I love seeing the ones that say "their BP was high enough". These are the ones that have never seen a pt with a bp of 170/100 drop to 70/40, after one NTG dose. You have now made the heart work twice as hard, while it is infarcting.
There is a reason why they teach IV first. As Rid stated, you also want a 12 lead before any meds. That way, if the NTG resolved the problem the Dr. can see what was going
If a pt takes their own NTG, they know the risks. We are there to help,not harm.
Well Reaper, you wouldn’t like me too much I'm afraid 'cause I'm one of those who will give the nitro if there BP is high enough. Have yet to have one bottom out on me. But I'm still a newbie.^_^
This is how I usually run it. Thorough assessment (r/o anxiety cp'er). Check BP and other vitals including basic ekg, if high enough one spray nitro. Depending on how severe pt presenting start line on scene or on-route (if fire hasnt already done it for me). Again, depending on pt presentation 12-lead on scene or on route. Continuing care of nitro every 5 and possible morphine if no pain relief if I havnt arrived at the hospital yet.