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