Glyceryl Trinitrate (GTN, Nitroglycerine)

Indications

• Myocardial ischaemia or infarction
• Acute pulmonary oedema

Contraindications

• Hypotension
• Right ventricular infarction

Adverse Reactions

• Hypotension

Administration

• Add 30mg GTN to 100ml Dextrose
• Commence infusion at 1-2 ml/hr (5-10 mcg/min)
• Titrate upward 5mcg/min every 5 min until SBP falls 25% or SBP < 100