Medications for pulmonary hypertension (ex: Flolan, Revatio, Adcirca)
Assess vitals, acquire 12-lead ECG and establish IV
Consider Nitroglycerin administration as described below (If inferior MI evident on ECG, contact medical control prior to Nitroglycerin administration):
0.4 mg SL every 5 min X3 for MILD symptoms (HR<100, SBP 100-150, RR<25) or;
0.8 mg SL every 5 min X3 for MODERATE or SEVERE symptoms (HR>100, SBP >150, RR>25) or;
Topical Nitroglycerin:
1″ for SBP 100-150
1.5″ for SBP 150-200
2″ for SBP >200
Reassess blood pressure after each Nitroglycerin dose; do not readminister if SBP<100 mmHg
Monitor LOC & respiratory status; do not readminister if status changes that cause concern for aspiration based on patient’s clinical status