Paramedic Drug Cards

Sodium Nitroprusside

Michael Egan
  • Trade – Nipride 
  • Class – Antihypertensive agent
  • MOA – Causes direct relaxation of both arteries and veins 
  • Indication – HTN emergencies 
  • Contraindications – Hypotension, increased ICP, cerebrovascular disease, coronary artery disease, hepatic disease, renal disease, pulmonary disease.
  • Side effects – Cyanide or thiocyanate toxicity, N/V, dizziness, headache, restlessness, abdominal pain, methemoglobinemia.
  • Dosing 

Adult 0.3-10mcg/kg/min

Pedi 0.5 – 10mcg/kg/min