Harbor Drip Card

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

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