Date Published

August 5, 2021

Updated For

ALS PCS Version ALS PCS Version 5.2


I had a patient who met the criteria for Nitro administration under the ACPE directive. The initial BP was 104/72, with no previous Nitro use, and unable to obtain IV access. The pts blood pressure in the back went up to 143/88 while in the back of the ambulance... can nitro be given now that the blood pressure has increased, even if the pt started <140 SBP?


If the patients BP returns to normal (or here rises to 140mmHg to allow for nitro administration with no history of nitro use and unable to obtain IV access) without intervention, then it is reasonable to administer medication whose Condition is Normotension (or here is ‰¥ 140mmHg).



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Additional Resources

Please see the Ask MAC from 21-May-2020