Harbor Drip Card

Adult IV Concentrations

dication	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/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