Medication drip doses (peds)
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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
- ↑ Cincinnati Children's Hospital, "The Pocket" 2016-17.