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nitroglycerin

nitroglycerin
  • Restricted Medications Cardiac Monitor (IV)
Brand names: Nitro-Bid, Nitroderm, NitroMist, Nitrostat, Tridil
Form Strength
FILM, EXTENDED RELEASE, TRANSDERMAL 0.2 mg/hr; 0.3 mg/hr; 0.4 mg/hr; 0.6 mg/hr; 8 mg/hr
OINTMENT, TRANSDERMAL 2%
SOLUTION, INTRAVENOUS 50 mg/10 mL vial; 50 mg/250 mL in D5W
SPRAY, SUBLINGUAL 0.4 mg/spray
TABLET, SUBLINGUAL 0.4 mg
Display Nitrates and Nitrites, Skin and Mucous Membrane Agents, Miscellaneous Class: 240808, 849200
Medication comments:
nitroglycerin should generally not be interrupted during procedures unless there is a specific physician order.
NTG SL order comments:
Times 3 doses PRN chest pain, EKG. Notify physician after 3rd dose of NTG.
Per policy, these medications require cardiac and/or special monitoring.
(KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes CCU, OR, PACU, CCL, ED PCU 2N (Tele) 1N (Tele), 3N (Tele) Med/Surg (1N w/o Tele, 3N w/o Tele, 4N, 5N) BirthPlace SNF ICS OPS
nitroglycerin (Tridil)
IV Infusion		 Y Y N N N N N N N
Iredell Memorial Hospital ICU Adult Infusion Guidelines  
The following orders are intended to provide a specific, safe, and effective means of initiating and titrating medications for critically ill patients. Physicians may modify doses and/or parameters as necessary pending patients' status.For all medications listed below, the responsible LIP is to be notified if unable to titrate or the maximum dose is reached andgoals of therapy are not met.
Drug Name Onset Preparation Compatible fluids
nitroglycerin (Tridil) seconds 50 mg/250 ml *premixed NS or D5W
Starting Dose for ICU Sedation Titration Guidelines (for increasing and decreasing doses) with Maximum dose
Begin infusion at 5 mcg/min. titrate by 5 mcg/min every 5 min to keep SBP ≤ 160. Notify provider for SBP < 100. Max = 200 mcg/min.
Per policy, these hazardous drugs have special waste requirements. 
Generic (Brand) Waste Requirements
nitroglycerin (Nitro-Bid) All patches and patch packaging, spray canisters ⇒  BLACK BUCKET 
Last updated: Jan. 17, 2025
  • Hazardous Waste BLACK BUCKET
UpToDate Lexidrug

Pharmacy Contact Info:

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Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556



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