Ver el código de «IV nitroglycerine alternatives»

==Background==
*Suggestions for substitution during the IV shortage

===[[Nitroglycerine]] Bioavailability===
*Oral <ref name="availability">http://sepia.unil.ch/pharmacology/index.php?id=51</ref>:     <1%
*Sublingual <ref name="availability"/>: 38% (15-40%)
*Topical <ref name="availability" />: 72%

Half-life<ref>http://sepia.unil.ch/pharmacology/index.php?id=60</ref>: 0.05 h

==Suggested Substitutions<ref>http://www.medpagetoday.com/EmergencyMedicine/EmergencyMedicine/45056</ref>==
*Sublingual nitroglycerin, 1-2 tabs or sprays every 5 minutes as needed
**Once controlled
***[[Nitroprusside]] '''OR''' [[Isordil]] PO (nitro paste or longer acting NTG)
**If not well controlled
***IV [[enalapril]] 0.625-1.25mg IV bolus
***IV [[hydralazine]] 5-10mg IV bolus
***IV [[nitroprusside]]

==See Also==
*[[Hypertensive emergency]]
*[[Congestive heart failure]]

==References==
<references>

[[Category:Pharmacology]]
[[Category:Cardiology]]