Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

SNP and Nitro

At our hospital on the post op heart surgery kids, we titrate the nitroprusside first up to 4mcg/kg/min for the systolic BP then once we reach that amount we add on nitroglycerine up to 4mcg/kg/min (not impressed with nitro though). Most kids come out on milrinone, sometimes on a low dose epi. Do other hospitals titrate like this for the BP? What other drips do other hospitals use? Thanks :)

Featured Replies

Thats about what we will do in regards to Nipride and Nitro- about 4 mcg then add Nitro... but with the exception of the heart transplants, our kiddos usually have hypotension- we ususally see Milrinone, Dopa, Dobut, and Epi - then start adding norepi or vasopressin if needed.

  • Expert

The only kids we have on nitro are the switches, usually. And it's typically d/c'd within an hour or two of arrival. We use milrinone and nitroprusside for afterload reduction. We've maxed kids on nitroprusside at 6 mcg/kg/min. On rare occasions we've started a labetalol infusion when we can't get the desired results with nitroprusside.

For hypotension we rarely use dopamine on anyone. We use epi, norepi and vasopressin almost exclusively. All of our cardiacs are on milrinone, and some non-cardiacs too. We don't use dobutamine much anymore either. Fluid boluses are always 5 mL/kg of 5% albumin, or PRBCs if they're bleeding.

Guest
This topic is now closed to further replies.
Go to topic listing

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications
Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.