What is the first step to administer nitroglycerin to a patient?

To administer nitroglycerin safely and appropriately, obtaining a medical control order is a critical first step. This protocol ensures that trained medical professionals approve the administration based on the specific details of the patient’s condition. Nitroglycerin is generally used for chest pain associated with angina or myocardial infarction, and the decision to administer it should consider contraindications, potential interactions with other medications, and the patient’s medical history.

By consulting medical control, the EMT can confirm the presence of indications, review any contraindications, and ensure that the use of nitroglycerin is appropriate for the situation. This step is vital in maintaining the safety and well-being of the patient, as improper administration could lead to adverse effects, especially in patients with specific conditions such as hypotension or those taking erectile dysfunction medications.