Comments on: Practical Pearls http://drhem.com the place for EM Fri, 11 May 2012 22:58:05 +0000 hourly 1 http://wordpress.com/ By: Michael Fernandes http://drhem.com/practical-pearls/#comment-3269 Wed, 07 Mar 2012 04:46:43 +0000 http://drhem.wordpress.com/?page_id=308#comment-3269 Very true Dr. Wahl!

]]> By: Larry Schwartz http://drhem.com/practical-pearls/#comment-1306 Mon, 24 Aug 2009 16:14:27 +0000 http://drhem.wordpress.com/?page_id=308#comment-1306 Also remember to ask patients, male or female, if they have recently taken any medicine for erectile dysfunction prior to giving them NTG. If the patient has no idea what you’re talking about, use terminology or name brands they will recognize.

]]> By: Gloria Kuhn http://drhem.com/practical-pearls/#comment-125 Mon, 13 Oct 2008 12:26:44 +0000 http://drhem.wordpress.com/?page_id=308#comment-125 Any patient who has never had nitroglycerin (not only those with a right ventricular infarct) can have a drop in blood pressure. Therefore, have an IV in place, if possible, and if the blood pressure does drop (patient may feel faint, become diaphoretic, or vomit) lay the person flat and rapidly infuse normal saline.

]]> By: Kerin Jones http://drhem.com/practical-pearls/#comment-118 Tue, 07 Oct 2008 23:32:37 +0000 http://drhem.wordpress.com/?page_id=308#comment-118 I would also add that vital signs are vital and the actual BP is a critical decision point. I would be cautious with NTG and certainly would want to have an IV established prior to giving NTG to a RV infarct. I have given many an inferior, posterior and RV infarct NTG but do so with close monitoring and a good IV established.

]]> By: Robert Wahl http://drhem.com/practical-pearls/#comment-116 Tue, 07 Oct 2008 17:03:34 +0000 http://drhem.wordpress.com/?page_id=308#comment-116 Shouldn’t it more appropriately be termed “right ventricular” myocardial infarct? Not every inferior or posterior (or combination of the two) is a right ventricular infarct.

Thoughts or discussion?

Bob Wahl

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