Repeat Nitro dosing Question

[Trevor]

hmmmm.... I VERY RARELY get a significant drop in BP with NTG... Specially to <90 SBP

 

[Icenine]

Here basics have NTG q5 as long as it's relieving pain and bp is >100 systolic.

There are no provisions for drips or paste.

ALS has Morphine and Fentanyl.

 

[zmedic]

Be aware that mainly agencies or counties just take the state protocols, which are written for a large group of providers. I'm sure the states perspective is that most providers have relatively short transport times, like under 30 minutes. So if the nitro works, three doses should keep them pain free to get to the hospital, and if it doesn't work, they should be trying something else.

Also not to beat a dead horse, but nitro doesn't decrease mortality. So why the big push to be able to give lots of nitro without calling in? Are you really so busy during your hour transport time that it's a huge pain to call?