CCU drugs and concentrations

From IDWiki
Drug Standard Dilution Concentrated Dilution Usual Dose & Comments
Abciximab LD: 2 mg/mL, undiluted
MD: 9 mg/250 mL
LD: 2 mg/mL, undiluted
MD: 9 mg/250 mL
LD: 0.25 mg/kg
MD: 0.125 mcg/kg/min
Amiodarone (LD) 150 mg/100 mL (P/C) 300 mg/100 mL (C) 150-300 mg over 10-30 min
Amiodarone (MD) 450 mg/250 mL D5W only (P/C) 900 mg/250 mL D5W only (C) 900-1600 mg over 24h
Argatroban 100 mg/100 mL (P) 100 mg/100 mL (P) MD: 0.5-2 mcg/kg/min
Stable for 24h room temp or 96h fridge
Calcium gluconate 1 g/100-1000 mL Undiluted as 10% solution Usual 1-2 g prn over 30-60min
Usual max rate: 1g over 10min
ACLS: 1g over 3min
Cisatracurium
(Nimbex)
100 mL/100 mL (P/C) Undiluted in a Viaflex bag (P/C) LD: 0.15-0.2 mg/kg over 30-60s
MD: 1-3 mcg/kg/min
Dexmedetomidine
(Precedex)
200 mcg/50 mL NS only (P/C) 200 mcg/50 mL NS only (P/C) MD: 0.2-1.5 mcg/kg/h
Diltiazem 100 mg/100 mL (P/C) 100 mg/100 mL (P/C) LD: 0.15-0.25 mg/kg over 2 min
MD: 5-15 mg/h
Dobutamine 250 mg/250 mL (P/C) 500 mg/125 mL (C) or
500 mg/250 mL (P/C)
Infusion 1-20mcg/kg/min
Dopamine 400 mg/250 mL (P) 800 mg/250 mL (C) Infusion 1-20 mcg/kg/min
Enalaprilat 0.625-1.25 mg/25-50 mL (P/C) Undiluted (P/C) Bolus: 0.625-1.25 mg over 5-10 min q6h
Epinephrine (1:1000) 2 or 4 mg/250 mL (C) 8 or 16 mg/250 mL (C) Infusion: 0.02-0.35 mcg/kg/min
Eptifibatide
(Integrellin)
LD: 2 mg/mL vial (P)
MD: 0.75 mg/mL vial (P)
LD: 2 mg/mL vial (P)
MD: 0.75 mg/mL vial (P)
LD: 180 mcg/kg over 1-2 min
Esmolol 2500 mg/250 mL (P/C) 2500 mg/250 mL (P/C) LD: 0.25-0.5 mg/kg over 1 min
MD: 0.05-0.3 mg/kg/min
Fentanyl 2000 mcg/100 mL (P/C) Undiluted as 50 mcg/mL (P/C) Bolus: 25-100 mcg
MD: 25-200 mcg/h
Furosemide
(Lasix)
100 mg/100 mL (P/C) 200 mg/100mL (P/C)
undiluted (P/C)
Bolus: 20-320 mg (max rate 4 mg/min)
Infusion 1-30 mg/h
Protect in brown paper bag
Haloperidol
(Haldol)
100-250 mg/250 mL D5W only (P/C) 100-250 mg/250 mL D5W only (P/C) Bolus 2-10 mg
MD: 0.04-0.15 mg/kg/h or 10-40 mg/h
Isoproterenol
(Isuprel)
2 mg/250 mL (P/C) 4 mg/250 mL (P/C) MD: 1-20 mcg/min
Insulin Regular 50 u/250 mL (P/C)
25 u/250 mL (P/C)
100 u/100 mL (P/C)
50 u/50 mL (P/C)
Labetalol
(Trandate)
200 mg/160 mL (P/C) undiluted 5 mg/mL (P/C) Bolus: 10-80 mg q10min
MD: 0.125-2 mg/min
Lepirudin Reconstitute 50 mg vial 1 mL SWFI or NS Reconstitute 50 mg vial 1 mL SWFI or NS LD: 0.07 mg/kg
LD: dilute vial into 10 mL syringe LD: dilute vial into 10 mL syringe MD: 0.05-0.15 mg/kg/h
MD: two vials to either 250 mL or 500 mL bag MD: two vials to either 250 mL or 500 mL bag LD and MD based on CrCl
Lidocaine Bolus: 20 mg/mL undiluted
Infusion: 250-500 mg/250 mL
