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