DRUG | SUPPLIED | DOSE | COMMENTS |
---|---|---|---|
NITROGLYCERIN (Paeds) (Nitropaste) Mechanism of action: Vasodilator of venous vascular system Ref: 32, 44 Last update: 2019-07-15 |
injection: 5 mg/mL , 10 mL vials ointment: 2% Standard concentrations for Critical Care: PICU: 100 mcg/mL, 200 mcg/mL, 500 mcg/mL |
Vasodilator/preload/afterload reduction : Continuous IV Infusion: 0.5 - 10 mcg/kg/min Start at 0.1 - 1 mcg/kg/min and increase by 0.5 -1 mcg/kg/min every 3 - 5 min until desired clinical effect. Topical for afterload reduction: Dose not well established in children but can be approximated by calculating total daily IV dose and converting this amount to cm of ointment and dividing into two daily doses. |
Infusions in Critical Care areas only. Requires invasive hemodynamic monitoring. Nitroglycerin infusions can cause a significant drop in BP. Use cautiously in hypovolemia. Administer continuous infusions via a syringe pump with non-PVC tubing. Maximum concentration: 500 mcg/mL. When converting from IV to topical: 1 cm of 2% ointment contains approximately 7.5 mg of nitroglycerin Standard Prescription: nitroglycerin__mcg/kg/min continuous IV infusion nitroglycerin 2% ointment: apply__cm topically to lightly cover__cm2 area__(frequency) |