Medication drip doses (peds): Difference between revisions

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==Medication Drip Doses (Peds)<ref>Cincinnati Children's Hospital, "The Pocket" 2010-2011. </ref>==
==Medication Drip Doses (Peds)<ref>Cincinnati Children's Hospital, "The Pocket" 2016-17. </ref>==
{| {{table}}
{| {{table}}
| align="center" style="background:#f0f0f0;"|'''Drug'''
| align="center" style="background:#f0f0f0;"|'''Drug'''
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| align="center" style="background:#f0f0f0;"|'''Usual Dosage Range'''
| align="center" style="background:#f0f0f0;"|'''Usual Dosage Range'''
| align="center" style="background:#f0f0f0;"|'''Usual Starting Dose'''
| align="center" style="background:#f0f0f0;"|'''Usual Starting Dose'''
| align="center" style="background:#f0f0f0;"|'''Usual Titration Increments^'''
| align="center" style="background:#f0f0f0;"|'''Usual Titration Increments'''
|-
| [[Dexmedetomidine]]||4 mcg/ml||4 mcg/ml||4 mcg/ml||0.2-1 mcg/kg/hr||0.3-0.5 mcg/kg/hr||0.2 mcg/kg/hr
|-
|-
| [[Dobutamine]]||2.4 mg/ml||6mg/ml||Not recommended||5-20 mcg/kg/min||5-10 mcg/kg/min||5 mcg/kg/min
| [[Dobutamine]]||2.4 mg/ml||6mg/ml||Not recommended||5-20 mcg/kg/min||5-10 mcg/kg/min||5 mcg/kg/min
|-
|-
| [[Epinephrine]]||0.12 mg/ml||1mg/ml||Not recommended||0.01-2 mcg/kg/min||0.1mcg/kg/min||0.1 mcg/kg/min
| [[Epinephrine]]||0.12 mg/ml||0.6 mg/ml||Not recommended||0.01-2 mcg/kg/min||0.05 mcg/kg/min||0.05 mcg/kg/min
|-
|-
| [[Esmolol]]||20 mg/ml||20 mg/ml||20 mg/ml||50-500 mcg/kg/min||50 mcg/kg/min||50 mcg/kg/min
| [[Esmolol]]||20 mg/ml||20 mg/ml||20 mg/ml||50-500 mcg/kg/min||50 mcg/kg/min||50 mcg/kg/min
|-
|-
| [[Fentanyl]]||50 mcg/ml||50 mcg/ml||50 mcg/ml||1-10 mcg/kg/hr||1-2 mcg/kg/hr||1 mcg/kg/hr
| [[Fentanyl]]||50 mcg/ml||50 mcg/ml||50 mcg/ml||1-5 mcg/kg/hr||0.5-1 mcg/kg/hr||0.5 mcg/kg/hr
|-
|-
| [[Furosemide]]||1 mg/ml||5 mg/ml||5 mg/ml||0.1-0.4 mg/kg/hr||0.1 mg/kg/hr||0.1 mg/kg/hr
| [[Furosemide]]||1 mg/ml||5 mg/ml||5 mg/ml||0.1-0.4 mg/kg/hr||0.1 mg/kg/hr||0.1 mg/kg/hr
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| [[Heparin]]||100 units/ml||100 units/ml||100 units/ml||See Guideline||See Guideline||See Guideline
| [[Heparin]]||100 units/ml||100 units/ml||100 units/ml||See Guideline||See Guideline||See Guideline
|-
|-
