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<font size="150%">'''Commonly Used Drips with Concentrations '''</font>
#REDIRECT[[Vasopressors]]
 
{| style="border: none" border="1" align="left"
| style="width: 36px; background-color: #d9d9d9; height: 5px; border: 1pt solid" width="43" valign="top" |
<font face="Arial">Medication</font>
| style="width: 60px; background-color: #d9d9d9; height: 5px" width="60" valign="top" |
<font face="Arial">Indications</font>
| style="width: 40px; background-color: #d9d9d9; height: 5px" width="48" valign="top" |
<center><font face="Arial">Concentration</font></center>
| style="width: 40px; background-color: #d9d9d9; height: 5px" width="48" valign="top" |
<center><font face="Arial">Start</font><font face="Arial">Range</font></center>
| style="width: 36px; background-color: #d9d9d9; height: 5px" width="36" valign="top" |
<center><font face="Arial">Maximum</font></center>
| style="width: 60px; background-color: #d9d9d9; height: 5px" width="72" valign="top" |
<font face="Arial">Comments</font>
|-
| style="width: 36px; height: 20px" width="43" valign="top" |
<font face="Arial">Amiodarone</font>
| style="width: 60px; height: 20px" width="60" valign="top" |
<font face="Arial">SVT, </font><font face="Arial">Unstable</font><font face="Arial">VT</font><font face="Arial">, V-fib, Convert  Afib to NSR</font>
| style="width: 40px; height: 20px" width="48" valign="top" |
<center><span lang="de"><font face="Arial">900mg/500mL D5Ws (1.8mg/ml)</font></span></center>
| style="width: 40px; height: 20px" width="48" valign="top" |
<center><span lang="de"><font face="Arial">150mg x10min</font></span><font face="Wingdings">à</font><font face="Arial"> 1mg/min x6hrs</font><font face="Wingdings">à</font><font face="Arial"> 0.5mg/min x18hr</font></center>
| style="width: 36px; height: 20px" width="36" valign="top" |
<font face="Arial">2.2 gm/day</font>
| style="width: 60px; height: 20px" width="72" valign="top" |
<font face="Arial">Watch for ↓BP,</font><font face="Arial">worsened/new arrythmias</font>
|-
| style="width: 36px; height: 11px" width="43" valign="top" |
<font face="Arial">Diltiazem</font>
| style="width: 60px; height: 11px" width="60" valign="top" |
<font face="Arial">SVT, Afib/flutter</font>
| style="width: 40px; height: 11px" width="48" valign="top" |
<center><font face="Arial">125mg/125mL D5W (1mg/ml)</font></center>
| style="width: 40px; height: 11px" width="48" valign="top" |
<font face="Arial"> Load 0.25mg/kg </font><span lang="de"><font face="Wingdings">à</font></span><font face="Arial"> 5-15mg/hr</font>
| style="width: 36px; height: 11px" width="36" valign="top" |
<center><font face="Arial">15mg/hr x 24hrs</font></center>
| style="width: 60px; height: 11px" width="72" valign="top" |
<font face="Arial">Monitor BP, HR, EKG, SVR</font>
|-
| style="width: 36px; height: 11px" width="43" valign="top" |
<font face="Arial">Dobutamine</font>
| style="width: 60px; height: 11px" width="60" valign="top" |
<font face="Arial">Refractory CHF, Cardiogenic Shock, use Dopamine first if BP low</font>
| style="width: 40px; height: 11px" width="48" valign="top" |
<center><font face="Arial">500 mg/250mL D5W (2mg/ml)</font></center>
| style="width: 40px; height: 11px" width="48" valign="top" |
<span lang="de"><font face="Arial">    Initial 1    </font></span>
 
<span lang="de"><font face="Arial">mcg/kg/min</font></span>
 
<center><font face="Wingdings">à</font><span lang="de"><font face="Arial"> 2mcg/kg/min</font></span></center>
| style="width: 36px; height: 11px" width="36" valign="top" |
<center><font face="Arial">20 mcg/kg/min</font></center>
| style="width: 60px; height: 11px" width="72" valign="top" |
<font face="Arial">monitor BP, EKG, UOP</font>
 
<font face="Arial">Tachydysrhythmias</font>
 
<font face="Arial">caution AMI, incr O2 req</font>
|-
| style="width: 36px; height: 14px" width="43" valign="top" |
<font face="Arial">Dopamine</font>
 
