreasing preload and afterload. Also increases blood flow through the collateral coronary vessels.
'''INDICATIONS'''
* [[Chest Pain Acute Coronary Syndrome|Chest pain associated with Angina Pectoris and Myocardial Infarction]], CHF, HTN,
'''CONTRAINDICATIONS'''
* Increased intracranial hemorrhage. Hypersensitivity to the medication. Systolic BP < 90 mm Hg.
**''Administer with caution and only use a nitro drip in patients who present with potential Right Ventricular Infarction as identified by a 12 Lead EKG.''
'''PRECAUTIONS'''
* It may induce headache that is sometimes severe. Patients may develop tolerance. Watch for hypotension. MUST BE ON AN INFUSION REGULATOR.
'''DOSAGE'''
* Initial infusion rate is 5-15 mcg / minute. Titrate to effect.
*''See appendices for [[Medication Infusion Tables|infusion rate chart]].''

==== Nitroglycerin Spray (NITROLINGUAL SPRAY) / Antianginal ====
'''DESCRIPTION'''
* It is an aerosol preparation that delivers exactly 0.4 mg with each spray. Peak effect in 4 minutes.
'''INDICATIONS'''
* [[Chest Pain Acute Coronary Syndrome|Chest pain associated with Angina Pectoris and Myocardial Infarction]], [[Acute Cardiogenic Pulmonary Edema Pneumonia|Acute Pulmonary Edema]].
'''CONTRAINDICATIONS'''
* Increased intracranial pressure. Hypersensitivity to the medication. Systolic BP < 90 mm Hg.
* Do not administer in patients who present with potential Right Ventricular Infarction as identified by a 12 Lead EKG.
'''PRECAUTIONS'''
* It may induce headache that is sometimes severe. Patients may develop tolerance. The spray should not be inhaled. Watch for hypotension.
'''DOSAGE'''
* 0.4 mg sublingually AND refer to appropriate PRACTICE PARAMETER for specific dosages.

==== Nitroglycerin Tablets (NITROLINGUAL TABLETS) / Antianginal ====
'''DESCRIPTION'''
* It is a tablet containing 0.4mg of Nitroglycerin.
'''INDICATIONS'''
* [[Chest Pain Acute Coronary Syndrome|Chest pain associated with Angina Pectoris and Myocardial Infarction]], [[Acute Cardiogenic Pulmonary Edema Pneumonia|Acute Pulmonary Edema]].
'''CONTRAINDICATIONS'''
* Increased intracranial pressure. Hypersensitivity to the medication. Systolic BP < 90 mm Hg.
'''PRECAUTIONS'''
* It may induce headache that is sometimes severe. Patients may develop tolerance. The tablet should not be swallowed. Watch for hypotension.
'''DOSAGE'''
* 0.4 mg sublingually AND refer to appropriate PRACTICE PARAMETER for specific dosages.

[[Category:Medication Guidelines|0805]]

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← Older revision	Revision as of 17:17, 10 February 2018
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Antianginals - Revision history

Mfrdmanager at 17:21, 10 February 2018

Mfrdmanager: Protected "Antianginals" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "==Section 8 - MEDICATION GUIDELINES== ===8.05 ANTIANGINALS=== ====Nitroglycerin Drip (NITROL, TRIDIL, NITROSTAT) / Antianginal==== '''DESCRIPTION''' * Reduces cardiac oxygen..."