CPAP/BiPAP with<unk> EP 6-8; titrate up to<unk> EP of 10-12
Nitroglycerin
Dosing Options
Sublingual 0.4mg q5min
Nitropaste (better bioavailability than oral Nitroglycerin)
Intravenous: 0.1mcg/kg/min - 5mcg/kg/min
Generally start IV nitroglycerin 50mcg/min and titrate rapidly (150mcg/min or higher) to symptom relief as long as patient's blood pressure tolerates
If nitroglycerin fails to reduce work of breathing, consider nitroprusside (reduces both preload and afterload) or ACE-inhibitiors (preload reducer)
After patient improves, titrate down nitroglycerin as enalaprilat (0.625 - 1.25mg IV) or captopril are started
Morphine is no longer recommended due to increased morbidity
Dosing Options
Sublingual 0.4mg q5min
Nitropaste (better bioavailability than oral Nitroglycerin)
Intravenous: 0.1mcg/kg/min - 5mcg/kg/min
Generally start IV nitroglycerin 50mcg/min and titrate rapidly (150mcg/min or higher) to symptom relief as long as patient's blood pressure tolerates
Sublingual 0.4mg q5min
Nitropaste (better bioavailability than oral Nitroglycerin)
Intravenous: 0.1mcg/kg/min - 5mcg/kg/min
Generally start IV nitroglycerin 50mcg/min and titrate rapidly (150mcg/min or higher) to symptom relief as long as patient's blood pressure tolerates
Generally start IV nitroglycerin 50mcg/min and titrate rapidly (150mcg/min or higher) to symptom relief as long as patient's blood pressure tolerates
Pulmonary edema
Pulmonary
Immersion pulmonary edema
Airway obstruction
Pleural effusion
Anaphylaxis
Pleuritis
Angioedema