Infusion 1000 mg/250 mL Bolus 1-1.5 mg/kg
Infusion 1-4 mg/min
Lorazepam
(Ativan)
Intermittent: 4 mg/20-50 mL (D5W only)
Continuous: 25 mg/250 mL (D5W only)
Intermittent: 4 mg/20-50 mL (D5W only)
Continuous: 25 mg/250 mL (D5W only)
LD: 0.5-10 mg over 1-2 min
MD: 0.5-20 mg/h
Magnesium sulfate 2 g/50-100 mL Maximum 200 mg/mL (i.e. 2 g/10 mL) Bolus 1-6 g prn
Max rate 150 mg/min (1g over 6 min)
ACLS: higher rates
Metoprolol Push: 2.5-5 mg over 1-2 min
Intermittent: 2.5-15 mg/50 mL over 15 min
Continuous: 30 mg/100 mL (P/C)
Push: 2.5-5 mg over 1-2 min
Intermittent: 2.5-15 mg/50 mL over 15 min
Continuous: 30 mg/100 mL (P/C)
Bolus 2.5-5 mg q4-6h
Infusion 1-5 mg/h
Midazolam
(Versed)
50-100 mg/50-100 mL (P/C) Undiluted 5 mg/mL in Viaflex bag LD: 0.5-10 mg over 1-2 min
MD: 1-10 mg/h
Milrinone 20 mg/100 mL (P/C) 40 mg/100 mL (P/C) LD: 50 mcg/kg over 10 min
MD: 0.125-0.75 mcg/kg/min
Dose adjusted for renal dysfunction
Morphine 100 mg/100 mL (P/C) 5-10 mg/mL (P/C) LD: 0.5-10 mg over 1-2 min
MD: 0.5-20 mg/h
Nitroglycerin 50 mg/250 mL in D5W (P/C) 100 mg/250 mL in D5W (P/C) 13-400 mcg/min
Use glass bottle & non-PVC or low-sorb tubing
Nitroprusside
(Nipride)
50 mg/250 mL in D5W (P/C) 100 mg/250 mL in D5W (P/C) 0.25-10 mcg/kg/min
CHF range: 0.25-3 mcg/kg/min
Protect from light in paper bag
Norepinephrine
(Levophed)
4 mg/250 mL (C) 8-16 mg/250 mL (C) 0.02-0.35 mcg/kg/min
Pancuronium 50 mg/50 mL (P/C) Undiluted as 2 mg/mL (P/C) LD: 0.04-0.1 mg/kg
MD: 0.02-0.04 mg/kg q1-4h
Phenylephrine 50 mg/250 mL (C) 200 mg/250 mL (C) LD: 0.1-0.2 mg over 2 min
MD: 0.3-3 mcg/kg/min
Propofol 10 mg/mL premixed bottle (P/C) 10 mg/mL premixed bottle (P/C) MD: 20-200 mg/h
Potassium chloride 20-40 mmol/L (P) 40 mmol/100 mL over 90 min (C) Routine: 10 mmol/h
Severe hypoK: 20 mmol/h
Emergency: 40 mmol/h
Potassium phosphate
(3 mmol PO4/mL)
3-15 mmol PO4 / 250-500 mL over 5h (P), or over 2-3 h (C) 15-30 mmol PO4 / 100-250 mL (C) over 2 h if <15 mmol, or over 4-5 h if > 15 mmol 3-15 mmol PO4 prn
Procainamide 1000 mg/250 mL (P/C) 2000 mg/250 mL (P/C) LD: 500-1000 mg (max 25 mg/min)
MD: 1-6 mg/min
Sodium phosphate
(3 mmol PO4/mL)
3-15 mmol PO4/250-500 mL over 5 h (P), or over 2-3 h (C) 15-30 mmol PO4/100-250 mL (C) over 2 h if <15 mmol, or over 4-5 h if >15 mmol 3-15 mmol PO4 prn
Tirofiban 12.5 mg/250 mL premixed bag (P) 12.5 mg/250 mL premixed bag (P) LD: 0.4 mcg/kg/min (for 30 min)
MD: 0.1 mcg/kg/min
Vasopressin 40 u/100 mL (C) 100 u/100 mL (C) 0.4-6 u/h
ACLS: 40 u IV push
Vecuronium 20 mg/100 mL (P/C) 100 mg/100 mL (P/C) LD: 0.08-0.1 mg/kg
MD: 0.6-1.8 mcg/kg/min
LD: loading dose

MD: maintenance dose

P/C: peripheral/central