Nitropress

• Sodium Nitroprusside
• Nipride

Vasodilator

• Peripheral arterial & venous vasodilator.
• Decreases BP.
• Increases cardiac output in CHF.

• <1 minute
• 1 - 5 minutes
• 1 - 10 minutes
• 2.7 - 7 days

Hypertensive emergency

None when used in life threatening emergencies

• Protect from light
• Not for use in pedi or pregnant Pts prehospitally
• Monitor BP, HR, and EKG
• * Can cause cyanide toxicity, esp. in higher doses.

• Nausea
• Vomiting
• Palpitations
• Diaphoresis
• Tachycardia
• Dizziness

0.25 mcg/kg/minute - can be increased to max of 3 mcg/kg/min.

Dilute 50 mg in 500 mL D5W = 100 mcg/mL

Wrap concentration to protect from light immediately once prepared (foil)

Not Indicated prehospitally

3 mcg/kg/min

IV infusion only

unknown - vial?