125 Acute Cardiogenic Pulonary Edema Flashcards
What are the INDICATIONS for the ACPE medical directive
Moderate to severe respiratory distress
Suspected ACPE
What are the Conditions for Nitroglycerin in the ACPE medical directive
18 years old
HR 60-159
BP normotensive
What are the Contraindications for Nitroglycerin in the ACPE medical directive
Allergy
Phosphodiasterase use within 48 hours
SBP drop by 1/3 or more
What is the dose Nitroglycerin in the ACPE medical directive if the BP is under 140
IV/ Hx: 0.3/ 0.4
What is the dose Nitroglycerin in the ACPE medical directive if the BP is above 140 WITHOUT IV/HX
0.3 / 0.4
What is the dose Nitroglycerin in the ACPE medical directive if the BP is above 140 WITH IV/HX
0.6 / 0.8
How MANY doses are given of Nitroglycerin in the ACPE medical directive
6
What is the interval between doses for Nitroglycerin in the ACPE medical directive
5 minutes
What is the route of administration for Nitroglycerin in the ACPE medical directive
SL
What type of medication is Nitroglycerin
Anti-anginal
How is Nitro beneficial for ACPE
It relaxes the vasculature, and decreases afterload for the lungs. This decreases the pressure in the lungs and fluid returns to the vasculature.
What causes ACPE?
Valvular disorders
Left-sided Heart Failure