Nitro patch or paste is almost totally useless in a sick patient. Erratic absorption, perhaps equivalent to a drip at 10-15 mcg/min, which is probably like placebo. A trusted cardiologist taught me in training that NTPaste/patch is like spit with a patch over it. Don’t bother!https://twitter.com/FunnyMuffin1/status/1200064574860476416 …
what would you recommend for an improving SCAPE patient who for institutional or other reasons looks too good to go to the ICU on a nitro gtt? Isordil?