Inadequate Perfusion: Secondary to EDA and GTN (Adult) |
| Status | |
| Concurrent use of Erectile Dysfunction Agents and Glyceryl Trinitrate | |
| Assess / Consider | |
| Perfusion status | |
| Exclude / Mx other causes, e.g. hypovolaemia, arrhythmia, pain | |
| Inadequate or Extremely Poor Perfusion persists | |
| Metaraminol 0.5mg IV given over 1 minute - Repeat 0.5mg IV, 2 minutely until either: - BP >100 - max Metaraminol 5mg IV is given |
|
| If BP has not responded to max. dose, discuss Mx with receiving hospital | |
| Special Notes |
| Erectile Dysfunction agents for the purposes of this Guideline are PDE5 inhibitors such as Viagra, Cialis and Levitra. |
| The combination of these drugs with GTN can cause a dramatic drop in BP |