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In this month's Hotsheet Rob and Mel go over the EM:RAP CME survey, ondansetron in pregnant patients, IV nitro in CHF, and tamsulosin in renal colic
In the acute CHF article commentary, the bolus dose used was a TOTAL up to 2 MG. The drip dose used was up to a max dose of 35 MCG/min. Does it not seem to be aggressive bolus doses but small drip doses? I thought we titrate the drip up to 100-150mcg/min.
Agreeed, it seems like a bit of a paper tiger to compare such high dose boluses and comparatively low dose drips. Since it retrospective, it was pretty much whatever the treating doc wanted. Perhaps at a higher drip rate there wouldn't have been such a difference in the primary outcome.
What you do matters.