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    By 10 minutes, your patient should be out of the water. Here is some info from a handout from a lecture I gave on the topic: Homeopathic nitroglycerin does not work so well Start at 50-100 mcg/min, you can rapidly titrate to 200-400 mcg/min. Need 120 mcg/min to get sig decreased Pulm Cap Wedge Pressure (Am J Cardio 2004;7) But even this strategy is not as effective as the … Nitro Bolus First Can give 400-800 mcg over 1-2 minutes = 400 mcg/min for 1-2 minutes. (Annals EM 1997, 2) How to do it Standard nitro mix is 200 mcg/ml. In order to give the 400 mcg/min for 2 minutes, set the pump to Rate: 120 cc/hr Volume to be Infused: 4 ml (This will deliver 400 mcg/min for 2 minutes and then stop) Or Draw up 4 ml of the nitro and 6 ml of NS and give over 2 minutes After the bolus, I drop the drip to 100 mcg/min and titrate up from there to effect When the patient gets better, you need to sharply decrease this drip rate Some folks have gone even further High dose nitroglycerin for severe decompensated heart failure—2 mg at a time (Ann Emerg Med 2007;4) Cotter gave isosorbide 3 mg q 5 minutes with good results in his study. We use cookies, pixels, and other technologies (collectively, "cookies") to recognize your browser or device, learn more about your interests, and provide you with essential features and services and for additional purposes, this may entail the processing of your personal data. IGVault can use the cookies in order to recognize me and remember my settings, such as selected language or currency. IGVault can keep tracking of my specified preferences. Third parties use cookies in the process of delivering content, including ads relevant to my interests, to measure the effectiveness of their ads, and to perform services. Confirm Maybe Later If you wish to restrict or block the cookies which are set by our website, or indeed any other website, you can do this through your browser settings. The 'Help' function within your browser should tell you how. UAB Glocash Payment and its affiliated companies (the 'Controller’ or ‘IGVault’ or ‘we’) respect your privacy rights and recognize the importance of protecting the Personal data (as defined below) provided by you to us. The privacy of each and every customer (the ‘Customer’ or ‘you’) matters to us, and we strive for transparency in all of our data privacy practices, especially when it comes to identifying the information we collect, use, share, and disclose (hereinafter – the Personal data), as well as the ways we help keep your personal data safe.

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