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Discussion

NTG gtt weight based?

Hi guys, the hopsital system that I currently work for has recently implemented NTG gtt infusion protocols to be weight based instead of the standard mcg/min infusion. Have any of you seen this recently and do you know the rationale behind it?

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    • Experts

    I have never heard of it.....and I have looked and can't find it. Anyone else?

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    What is the protocol, mcg/kg/hr? I can't find any dosing other than mcg/min. What's their rationale?

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    What info/rationale has been given with the implementation of the protocol? I'd ask your pharmacy staff.

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    • Author

    Thats the problem, I have asked and no one seems to know the rationale behind it. I researched it myself and cannot find anything at all. Even the uptodate system that we have here states "Do not give based on kg"

    The email we received states NitroGLYCerin 100 mg/250 mL D5W

    Weight-based Dosing

    Initial Dose: 0.05 mcg/kg/min

    Titration Dose: 0.05 mcg/kg/min every 10 min to maintain SBP less than 140 or _________.

    Recommended max dose no greater than 2 mcg/kg/min

    Thanks

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    • Experts

    This may be some lame attempt to comply with JACHO. As far as I know it's not titrated this way you need to check with your facility/pharmacy

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