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Sublingual nitroglycerin 400 mcg x 3 will relieve mild chest pain and reduce MAP about 5-10%, but an additional antihypertensive is needed to adequately reduce MAP. b. Intravenous nitroprusside started at 0.5 mcg/kg/min and titrated is an acceptable second line agent but should be started after the chest pressure resolved in order to prevent ... ................
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