| [[Hydromorphone]]||1 mg/ml||2 mg/ml||2 mg/ml||0.02-0.2 mg/kg/hr||0.02 mg/kg/hr||0.01-0.02 mg/kg/hr
| [[Hydromorphone]]||1 mg/ml||2 mg/ml||2 mg/ml||0.005-0.2 mg/kg/hr||0.005 mg/kg/hr||0.005 mg/kg/hr
|-
|-
| [[Insulin]]||1 unit/ml||1 unit/ml||1 unit/ml||Depends on indication||Depends on indication||Depends on indication
| [[Insulin]]||1 unit/ml||1 unit/ml||1 unit/ml||Depends on indication||Depends on indication||Depends on indication
|-
|-
| [[Ketamine]]||5 mg/ml||10 mg/ml||5 mg/ml||1-8 mg/kg/hr||1-2 mg/kg/hr||1 mg/kg/hr
| [[Ketamine]]||5 mg/ml||10 mg/ml||5 mg/ml||0.5-5 mg/kg/hr||0.5-1 mg/kg/hr||0.5 mg/kg/hr
|-
|-
| [[Magnesium sulfate]]||50 mg/ml||50 mg/ml||50 mg/ml||10-20 mg/kg/hr||10 mg/kg/hr (Max 1,000 mg/hr)||2.5-5 mg/kg/hr
| [[Magnesium sulfate]]||50 mg/ml||50 mg/ml||50 mg/ml||10-20 mg/kg/hr (Max 1,000 mg/hr)||5 mg/kg/hr||2.5-5 mg/kg/hr
|-
|-
| [[Midazolam]]||1 mg/ml||5 mg/ml||5 mg/ml||0.05-1 mg/kg/hr||0.1 mg/kg/hr||0.1 mg/kg/hr
| [[Midazolam]]||1 mg/ml||5 mg/ml||5 mg/ml||0.05-1 mg/kg/hr||0.05 mg/kg/hr||0.05 mg/kg/hr
|-
|-
| [[Morphine]]||1 mg/ml||5 mg/ml||5 mg/ml||0.1-1 mg/kg/hr||0.1 mg/kg/hr||0.1 mg/kg/hr
| [[Morphine]]||1 mg/ml||5 mg/ml||5 mg/ml||0.1-2 mg/kg/hr||0.05 mg/kg/hr||0.05 mg/kg/hr
|-
|-
| [[Naloxone]]||4 mcg/ml||4 mcg/ml||4 mcg/ml||Determined prior dosing||Determined prior dosing||Determined prior dosing
| [[Naloxone]]||4 mcg/ml||4 mcg/ml||4 mcg/ml||Determined by prior dosing||Determined by prior dosing||Determined by prior dosing
|-
|-
| [[Nicardipine]]||0.1 mg/ml||1 mg/ml||0.1 mg/ml||0.5-4 mcg/kg/min||0.5-1 mcg/kg/min||0.5-1 mcg/kg/min
| [[Nicardipine]]||0.1 mg/ml||1 mg/ml||0.1 mg/ml||0.5-4 mcg/kg/min||0.5-1 mcg/kg/min||0.5-1 mcg/kg/min
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| [[Nitroprusside]]||0.24 mg/ml||1mg/ml||0.24 mg/ml||0.5-5 mcg/kg/min||0.5-1 mcg/kg/min||0.5-1 mcg/kg/min
| [[Nitroprusside]]||0.24 mg/ml||1mg/ml||0.24 mg/ml||0.5-5 mcg/kg/min||0.5-1 mcg/kg/min||0.5-1 mcg/kg/min
|-
|-
| [[Norepinephrine]]||0.12 mg/ml||0.12 mg/ml||Not recommended||0.1-1 mcg/kg/min||0.1 mcg/kg/min||0.1 mcg/kg/min
| [[Norepinephrine]]||0.12 mg/ml||0.12 mg/ml||Not recommended||0.1-1 mcg/kg/min||0.1 mcg/kg/min||0.05 mcg/kg/min
|-
|-
| [[Propofol]]||10 mg/ml||10 mg/ml||10 mg/ml||25-200 mcg/kg/min||25-50 mcg/kg/min||25-50 mcg/kg/min
| [[Propofol]]||10 mg/ml||10 mg/ml||10 mg/ml||25-200 mcg/kg/min||25-50 mcg/kg/min||25-50 mcg/kg/min

