DRUG THERAPY OF MYOCARDIAL ISCHEMIA

DRUG THERAPY OF MYOCARDIAL ISCHEMIA

1. Administer two (2) Aspirin Tablets, total of 162 mg.

2. If chest pain persists, administer a Nitroglycerin Tablet 1/150 gr. or Spray 0.4 mg, sublingually, every 5 minutes. Before each administration, check the patient’s pulse and blood pressure to ensure the patient is hemodynamically stable.

NOTE: Unless otherwise directed by On-Line Medical Control, Nitroglycerin may not be administered to patients with a systolic blood pressure of less than 100 mm Hg.

Unless otherwise directed by On-Line Medical Control, patients who have used erectile dysfunction medications in the previous 72 hours shall not be given Nitroglycerin.

For patients exhibiting ST-elevation, refer to General Operating Procedures – Transportation Decisions and Procedures: STEMI Patients