Acute Pulmonary Edema

Indications: Moderate to severe respiratory distress and suspected acute cardiogenic pulmonary edema.

Nitro-glycerine: If the patient is ≥ 18 years of age with an unaltered LOA, has a HR between 60BPM and 159BPM, has a prior history of Nitro use (or has an IV established) and has no known sensitivity to nitrates and has not used a phosphodiesterase inhibitor in the past 48 hours then Nitro-glycerine may be administered as follows:

If systolic BP drops by one third or more of its initial value then discontinue use.