8

17

Heparin

o heparin..C..unit/hr
o : Heparin 25,000 unit (1
vial)/250 ml (D5W,NSS)

=
0.01 * C
=..cc/hr

Regular Insulin (RI)

o
RI 1:1 =
RI 1:2 =

RI 100 unit + NSS 100 ml

RI 50 unit + NSS 100 ml

o RI (A:B) C..cc/hr

B*C

A
=
.cc/hr

Lidocaine

o .. 2
1% lidocaine 20 ml =
lidocaine 200 mg
2% lidocaine 20 ml =
lidocaine 400 mg
o lidocaine (4:1)
......C.mg/hr
o 1% lidocaine 100 ml
(1%lidocaine 5 vials)/250 ml NSS or D5W = 4:1

=
15 * C
=..cc/hr

17

DoPAmine

o Usual dose >> Neonate : 1 20 mcg/kg/min,

titrate to desired response
>> Children : 1 20 mcg/kg/min, maximum
50 mcg/kg/min, titrate to desired
response
>> Adult : 1 5 mcg/kg/min, maximum 20
mcg/kg/min, titrate to desired response
o 10 30
1 4 mcg/kg/min
> 20 30 mcg/kg/min
NE, adrenaline
o

Dopamine (2:1)

Dopamine (1:1)

Dopamine 500 mg +
250 ml
Dopamine 250 mg +
250 ml

o Dopamine......A.mcg/min

A * 60
1000 *
(mg/ml)
=

.ml/hr

o : (2:1)
=
2 mg/ml
(1:1)
=
1 mg/ml
o
50 kg
DoPAmine 0.05 - 0.25 mg/min,max 1 mg/min

DoPAmine (1:1) 3 15 ud/min,max 60 ud/min

10 30 3 12 ud/min

10

17

DoPAmine (2:1) 1.5 7.5 ud/min, max 30 ud/min

10 30 1.5 6 ud/min
Pantoprazole inj. (Controloc)
o Controloc 80 mg IV stat then
drip 8mg/hr
o >> Controloc 2 amp (80
mg) NSS 100 ml
o 10 cc/hr ( 8 mg/hr)
o : 12 hr
Sandostatin inj.
o Sandostatin 50 mcg iv IV push
stat then drip 50 mcg/hr
o Sandostatin 5 amp (500
mcg) NSS 500 ml
o 50 cc/hr
o : Sandostatin 1 amp(1 cc)
0.1 mg (100 mcg)
96 hr

Amiodarone 150 mg/3 ml inj.

o Usual dose >>

Adult : stable VT or SVT first
24 hr; total dose 1050 mg
o Step 1
: 150 mg ( D-5-W 100 ml)
10
o Step 2
: 360 mg ( D-5-W 200 ml)
6 (rate 1 mg/min)
o Step 3
: 540 mg ( D-5-W 300 ml)
18 (rate 0.5 mg/min)
o 24 rate 0.5 mg/min
o
: Step 2
Step 3 900 mg (18 ml)
D-5-W 500 ml drip rate 1 mg/min (33 ud/min)
6 18
drip rate 0.5 mg/min (17 ud/min)

11

17

o For infusion > 1 hr, < 2

mg/ml phlebitis
o >>
Amiodarone 150 mg IV load then 900 mg + D-5-W
500 ml IV drip in 24 hr
Adrenaline 1 mg/ 1 ml inj.
o Usual dose >> Neonate (cardiac arrest) : IV 0.01
0.03 mg/kg 3 5
>> Infant and children : Continuous IV
infusion 0.1 1 mcg/kg/min, titrate to
desired response
>> Adult : 1 10 mcg/min, titrate to desired
response
o >>
Adrenaline 1 10 mcg/min
Adrenaline 1:10 0.6 6 ud/min ( 10 Amp,
10 mg D-5-W 100 ml)
DoBUtamine 250 mg/20 ml inj.
o Usual dose >> Neonate : 2 15 mcg/kg/min,
titrate to desired response
>> Children and Adult : 2.5 20
mcg/kg/min, maximum 40 mcg/kg/min,
titrate to desired response
o 5:1 = 5
mg/ml
o
50 kg
DoBUtamine 0.125 1 mg/min, max 2
mg/min
DoBUtamine (1:1) 7.5 60 ud/min,
max 120 ud/min
DoBUtamine (4:1) 2 15 ud/min,
max
30 ud/min
o DoBUtamine (1:1) 1 amp (250
mg) D-5-W 250 ml

12

17

Magnesium sulfate 10% (1 g/ 10 ml), Magnesium

sulfate 50% (1 g/ 2 ml),
o 1 g Mg
=
8.12 mEq elemental Mg
o Usual dose >> Adult :
1. Arrhythmia, hypomagnesemiainduced (life-threatening), torsade de
points (cardiac arrest) : 1 2 g over 5
20
2. Symtomatic arrhythmias without
cardiac arrest : 1 2 g over 5 60

3. Severe deficiency hypomagnesemia

(non-life-threatening) : 1 2 g/hr for 3
6 hr then 0.5 1 g/hr as need to
correct deficiency
Norepinephrine 4 mg/ 4 ml inj.
o Usual dose >> Children : 0.05 0.1 mcg/kg/min,
maximum 1 2 mcg/kg/min, titrate to
desired response
>>
Adult : 0.5 1 mcg/min, titrate to
desired response
>>
: 8 30
mcg/min 0.01 3
mcg/kg/min
o

NE 8 30
mcg/min
NE 1:5 2.4 9
ud/min
o
50 kg.
NE 0.5 150 mcg/min
NE 1:5 0.15 45
ud/min

13

17

o NE (1:5) 5 Amp (20 mg) D5-W 100 ml

1. Lacy C, Armstrong LL, Goldman MP, et al. Drug

information handbook. 15th ed. Hudson: Lexi-Comp.,
2007-2008
2.

3. . (Emergency
Drugs). ,
, , .

. :
(), 2547. 203
227.
4. . Drug Stability, Preparation
and administration. ,
, ,
.
. :
(), 2547. 168
181.