GCEMS Protocol:

 

• Acute Coronary Syndrome
• Hypertensive Crisis
• CHF/Pulmonary Edema

 

INDICATIONS:

 

• Chest pain consistent with acute coronary symptoms.
• Pulmonary edema

 

DOSAGE:

 

ADULT:

 

Spray:

 

• 0.4 mg/metered dose, Spray 1 or 2 metered doses directly on the oral mucosa under the tongue; may repeat every 5 minutes while symptoms persist

 

Sublingual:

 

• Tablet 0.3 - 0.4 mg; may be repeated every 5 minutes while symptoms persist.

 

Ointment Paste:

 

• Apply in ½” to 1” thin layer to patient’s skin by means of the dose measured applicator supplied with the tube

 

PEDIATRIC:

 

• NOT APPROVED

 

CONTRAINDICATIONS:

 

• Increased Intracranial Pressure (ICP)
• Hypotension/Shock
• Glaucoma
• Use of some erectile dysfunction medications within the last 36 hours

 

SIDE EFFECTS:

 

• Headache
• Dizziness
• Hypotension