NITROPRUSSIDE SODIUM

 

Class: Antihypertensive, vasodilator

 

Mechanism Of Action: Directly relaxes arteriolar, venous smooth muscle, resulting in decreased cardiac preload, and afterload.

 

Indications: Hypertensive Crisis. Acute CHF. Cardiogenic Shock.

 

Contraindications: Compensatory hypertension. Hypersensitivity.

 

Precautions: Children. Fluid, Electrolyte imbalances, Hepatic/Renal disease. Hypothyroidism. Elderly. Pregnancy. Protect from light.

 

Side Effects: Decreased LOC, Dizziness, Headache, Palpitations, Severe Hypotension, Dyspnea

 

Dosage:

IV Infusion: Dissolve 50mg in 2-3 ml D5W, then dilute in 250-1000 ml D5W

Rate of 0.5-0.8 mcg/kg/min