ALBUTEROL SULFATE (Proventil Ventolin )

NITROGLYCERINTABLETS or LINGUAL AEROSOL (Nitrolingual ® Spray)Classification:Actions:Indications:Ë VasodilatorË Dilates blood vesselsË Dilates coronary arteriesË Decreases the workload of the heartË Chest painContraindications: Ë Blood pressure below 100 systolicË Patient has taken three doses prior to the arrival ofEMT-B providersË Sildenafil citrate (Viagra ® ) taken within 24 hoursAdverse effects: Cardiovascular Neurologicalhypotensionthrobbing headachebradycardiadizziness/faintnessreflex tachycardiaconfusionrebound hypertension blurred visionAdministration:TabletSprayPediatric:Onset:Duration:Gastrointestinalnausea/vomitingdry mouthGeneralflushed skinsublingual burningEMT-Basic providers are not authorized to carrynitroglycerin tablets or aerosol, but may assistpatients with their own physician prescribedmedication.1 tablet (1/150gr or 0.4mg) SL1 spray (0.4mg) SL or TM (transmucosal)Not recommended for prehospital use1-3 minutes30-60 minutesPrecautions:Nitroglycerin administration is for EMERGENCY SUPPORTIVE THERAPYONLY and is not a substitute for immediate medical care. An ALS unitmust be enroute or the patient must be transported immediately to thenearest emergency department if ALS response is not available.DO NOT ADMINISTER IF BLOOD PRESSURE IS BELOW 100SYSTOLIC. May cause hypotension due to vasodilation. Always takeblood pressure before and 5 minutes after administration of Nitroglycerin.2-16