Hey folks,
A couple EMS areas I've worked in have had a blood pressure based nitro dosing system from CHF patients. For example, if someones pressure is 100-120, they'd get one 0.4mg dose, 120-200, two 0.4mg doses, 200 and above, three 0.4 mg doses, every five minutes, with a max of nine doses or a B/P of 100 systolic, and lasix only in extreme cases.
What I am looking for is any study documentation to a dosing system like this. I am trying to get the EMS agency that I am working in to take a new look at their CHF protocol, and hopefully modify it. As it currently stands, medication wise, you give one 0.4 mg of NTG, along with 40 mg of Lasix if the pt is not taking a diaeretic, or 80 mg if they are.
I'd love to add other medications like nitro paste, but all I have to work with is ntg and lasix due to local pollices with regards to medications.
If anyone knows of any case studies, could you link them to me?
Many thanks