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Hypertension NTG Drip Page 1 of 1 This protocol is utilized when the patient is being treated with IV nitroglycerine for control of elevated blood pressure during 

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Class 3 IFT-Paramedic

Treatment Protocol

3202

Hypertension NTG Drip

Page 1 of 1

This protocol is utilized when the patient is being treated with IV nitroglycerine for control of elevated blood pressure during a Class 3 inter-facility transport.

A. Perform Class 3 IFTA Protocol 9203.

B. IV nitroglycerine (NTG) Drip 5 to 50 mcg/min

1. Continue infusion rate as ordered by the sending physician.

2. Titrate as needed in 5 mcg/min increments every 3 to 5 minutes to

maintain blood pressure within systolic parameters determined by the sending physician.

3. Monitor patient for headache, di

zziness, anxiety, hypotension, or tachycardia.

4. Obtain blood pressure and heart rate

every 5 minutes when titrating NTG, otherwise obtain blood pressure every 15 minutes while NTG is infusing.

5. If blood pressure drops below 90 systolic, temporarily stop the NTG

infusion and reassess the patient. Consider a 250 ml bolus of normal saline IV.

6. If patient remains hypotensive, discontinue any further IV NTG and

consult MCP. West Virginia Office of Emergency Medical Services - 3000 Series Protocol

3201 Hypertension NTG Drip.doc Final 3/10/08

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