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7 Cards in this Set

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Description

A potent vasodilator which decreases preload by increasing venous capacity, pooling venous blood pressure in the peripheral veins, reducing ventricular filling pressure and decreasing arterial BP. Because of this cascade it also causes vasodilation in coronary arteries that are in spasm and may assist in the redistribution of blood flow along the collateral channels in the heart

Indications

Suspected ACS


Acute cardiogenic pulmonary oedema


Autonomic Dysreflexia (>160mmHg)


Irukanji Syndrome (>160mmHg)

Contraindications

KSAR


Head Trauma


CVA


BP<100mmHg


HR <50>150bpm


Sexual enhancing drugs within the last 24 hours



Precautions

Suspected inferior AMI


Cerebral vascular disease


Risk of hypotension and/or syncope


Intoxication


Sexual enhancing drugs within the last 4 days

Side Effects

Dizziness


Hypotension


Syncope


Reflex Tachycardia


Vascular Headaches

Adult Dosage Suspected ACS, APO (cardiogenic), Autonomic dysreflexia, Irukanji Syndrome

400mcg rpt @ 5 mins NO MAX DOSE

Pediatric Dosage Irukanji Syndrome, Autonomic Dysreflexia

QAS Clinical consultation and advice line approval required in all situations