<font face="Arial"> D>B>B/A>A</font>
| style="width: 60px; height: 14px" width="60" valign="top" |
<font face="Arial">HypoTN p volume resus, cardiog shock, bradycard</font>
| style="width: 40px; height: 14px" width="48" valign="top" |
<center><font face="Arial">800 mg/250mL D5W </font></center>
| style="width: 40px; height: 14px" width="48" valign="top" |
<center><font face="Arial">1-5 mcg/kg/min (renal 0.5-2)</font></center>
| style="width: 36px; height: 14px" width="36" valign="top" |
<center><font face="Arial">20 mcg/kg/min</font></center>
| style="width: 60px; height: 14px" width="72" valign="top" |
<font face="Arial">Monitor BP, EKG, UOP</font>
 
<font face="Arial">tachydysrthm when d/c</font>
|-
| style="width: 36px; height: 11px" width="43" valign="top" |
<font face="Arial">Epinephrine</font>
| style="width: 60px; height: 11px" width="60" valign="top" |
<font face="Arial">VF or pulseless VT, Asystole, PEA, decr SVR</font>
| style="width: 40px; height: 11px" width="48" valign="top" |
<center><font face="Arial">8 mg/250mL D5W</font></center>
| style="width: 40px; height: 11px" width="48" valign="top" |
<center><font face="Arial">1-10 mcg/min</font></center>
| style="width: 36px; height: 11px" width="36" valign="top" |
<center><font face="Arial">20 mcg/min </font></center>
| style="width: 60px; height: 11px" width="72" valign="top" |
<font face="Arial">Tachydysrhythmias</font>
 
<font face="Arial">increase O2 demand</font>
|-
| style="width: 36px; height: 20px" width="43" valign="top" |
<font face="Arial">Esmolol</font>
| style="width: 60px; height: 20px" width="60" valign="top" |
<font face="Arial">Reduce VF in post MI, convert SVT/Afib/flut, decr AMI ischem</font>
| style="width: 40px; height: 20px" width="48" valign="top" |
<center><font face="Arial">2.5gm/250mL </font></center>
 
<center><font face="Arial">NS</font></center>
| style="width: 40px; height: 20px" width="48" valign="top" |
<center><font face="Arial">Load 500 mcg/kg x1min </font><font face="Wingdings">à</font><font face="Arial"> 50 mcg/kg/min</font></center>
| style="width: 36px; height: 20px" width="36" valign="top" |
<center><font face="Arial">300 mcg/kg/min</font></center>
| style="width: 60px; height: 20px" width="72" valign="top" |
<font face="Arial">Careful: bradycardia, AV block, dec BP, reactive airway, no mix c Ca Ch Blk </font>
|-
| style="width: 36px; height: 8px" width="43" valign="top" |
<font face="Arial">Fentanyl</font>
| style="width: 60px; height: 8px" width="60" valign="top" |
<font face="Arial">Sedation, pain</font>
| style="width: 40px; height: 8px" width="48" valign="top" |
<center><font face="Arial">1mg/100mL NS </font></center>
| style="width: 40px; height: 8px" width="48" valign="top" |
<center><font face="Arial">0.5-1mcg/kg/hr</font></center>
| style="width: 36px; height: 8px" width="36" valign="top" |
<font face="Arial">5 mcg/kg/hr</font>
| style="width: 60px; height: 8px" width="72" valign="top" |
<font face="Arial">Resp depression</font>
|-
| style="width: 36px; height: 8px" width="43" valign="top" |
<font face="Arial">Furosemide</font>
| style="width: 60px; height: 8px" width="60" valign="top" |
<font face="Arial">Diuresis</font>
| style="width: 40px; height: 8px" width="48" valign="top" |
<font face="Arial"> 500mg/100mLD5</font>
| style="width: 40px; height: 8px" width="48" valign="top" |
<center><font face="Arial">10mg/hr</font></center>
| style="width: 36px; height: 8px" width="36" valign="top" |
<center><font face="Arial">100 mg/hr</font></center>
| style="width: 60px; height: 8px" width="72" valign="top" |
<font face="Arial">Monitor UOP, Cr, lytes</font>
|-
| style="width: 36px; height: 8px" width="43" valign="top" |
<font face="Arial">Insulin (reg)</font>
| style="width: 60px; height: 8px" width="60" valign="top" |
<font face="Arial"> BS control</font>
| style="width: 40px; height: 8px" width="48" valign="top" |
<center><font face="Arial">100units/100mL NS</font></center>
| style="width: 40px; height: 8px" width="48" valign="top" |
<center><font face="Arial">Load 0.1units/kg </font><font face="Wingdings">à</font><font face="Arial">0.1-0.7units/hr</font></center>
| style="width: 36px; height: 8px" width="36" valign="top" |
<center><font face="Arial">10 </font></center>
 
