Maintenance script: Imported from text file

2020-07-04T01:17:27Z

Imported from text file

New page

{|
! 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 PO<s>4</s>/mL)
| 3-15 mmol PO<s>4</s> / 250-500 mL over 5h (P), or over 2-3 h (C)
| 15-30 mmol PO<s>4</s> / 100-250 mL (C) over 2 h if <15 mmol, or over 4-5 h if > 15 mmol
| 3-15 mmol PO<s>4</s> 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 PO<s>4</s>/mL)
| 3-15 mmol PO<s>4</s>/250-500 mL over 5 h (P), or over 2-3 h (C)
| 15-30 mmol PO<s>4</s>/100-250 mL (C) over 2 h if <15 mmol, or over 4-5 h if >15 mmol
| 3-15 mmol PO<s>4</s> 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

[[Category:Cardiology]]
[[Category:Critical care]]
[[Category:Medications]]

CCU drugs and concentrations - Revision history

Maintenance script: Imported from text file