Nitro Spray

Section 8 - MEDICATION GUIDELINES

ANTIANGINALS

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 associated with Angina Pectoris and Myocardial Infarction, 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.