<center><font face="Arial">units/hr</font></center>
| style="width: 60px; height: 8px" width="72" valign="top" |
<font face="Arial">Use Insulin protocol form</font>
|-
| style="width: 36px; height: 8px" width="43" valign="top" |
<font face="Arial">Labetalol</font>
| style="width: 60px; height: 8px" width="60" valign="top" |
<font face="Arial">HTN urg/emerg</font>
| style="width: 40px; height: 8px" width="48" valign="top" |
<center><font face="Arial">200mg/300mL D5W</font></center>
| style="width: 40px; height: 8px" width="48" valign="top" |
<center><font face="Arial">2mg/min</font></center>
| style="width: 36px; height: 8px" width="36" valign="top" |
<center><font face="Arial">4mg/min</font></center>
| style="width: 60px; height: 8px" width="72" valign="top" |
<font face="Arial">hypotension</font>
|-
| style="width: 36px; height: 8px" width="43" valign="top" |
<font face="Arial">Midazolam</font>
 
<font face="Arial">(Versed)</font>
| style="width: 60px; height: 8px" width="60" valign="top" |
<font face="Arial"> Sedation intubated pt</font>
| style="width: 40px; height: 8px" width="48" valign="top" |
<center><font face="Arial">100mg/100mL D5W</font></center>
| style="width: 40px; height: 8px" width="48" valign="top" |
<center><font face="Arial">Load 10- 50 mcg/kg</font><font face="Wingdings">à</font><font face="Arial">20-100 </font></center>
| style="width: 36px; height: 8px" width="36" valign="top" |
 
| style="width: 60px; height: 8px" width="72" valign="top" |
<font face="Arial">hypotension</font>
|-
| style="width: 36px; height: 8px" width="43" valign="top" |
<font face="Arial">Neo-syneph (phenyleph)</font>
| style="width: 60px; height: 8px" width="60" valign="top" |
<font face="Arial">Hypotension, vascular failure in shock, SVT</font>
| style="width: 40px; height: 8px" width="48" valign="top" |
<center><font face="Arial">80 mg/250mL D5W</font></center>
| style="width: 40px; height: 8px" width="48" valign="top" |
<font face="Arial">Load 100 mcg</font><font face="Wingdings">à</font>
 
<center><font face="Arial">40-60 mcg/min </font></center>
| style="width: 36px; height: 8px" width="36" valign="top" |
<center><font face="Arial">200 mcg/min</font></center>
| style="width: 60px; height: 8px" width="72" valign="top" |
<font face="Arial">Monitor BP, HR, SVR</font>
|-
| style="width: 36px; height: 8px" width="43" valign="top" |
<font face="Arial">NTG </font>
| style="width: 60px; height: 8px" width="60" valign="top" |
<font face="Arial">AMI and Ischemia/Infarction</font>
| style="width: 40px; height: 8px" width="48" valign="top" |
<center><font face="Arial">100 mg/250mL D5W</font></center>
| style="width: 40px; height: 8px" width="48" valign="top" |
<center><font face="Arial">0.1 mcg/kg/min</font></center>
| style="width: 36px; height: 8px" width="36" valign="top" |
<center><font face="Arial">5 mcg/kg/min</font></center>
| style="width: 60px; height: 8px" width="72" valign="top" |
<font face="Arial">Hypotension, HA </font>
|-
| style="width: 36px; height: 8px" width="43" valign="top" |
<font face="Arial">Nitroprussid</font>
 
<font face="Arial">(Nipride)</font>
| style="width: 60px; height: 8px" width="60" valign="top" |
<font face="Arial">Hypertensive crisis</font>
 
