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 3.4 Must be aqueous units/mi pitressin n Labetalol(Trandate) 300 mg D5W 240cc to 1 16.7 qs to 1 10 .2 0.15 mcg/mcgtt:we make mg/cc mg/ hr ight 125cc volume can also be used for atrial arrythmias & SVT Heparin 25. watch carefully adjuste for signs of d per bleeding nomogr am based on PTT Given watch for Insulin 100 NS 1 ---- .200 mcg/c mcg/mcgtt:we mcg/mi c ight n 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 0.7/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 16.33 5 .8 units/ cc 0.13 8 mg/mcgtt:wei mg/cc ght 0.0 00 D5W unit 250 cc s 100 units/ cc ---- Given based on protocol .13 8 mg/mcgtt:wei mg/cc ght 0.13 8 mg/mcgtt:wei mg/cc ght 0.

unit s 100cc unit/c c based on orders.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 . sliding scale adjuste d per Capillar y Blood Glucose reading s 1 mg/min for 6 hours @33 cc/hr then reduce to 0.

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