Can EMTs give nitroglycerin?
Procedure. A certified EMT-B should deliver pre-prescribed nitroglycerin or a brochodilator to a patient if the patient indicates (verbally, by gesture, etc.) their desire to take their medication and the delivery of such medication is not contraindicated by protocol or the EMT-B’s training.
How much nitro do you give a patient?
Adults—1 tablet placed under the tongue or between the cheek and gum at the first sign of an angina attack. 1 tablet may be used every 5 minutes as needed, for up to 15 minutes. Do not take more than 3 tablets in 15 minutes. To prevent angina from exercise or stress, use 1 tablet 5 to 10 minutes before the activity.
What is the maximum number of sprays of nitroglycerin that can be administered?
DOSAGE & ADMINISTRATION:
No more than three metered sprays are recommended within a 15-minute period. If the chest pain persists, prompt medical attention is recommended.
What medications can an EMT assist a patient with?
Medications authorized for administration by EMTs are:
- Activated Charcoal.
- Epinephrine, 1:1,000 via EpiPen® or vial.
- Nitroglycerin (Tablet or Spray)
- Oral Glucose Gel.
How much nitroglycerin can an EMT give?
Adult: 0.4 mg (1 tablet or 1 spary sublingual). May repeat in 3-5 minutes (no maximum as long as bp is above 110SBP ). Nitroglycerin is a direct vasodilator, which acts principally on the venous system although it also produces direct coronary artery vasodilation as a result.
How is nitroglycerin administered?
Nitroglycerin comes as a sublingual tablet to take under the tongue. The tablets is usually taken as needed, either 5 to 10 minutes before activities that may cause attacks of angina or at the first sign of an attack.
How much does nitroglycerin lower BP?
At 5 and 10 min after sublingual nitroglycerin, mean reduction of mean arterial blood pressure by 12.3 and 16.3% was achieved.
How do you administer nitroglycerin IV?
Initially, 5 to 10 mcg/minute continuous IV infusion. Titrate by 5 mcg/minute IV every 3 to 5 minutes until clinical response, or to a dose of 20 mcg/minute IV.
How many times a day can I use my angina spray?
Spray – 1 or 2 sprays under your tongue. If you’re still in pain after 5 minutes you can have a second dose of 1 or 2 sprays under your tongue. If you’re still in pain after 5 minutes you can have a third and final dose. Do not use more than 3 doses during an angina attack.
Can you take too much nitroglycerin?
If you take too much: You could have dangerous levels of the drug in your body. Symptoms of an overdose of this drug can include: throbbing headache. confusion.