Perscription Nitro

Jon

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I'm curious about Nitro tablet dosing instructions for the layperson, for general information.

When a Pt. is given nitro tablets to take in the event of chest pain, is there any reason they would NOT be told to call 911/ go to the ED immedialty after they take their nitro? Additionally, would they be told to take more than one?
 

Ridryder911

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Remember NTG is NOT prescribed for an AMI. It is prescribed for a previous condition of Angina.

Usually, if the person has precondition history of Angina, they will be informed of the usual administration of 2-3 NTG if no relief notify 911. If it is angina, then the NTG should had corrected it and subsided the pain. Hence.. a diagnostic tool to differentiate possibly angina vs. AMI.

Now, with this in mind. Remember, there are several dosages of NTG, such as in Nitrobid 6.5mg p.o., and of course NTG paste.

Again, angina is treated all the time without notifying EMS. The way it should be.

R/r 911
 

BossyCow

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Remember NTG is NOT prescribed for an AMI. It is prescribed for a previous condition of Angina.

Usually, if the person has precondition history of Angina, they will be informed of the usual administration of 2-3 NTG if no relief notify 911. If it is angina, then the NTG should had corrected it and subsided the pain. Hence.. a diagnostic tool to differentiate possibly angina vs. AMI.

Now, with this in mind. Remember, there are several dosages of NTG, such as in Nitrobid 6.5mg p.o., and of course NTG paste.

Again, angina is treated all the time without notifying EMS. The way it should be.

R/r 911

We're seeing Nitro prescribed for GERD. Apparently the short term smooth muscle relaxing properties of the med helps to relax the sphincter at the top of the stomach allowing stomach acid to flow back into the stomach where it belongs.
 

Ridryder911

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We're seeing Nitro prescribed for GERD. Apparently the short term smooth muscle relaxing properties of the med helps to relax the sphincter at the top of the stomach allowing stomach acid to flow back into the stomach where it belongs.

hence the reason it is used for esophageal spasms, as well for Raynaud's disease (red, white, blue fingertips due to poor circulation) and as well an old treatment for erectile dysfunction... ;)

r/r 911
 
OP
OP
Jon

Jon

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Cool.

My brain wasn't working well, and I wanted a voice of reason. I got Rid. Well... I'll take what I can get (J/K!!!)

The person in question is taking NTG tablets... I assume in standard dosages... but they are a few states away, and I'm getting all my info 3rd party. They are getting palpitations and chest pain, treating with NTG, and "they eventually go away". Umm...yeah... not the greatest idea.
 

mikeylikesit

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well i think people are under the assumption that "hey the pains gone...no need to pay a hospital bill it is gone for good" lay people don't know the potential dangers of AMI's or anything minus the Rhino virus if that. Remember if you don't have nitro for a chest pain call....you can always give them viagra;)...and their wife will hate you forever.:p
 

MMiz

I put the M in EMTLife
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I've seen written instructions that state to take three and then call 911 if there is no relief in symptoms.
 

Ops Paramedic

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These people constintly live with angina, and it is normal for them to pop a tablet when having pain, & then not goinig to hospital or calling the EMS. They sometimes choose to even phone their GP.
They will only phone when the tablet(s) they have taken does not work. Remember to then ask them when they opened the bottle, as the medication is light sensitive, and the entire stock should be replaced 30 days after opening...
 
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