I posted this under general also but I really need some help here.
Ok, not totally a nurse question but this board is my best source for knowledgeable medical people. I provide remote medical coverage in an industrial setting where a large portion of my potential pt's have HUGE cardiac risk factors. The soonest I can get help here is an hour and a half (a CC Medevac). The only Nitrate I have is SL Nitro spray. I think I need something a little longer acting, specifically Nitro Paste. Right now a NTG GTT is not an option. I need amunition to convince my med control Doc that this is really something I need. Any articles, referances or info will be appreciated, thanx
Nov 3, '02
Actually, if your concern is that the pt might be having an MI or unstable angina and is having active chest pain - I would continue the SL NTG while BP is stable. If however, pt is painfree then NTG paste is fine. Do you give 324mg baby ASA, oxygen, monitor, EKG?