Harbor Drip Card

Adult IV Concentrations

Medication	Indications	Concentration	StartRange	Maximum	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/kg à5-15mg/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/250mLNS	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
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	10units/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	20mcg/min	Monitor BP, EKG, UO caution in AMI
Octreotide	GI Bleed	1250mcg/250mL D5W	50 mcg bolusà25 mcg/hr	50mcg/hr	Dysglycemia, bradycardia, hypothyroidism
Protonix	GI Bleed		80mg bolus à8mg/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