Drug Protocols

400mcg metered dose aerosol

Pain syndromes associated with suspected AMI or myocardial ischaemia

Cardiogenic pulmonary oedema

Autonomic Dysreflexia with systolic BP equal to or greater than 160mmHg

• Heart rate less than 50bpm OR heart rate greater than 150bpm
• Systolic BP less than 100mgHg
• Current CVA
• Head trauma
• Erectile dysfunction meds in the last 24 hours
• KSAR

• Suspected acute inferior MI
• Cerebral vascular disease
• Risk of hypotension/syncope
• Intoxication - effects enhanced by alcohol
• Erectile dysfunction meds in past 4 days

• Dizziness/hypotension/syncope
• Facial flushing
• Tachycardia
• Vascular headache

• MI/myocardial ischaemia
• 400mcg spray every 5 minutes while symptoms continue providing systolic BP greater than 100mmHg

• Autonomic Dysreflexia with systolic BP equal or greater than 16mmHg
• 400mcg spray every 5 minutes until BP normalises

• Cardiogenic pulmonary oedema
• 400mcg spray every 5 minutes while symptoms continue providing systolic BP greater than 100mmHg