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Table 125-1

Treatment of Aortic Dissection

Preferred RegimenDose
Sodium nitroprusside20-400 µg/min IV
plus a beta blocker:
Propranololor0.5 mg IV; then 1 mg q5min, to total of 0.15 mg/kg
Esmololor500 µg/kg IV over 1 min; then 50-200 (µg/kg)/min
Labetalol20 mg IV over 2 min, then 40-80 mg q10-15min to max of 300 mg