Nitroglycerin minimum blood pressure for NREMT-B test

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I'm taking the NREMT EMT-B in a couple days.

In our class textbook (Brady Prehospital Emergency Care, 9th ed), the author says the patient must have a systolic BP of > 90 to administer NTG. As I study for the NREMT and look at other sources, it seems like everything else I read states the systolic must be > 100.

Which is the correct answer? I know local protocols may vary, so more specifically, which do you think NREMT would consider the correct answer on the test if the subject happens to come up? :)
 
I was always taught >90 systolic
 
I was taught 100 systolic.

Im pretty sure thats what the NR wants
 
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I always question whether it really matters for the NREMT, as I imagine either the blood pressure is going to be blatantly obvious on either side. Something tells me the patient isn't going to present with a systolic BP of 88.
 
^^ What he said, you're not going to get something borderline. You'll get something like 70 or 60 systolic.
 
I have the same book as you & I was thinking about this the other day. The textbook and workbook say < 90, but my handout paper for the Nitro the instructor gave us says its a contraindication for administering if BP systolic is < 100
 
I was always taught Systolic > 100. My local protocols are the same. And I believe >100 is NR.
 
hi.. i took the nremt exam last saturday and if i remember it correctly, the choice was 90-100.. good luck on your exam.. it's not that hard just make sure you know your stuff..
 
Thanks for the replies. Just took the NREMT...and passed it!

One thing on the test that was kinda funny (in hindsight), given the <90 vs <100 discussion in this thread...Without getting into the specific question, the setup involved Nitroglycerin and a systolic BP of 95. I shook my head and thought "Man, I knew this was gonng happen." :sad:
 
Grats!!
 
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AAOS 9th (pg.355) and 10th Edition (pg.234) say BP<100 is a contraindication for Nitro adminitration
 
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