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BNSSG Paediatric Joint Formulary

2.7 Myocardial ischaemia

Last edited: 15-01-2024

2.7 Myocardial ischaemia

First line drugs Second line drugs Specialist drugs Secondary care drugs

Secondary Care to maintain responsibility for monitoring amber specialist initiated drugs in the cardiovascular section of the Paediatric formulary. A clear management plan detailed in the clinic letter is required to support primary care prescribing. GP Practices should ensure a plan is in place before taking over prescribing responsibility 

Nitrates

Glyceryl trinitrate intravenous infusion (TLS Red)

  • Used for coronary spasm secondary to cardiac catheterisation in theatres
  • post cardiac surgery
  • BRCH guideline

 

Fibrinolytic Drugs 

Alteplase (TLS Red)

Streptokinase (TLS Red)

TachoSil® fibrin patch (TLS Red)

 

2.7.1 Cardiac arrest

Cardiopulmonary Resuscitation

 

Sympathomimetics (Vasoconstrictor)

Adrenaline (epinephrine) 1 in 10,000 (100micrograms/mL)

  • Intravenous