NTG gtt weight based?

Specialties Emergency

Published

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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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

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

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Specializes in Emergency.

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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Specializes in Emergency & Trauma/Adult ICU.

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

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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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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

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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