Nitro drips

Specialties Emergency

Published

Specializes in ER.

Curious to see how you all out there have your pump settings for Nitroglycerin drips - what's the concentration of your Nitro bottles? Do you use mcg/min or mcg/kg/min...??? What about low or high dose Nitro use in your setting?

Thanks!

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We titrate mcg/minute. 500mg/250ml is our concentration.

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I mix 25 mg in 250 ml. I run in mcg/min. With said concentration, 5 mcg/min is 3 ml/hour. I titrate in 5-10 mcg/min increments until reaching desired effect or I start looking at other options. I've gone up to 100 mcg/min or so and would go higher if need be. However, at that point I am considering other/additional modalities.

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We have 50mg/250mL and we titrate in mcg/min

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Specializes in ER, ICU, Flight.

50 mg/ 250ml tiriate with 3ml/ 10 mcg/min

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Specializes in ER/ICU/STICU.

50/250 mcg/min

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Specializes in M/S, MICU, CVICU, SICU, ER, Trauma, NICU.
We titrate mcg/minute. 500mg/250ml is our concentration.

Yikes. 500 mg?????

That's an awful lot.

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Specializes in ER.

no one using mcg/kg/min?

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Specializes in Med/surg, rural CCU.
I mix 25 mg in 250 ml. I run in mcg/min. With said concentration, 5 mcg/min is 3 ml/hour. I titrate in 5-10 mcg/min increments until reaching desired effect or I start looking at other options. I've gone up to 100 mcg/min or so and would go higher if need be. However, at that point I am considering other/additional modalities.

The above- though I've never gone over 65. At that point the MD said try something else- it's prabably not cardiac. (oops, wrong call doc... pt transfered in the am for stents)

Our pumps are programed mcg/min. What does weight have to do with it? Nitro is titrated based on BP and pain.

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Specializes in Med/surg, rural CCU.
no one using mcg/kg/min?

No, because weight is not a factor with nitro.

We titrate heparin based on weight, but not nitro.

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Yikes. 500 mg?????

That's an awful lot.

Whoops! Typo! It's 50mg not 500mg.

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Specializes in ER.
The above- though I've never gone over 65. At that point the MD said try something else- it's prabably not cardiac. (oops, wrong call doc... pt transfered in the am for stents)

Our pumps are programed mcg/min. What does weight have to do with it? Nitro is titrated based on BP and pain.

yep, exactly. Trying to figure that out myself - why mcg/kg/min....

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