<font face="Arial">Heart failure</font>
| style="width: 40px; height: 8px" width="48" valign="top" |
<center><font face="Arial">100 mg/250mL D5W</font></center>
| style="width: 40px; height: 8px" width="48" valign="top" |
<center><font face="Arial">0.5 mcg/kg/min</font></center>
| style="width: 36px; height: 8px" width="36" valign="top" |
<center><font face="Arial">10 mcg/kg/min</font></center>
| style="width: 60px; height: 8px" width="72" valign="top" |
<font face="Arial">Watch BP, thiocynate tox, tinnitus, delirium, CP,vision</font>
|-
| style="width: 36px; height: 14px" width="43" valign="top" |
<font face="Arial">Norepineph</font>
 
<font face="Arial">(levophed)</font>
| style="width: 60px; height: 14px" width="60" valign="top" |
<font face="Arial">Cardiogenic shock, Sig hypoTN w/ SBP <70</font>
| style="width: 40px; height: 14px" width="48" valign="top" |
<center><font face="Arial">8 mg/250mL D5W</font></center>
| style="width: 40px; height: 14px" width="48" valign="top" |
<center><font face="Arial">2 mcg/min </font></center>
| style="width: 36px; height: 14px" width="36" valign="top" |
<center><font face="Arial">20 </font></center>
 
<center><font face="Arial">mcg/min</font></center>
| style="width: 60px; height: 14px" width="72" valign="top" |
<font face="Arial">Monitor BP, EKG, UO caution in AMI</font>
|-
| style="width: 36px; height: 6px" width="43" valign="top" |
<font face="Arial">Octreotide</font>
| style="width: 60px; height: 6px" width="60" valign="top" |
<font face="Arial">GI Bleed</font>
| style="width: 40px; height: 6px" width="48" valign="top" |
<center><font face="Arial">1250mcg/250mL D5W</font></center>
| style="width: 40px; height: 6px" width="48" valign="top" |
<center><font face="Arial">50 mcg bolus </font></center>
 
<center><font face="Wingdings">à</font><font face="Arial"> 25 mcg/hr</font></center>
| style="width: 36px; height: 6px" width="36" valign="top" |
<center><font face="Arial">50mcg/hr</font></center>
| style="width: 60px; height: 6px" width="72" valign="top" |
<font face="Arial"> Dysglycemia, bradycardia, hypothyroidism</font>
|-
| style="width: 36px; height: 6px" width="43" valign="top" |
<font face="Arial">Protonix</font>
| style="width: 60px; height: 6px" width="60" valign="top" |
<font face="Arial">GI Bleed</font>
| style="width: 40px; height: 6px" width="48" valign="top" |
 
| style="width: 40px; height: 6px" width="48" valign="top" |
<center><font face="Arial">80mg bolus </font><font face="Wingdings">à</font><font face="Arial"> 8mg/hr</font></center>
| style="width: 36px; height: 6px" width="36" valign="top" |
<center><font face="Arial">8mg/hr</font></center>
| style="width: 60px; height: 6px" width="72" valign="top" |
 
|-
| style="width: 36px; height: 6px" width="43" valign="top" |
<font face="Arial">Vasopressn</font>
 
<font face="Arial">(Pitressin)</font>
| style="width: 60px; height: 6px" width="60" valign="top" |
<font face="Arial">vasodilatory shock, pulseless VF/VT, DI, GIB</font>
| style="width: 40px; height: 6px" width="48" valign="top" |
<center><font face="Arial">100 units</font></center>
 
<center><font face="Arial">/250mL D5W</font></center>
| style="width: 40px; height: 6px" width="48" valign="top" |
<center><font face="Arial">0.04 units/min</font></center>
| style="width: 36px; height: 6px" width="36" valign="top" |
<center><font face="Arial">1.0 unit/min</font></center>
| style="width: 60px; height: 6px" width="72" valign="top" |
<font face="Arial">Inc SVR ++periph vasoconstr, bad in AMI; do not titrate for vasodilatory shock<br /></font>
|}
 
 
Commonly Used Drips with Concentrations
 
Medication
 
Indications
 
Concentration
 
StartRange
 
Maximum
 
Comments
 
Amiodarone
 
SVT, UnstableVT, V-fib, Convert  Afib to NSR
 
900mg/500mL  D5Ws (1.8mg/ml)
 