Revision as of 19:01, 26 July 2019

Medication Drip Doses (Peds)[1]

Drug Standard Concentration Mac Concentration (C-line) Max Concentration (PIV) Usual Dosage Range Usual Starting Dose Usual Titration Increments
Dexmedetomidine 4 mcg/ml 4 mcg/ml 4 mcg/ml 0.2-1 mcg/kg/hr 0.3-0.5 mcg/kg/hr 0.2 mcg/kg/hr
Dobutamine 2.4 mg/ml 6mg/ml Not recommended 5-20 mcg/kg/min 5-10 mcg/kg/min 5 mcg/kg/min
Epinephrine 0.12 mg/ml 0.6 mg/ml Not recommended 0.01-2 mcg/kg/min 0.05 mcg/kg/min 0.05 mcg/kg/min
Esmolol 20 mg/ml 20 mg/ml 20 mg/ml 50-500 mcg/kg/min 50 mcg/kg/min 50 mcg/kg/min
Fentanyl 50 mcg/ml 50 mcg/ml 50 mcg/ml 1-5 mcg/kg/hr 0.5-1 mcg/kg/hr 0.5 mcg/kg/hr
Furosemide 1 mg/ml 5 mg/ml 5 mg/ml 0.1-0.4 mg/kg/hr 0.1 mg/kg/hr 0.1 mg/kg/hr
Heparin 100 units/ml 100 units/ml 100 units/ml See Guideline See Guideline See Guideline
Hydromorphone 1 mg/ml 2 mg/ml 2 mg/ml 0.005-0.2 mg/kg/hr 0.005 mg/kg/hr 0.005 mg/kg/hr
Insulin 1 unit/ml 1 unit/ml 1 unit/ml Depends on indication Depends on indication Depends on indication
Ketamine 5 mg/ml 10 mg/ml 5 mg/ml 0.5-5 mg/kg/hr 0.5-1 mg/kg/hr 0.5 mg/kg/hr
Magnesium sulfate 50 mg/ml 50 mg/ml 50 mg/ml 10-20 mg/kg/hr (Max 1,000 mg/hr) 5 mg/kg/hr 2.5-5 mg/kg/hr
Midazolam 1 mg/ml 5 mg/ml 5 mg/ml 0.05-1 mg/kg/hr 0.05 mg/kg/hr 0.05 mg/kg/hr
Morphine 1 mg/ml 5 mg/ml 5 mg/ml 0.1-2 mg/kg/hr 0.05 mg/kg/hr 0.05 mg/kg/hr
Naloxone 4 mcg/ml 4 mcg/ml 4 mcg/ml Determined by prior dosing Determined by prior dosing Determined by prior dosing
Nicardipine 0.1 mg/ml 1 mg/ml 0.1 mg/ml 0.5-4 mcg/kg/min 0.5-1 mcg/kg/min 0.5-1 mcg/kg/min
Nitroglycerin 0.24 mg/ml 0.4 mg/ml 0.24 mg/ml 0.25-5 mcg/kg/min 0.25 mcg/kg/min 0.25 mcg/kg/min
Nitroprusside 0.24 mg/ml 1mg/ml 0.24 mg/ml 0.5-5 mcg/kg/min 0.5-1 mcg/kg/min 0.5-1 mcg/kg/min
Norepinephrine 0.12 mg/ml 0.12 mg/ml Not recommended 0.1-1 mcg/kg/min 0.1 mcg/kg/min 0.05 mcg/kg/min
Propofol 10 mg/ml 10 mg/ml 10 mg/ml 25-200 mcg/kg/min 25-50 mcg/kg/min 25-50 mcg/kg/min
Vecuronium 1 mg/ml 1 mg/ml 1 mg/ml 0.1-0.3 mg/kg/hr 0.1 mg/kg/hr 0.05 mg/kg/hr

References

  1. Cincinnati Children's Hospital, "The Pocket" 2016-17.