Nitroglycerin


Uses

  • Therapy for pts with angina.

  • CHF

  • In MI, can reduce infarct size.

  • Prinzmetal angina.

  • Can be given as a patch, paste, or pill taken sublingually as needed.

  • Uterine relaxation for retained placenta, although a systematic review did not demonstrate the efficacy of NTG used alone.

  • May be beneficial in reducing postop morphine usage for pain management.

Perioperative Risks

  • Development of hypotension

  • Drug rash (rare)

Worry About

  • Severe hypotension, especially with regional anesthesia

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