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| ==Adult IV Concentrations==
| | #REDIRECT[[Vasopressors]] |
| {| class="wikitable"
| |
| | align="center" style="background:#f0f0f0;"|'''dication'''
| |
| | align="center" style="background:#f0f0f0;"|'''Indications'''
| |
| | align="center" style="background:#f0f0f0;"|'''Concentration'''
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| | align="center" style="background:#f0f0f0;"|'''StartRange'''
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| | align="center" style="background:#f0f0f0;"|'''Maximum'''
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| | align="center" style="background:#f0f0f0;"|'''Comments'''
| |
| |-
| |
| | Amiodarone||SVT, UnstableVT, V-fib, Convert Afib to NSR||900mg/500mL D5Ws (1.8mg/ml)||150mg x10minà1mg/min x6hrsà0.5mg/min x18hr||2.2 gm/day||Watch for ↓BP,worsened/new arrythmias
| |
| |-
| |
| | Diltiazem||SVT, Afib/flutter||125mg/125mL D5W (1mg/ml)||Load 0.25mg/kgà5-15mg/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||20 mcg/kg/min||monitor BP, EKG, UOP
| |
| |-
| |
| | ||||||mcg/kg/min||||Tachydysrhythmias
| |
| |-
| |
| | ||||||à 2mcg/kg/min||||caution AMI, incr O2 req
| |
| |-
| |
| | Dopamine||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
| |
| |-
| |
| | D>B>B/A>A||||||||||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||Load 500 mcg/kg x1min à50 mcg/kg/min||300 mcg/kg/min||Careful: bradycardia, AV block, dec BP, reactive airway, no mix c Ca Ch Blk
| |
| |-
| |
| | ||||NS||||||
| |
| |-
| |
| | 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/kgà0.1-0.7units/hr||10||Use Insulin protocol form
| |
| |-
| |
| | ||||||||units/hr||
| |
| |-
| |
| | Labetalol||HTN urg/emerg||200mg/300mL D5W||2mg/min||4mg/min||hypotension
| |
| |-
| |
| | Midazolam||Sedation intubated pt||100mg/100mL D5W||Load 10- 50 mcg/kgà20-100||||hypotension
| |
| |-
| |
| | (Versed)||||||||||
| |
| |-
| |
| | Neo-syneph (phenyleph)||Hypotension, vascular failure in shock, SVT||80 mg/250mL D5W||Load 100 mcgà||200 mcg/min||Monitor BP, HR, SVR
| |
| |-
| |
| | ||||||40-60 mcg/min||||
| |
| |-
| |
| | NTG||AMI and Ischemia/Infarction||100 mg/250mL D5W||0.1 mcg/kg/min||5 mcg/kg/min||Hypotension, HA
| |
| |-
| |
| | Nitroprussid||Hypertensive crisis||100 mg/250mL D5W||0.5 mcg/kg/min||10 mcg/kg/min||Watch BP, thiocynate tox, tinnitus, delirium, CP,vision
| |
| |-
| |
| | (Nipride)||Heart failure||||||||
| |
| |-
| |
| | Norepineph||Cardiogenic shock, Sig hypoTN w/ SBP <70||8 mg/250mL D5W||2 mcg/min||20||Monitor BP, EKG, UO caution in AMI
| |
| |-
| |
| | (levophed)||||||||mcg/min||
| |
| |-
| |
| | Octreotide||GI Bleed||1250mcg/250mL D5W||50 mcg bolus||50mcg/hr||Dysglycemia, bradycardia, hypothyroidism
| |
| |-
| |
| | ||||||à25 mcg/hr||||
| |
| |-
| |
| | Protonix||GI Bleed||||80mg bolusà8mg/hr||8mg/hr||
| |
| |-
| |
| | Vasopressn||vasodilatory shock, pulseless VF/VT, DI, GIB||100 units||0.04 units/min||1.0 unit/min||Inc SVR ++periph vasoconstr, bad in AMI; do not titrate for vasodilatory shock
| |
| |-
| |
| | (Pitressin)||||/250mL D5W||||||
| |
| |}
| |
| | |
| [[Category:Drugs]] | |
