E tank
Caution: Paralyzing Agent
- 1,572
- 1,422
- 113
Those dosages are used exclusively for the hypersympathetic flash pulmonary edema patients with significant hypertension. Usually those whom have diastolic dysfunction but no other significant cardiac conditions.
Inhaled or IV Flolan? I’ve used inhaled for ARDS V/Q mismatch and intravenous or intra PA for significant PAH. Never used it specially for APE. It seems like selectively reducing pulmonary pressures without addressing the excessive systemic afterload first wouldn’t be the most effective strategy tho.
You got me before I edited my post! I edited that because the settings that we use flolan or NO for flash pulmonary edema in the CT surgery setting are kind of removed from what we're talking about here so I deleted that part of my post for simplicity's sake. Didn't really apply but where in theory a huge slug of NTG would help in those situations, the dose would otherwise kill the patient.
But to your point, you are, of course correct, the dose is so high though, I was wondering with the common possibility of acei/arb being so high these days, I was curious as to whether or not this was used more commonly. Those medications could potentially present a more than anticipated fall in CO and MAP with such a big hit of NTG.
Like I said, I'm unfamiliar with it.