Indications
- Acute Coronary Syndrome/Angina (see Coronary Artery Disease, [[Coronary Artery Disease]])
- Hypertension (see Hypertension, [[Hypertension]])
- Cardiogenic Pulmonary Edema (see Pulmonary Edema, [[Pulmonary Edema]])
Pharmacology
- Nitrate (see Nitrites and Nitrates, [[Nitrites and Nitrates]])
- Actions on Pulmonary Vascular Tone
Administration
- IV (Nitroglycerin Drip):
- TOP (Nitropaste): 1-2 in q6hrs
- TOP (Nitropatch)
Adverse Effects
Cardiovascular Adverse Effects
- Hypotension (see Hypotension, [[Hypotension]])
Neurologic Adverse Effects
- Headache (see Headache, [[Headache]])
Pulmonary Adverse Effects
- Hypoxemia (see Hypoxemia, [[Hypoxemia]]): due to direct action on pulmonary vascular tone, altering V/Q relationships
- May exacerbate hypoxemia (particularly in ALI/ARDS)
Toxicologic Adverse Effects
- Methemoglobinemia (see Methemoglobinemia, [[Methemoglobinemia]])
Other Adverse Effects
- xxxx
References
- xxx