COMMONLY USED CRITICAL CARE INFUSIONS

Drug

Dos e

Fluid

To yield

Calculation Constant

Usual Other DoseRa information nge

Dopamine (Inotropin)

400 mg

D5W 250cc

2 - 20 mcg/kg/ <3 mcg renal min 26.7 dose 1.6 mcg/mcgtt:we >7 mcg begins to mg/cc ight impair renal circulation. 1)Protect from 3.3 0.5 - 8 light mcg/mcgtt:we mcg/kg/ 2)Monitor serum ight min Thiocyanate levels.

Sodium Nitroprusside (Nipride)

50 mg

D5W 250cc D5W 250cc

0.2m g/cc

Dobutamine(dobutr 250 ex) mg

16.7 2.5 -10 1 mcg/mcgtt:we mcg/kg/ Inotropic Agent mg/cc ight min Large doses producevasocon striction Small doses producevasodila tion use with caution in patients who are experiencing VPCs. Increases possibility of VT/VF. May be titrated to higher doses Higher doses may be ordered Loading dose 0.75 mg/kg. must be mixed in NS or .45 NS

Epinephrine(Adrene 2 lin) mg

D5W 250 cc

8 0.13 1-4 mcg/c mcg/mcgtt:we mcg/mi c ight n

Isopreterenol(Isup rel)

2 mg

D5W 250 cc

8 0.13 2 -10 mcg/c mcg/mcgtt:we mcg/mi c ight n

Norepinephrine(Le vophed) Phenylephrine(Neo snyphrine)

2 mg 20 mg

D5W 250cc D5W 250cc

8 0.13 2 -12 mcg/c mcg/mcgtt:we mcg/mi c ight n 80 1.3 10 -20 mcg/c mcg/mcgtt:we mcg/mi c ight n

Amrinone

500 mg

NS100c c to 41.7 2 - 20 2.5 make mcg/mcgtt:we mcg/mi mg/cc 200cc ight n volume

Nitroglycerin (Tridil)

50 mg 2 Gra ms

D5W 250 cc

200 3.33 5 - 200 mcg/c mcg/mcgtt:we mcg/mi c ight n 0.13 8 mg/mcgtt:wei mg/cc ght 0.13 8 mg/mcgtt:wei mg/cc ght 0.13 8 mg/mcgtt:wei mg/cc ght 0.8 units/ cc 0.013 units/mcgtt:w eight 1-4 mg/min 1-4 mg/min 1-2 mg/min

Must be mixed in glass bottle & administered is special tubing Loading dose: 1 mg/kg up to 3 mg/kg Loading Dose: 20 mg/min up to 1 gram Loading Dose: 5 mg/kg up to 30 mg/kg

Lidocaine(xylocaine )

D5W 250cc D5W 250cc D5W 250cc

2 Procanamide(Prone Gra styl) ms Bretylium(Bretylol) 2 Gra ms

Vasopressin(Pitress 200 in) IU

D5W 250cc

0.2 0.4 Must be aqueous units/mi pitressin n

Labetalol(Trandate)

300 mg

D5W 240cc to 1 16.7/mcgtt:we 2 make mg/cc ight mg/min 300c total volume D5W 500 cc

Loading Dose: 20 mg/kg up to 80 mg/kg

Esmolol(Brevibloc)

5 Gra ms

50 167 10 200 short acting Beta mcg/mcgtt:we mg/cc mcg/kg/ Blocker ight min

Diltiazem(Cardizem )

125 mg

D5W 100 cc 16.7 qs to 1 10 - 15 mcg/mcgtt:we make mg/cc mg/ hr ight 125cc volume

can also be used for atrial arrythmias & SVT

Heparin

25,0 00 D5W unit 250 cc s

100 units/ cc

----

Given based on protocol . watch carefully adjuste for signs of d per bleeding nomogr am based on PTT Given watch for

Insulin

100

NS

----

unit s

100cc

unit/c c

based on orders, sliding scale adjuste d per Capillar y Blood Glucose reading s 1 mg/min for 6 hours @33 cc/hr then reduce to 0.5 mg/min @17 cc/hr

hypoglycemia

Amiodarone(Cordar one)

450 mg

250 cc

----

----

watch for hypotension

Propofol(Diprivan)

100 0 mg

100cc

titrate control according 10 167mcg/mcgtt to to Ramsey mg/cc :weight sedation sedation scale