Medication drip doses (peds)

Medication Drip Doses (Peds)[1]

Drug Standard Concentration Mac Concentration (C-line) Max Concentration (PIV) Usual Dosage Range Usual Starting Dose Usual Titration Increments
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
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
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 0.02-0.2 mg/kg/hr 0.02 mg/kg/hr 0.01-0.02 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 1-8 mg/kg/hr 1-2 mg/kg/hr 1 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
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
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
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 0.1 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" 2010-2011.

Authors:

Ross Donaldson