150mg  x10minà 1mg/min x6hrsà 0.5mg/min x18hr
 
2.2 gm/day
 
Watch for ↓BP,worsened/new arrythmias
 
Diltiazem
 
SVT, Afib/flutter
 
125mg/125mL D5W (1mg/ml)
 
Load 0.25mg/kg à 5-15mg/hr
 
15mg/hr x 24hrs
 
Monitor BP, HR, EKG, SVR
 
Dobutamine
 
 
 
Refractory CHF, Cardiogenic Shock, use Dopamine first if  BP low
 
500 mg/250mL D5W (2mg/ml)
 
    Initial 1   
 
mcg/kg/min
 
à 2mcg/kg/min
 
20 mcg/kg/min
 
monitor BP, EKG, UOP
 
Tachydysrhythmias
 
caution AMI, incr O2 req
 
Dopamine
 
D>B>B/A>A
 
HypoTN p volume resus, cardiog shock, bradycard
 
800 mg/250mL D5W
 
1-5 mcg/kg/min (renal 0.5-2)
 
20 mcg/kg/min
 
Monitor BP, EKG, UOP
 
tachydysrthm when d/c
 
Epinephrine
 
VF or pulseless VT, Asystole, PEA, decr SVR
 
8 mg/250mL D5W
 
1-10 mcg/min
 
20 mcg/min
 
Tachydysrhythmias
 
increase O2 demand
 
Esmolol
 
Reduce VF in post MI, convert SVT/Afib/flut, decr AMI  ischem
 
2.5gm/250mL
 
NS
 
Load 500 mcg/kg x1min à 50 mcg/kg/min
 
300 mcg/kg/min
 
Careful: bradycardia, AV block, dec BP, reactive airway,  no mix c Ca Ch Blk
 
Fentanyl
 
Sedation, pain
 
1mg/100mL NS
 
0.5-1mcg/kg/hr
 
5 mcg/kg/hr
 
Resp depression
 
Furosemide
 
Diuresis
 
500mg/100mLD5
 
10mg/hr
 
100 mg/hr
 
Monitor UOP, Cr, lytes
 
Insulin (reg)
 
BS control
 
100units/100mL NS
 
Load 0.1units/kg à0.1-0.7units/hr
 
10
 
units/hr
 
Use Insulin protocol form
 
Labetalol
 
HTN urg/emerg
 
200mg/300mL D5W
 
2mg/min
 
4mg/min
 
hypotension
 
Midazolam
 
(Versed)
 
Sedation intubated  pt
 
100mg/100mL D5W
 
Load 10- 50 mcg/kgà20-100
 
 
hypotension
 
Neo-syneph (phenyleph)
 
Hypotension, vascular failure in shock, SVT
 
80 mg/250mL D5W
 
Load 100 mcgà
 
40-60 mcg/min
 
200 mcg/min
 
Monitor BP, HR, SVR
 
NTG
 
AMI and Ischemia/Infarction
 
100 mg/250mL D5W
 
0.1 mcg/kg/min
 
5 mcg/kg/min
 
Hypotension, HA
 
Nitroprussid
 
(Nipride)
 
Hypertensive crisis
 
Heart failure
 
100 mg/250mL D5W
 
0.5 mcg/kg/min
 
10 mcg/kg/min
 
Watch BP, thiocynate tox, tinnitus, delirium, CP,vision
 
Norepineph
 
(levophed)
 
Cardiogenic shock, Sig hypoTN w/ SBP <70
 
8 mg/250mL D5W
 
2 mcg/min
 
20
 
mcg/min
 
Monitor BP, EKG, UO caution in AMI
 
Octreotide
 
GI Bleed
 
1250mcg/250mL D5W
 
50 mcg bolus
 
à 25 mcg/hr
 
50mcg/hr
 
Dysglycemia,  bradycardia, hypothyroidism
 
Protonix
 
GI Bleed
 
 
80mg bolus à 8mg/hr
 
8mg/hr
 
 
Vasopressn
 
(Pitressin)
 
vasodilatory shock, pulseless VF/VT, DI, GIB
 
100 units
 
/250mL D5W
 
0.04 units/min
 
1.0 unit/min
 
Inc SVR ++periph vasoconstr, bad in AMI; do not titrate for vasodilatory shock
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
[[Category:Drugs]]

Latest revision as of 00:31, 25 February 2015

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