ICU drips

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created 6 months ago by GetOffMe
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critical care intravenous meds
updated 6 months ago by GetOffMe
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pharmacology
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1

amiodarone

.

eh-mee-owe-derr-own

Fx: antiarrhythmic

Mix: 450mg/250mL D5W only (not NS) ...FILTER NEEDLE
Bolus mix: 150mg/100mL D5W

Bolus: 600mL/hr
Dose: 1mg/min q6hr then 0.5mg/min ...do not titrate

2

cisatracurium (Nimbex)

.

sis-atra-cure-ee-um

Fx: NMB / paralytic

Mix: 200mg/200mL NS or D5W

Bolus: 100mcg/kg
Dose: 1mcg/kg/min > max 10mcg
Titrate: by 2mcg/kg/min every 10 minutes

3

dexmedetomidine (Precedex)

.

deks-meh-duh-tow-muh-din

Fx: sedative

Mix: 200mcg/50mL NS or D5W

Dose: start 0.2mcg/kg/h upto 1.5mcg
Titrate: by 0.1mcg every 15min to achieve RASS score of 0 to -1. (slow to avoid HoTN)

4

diltiazem (Cardizem)

.

duhl-tie-ah-zim

Fx: Ca2+ channel blocker, non DHP

Mix: 125mg/125mL NS or D5W

Bolus: 0.25mg/kg IVP over 2 min
Dose: start 5mg/h max 20mg/hr
Titrate: by 5mg/h every 15min to achieve HR of <110bpm

5

dobutamine

.

doe-byoo-tuh-meen

Fx: inotrope

Mix: 500mg/250mL in NS or D5W

Dose: start 2.5mcg/kg/min upto 20mcg
Titrate: by 2.5mcg every 10 min to achieve MAP of 65+

6

dopamine

.

doe-puh-meen

Fx: vasopressor

Mix: 400mg/250mL NS or D5W

Dose: start 2.5mcg/kg/min upto 20mcg
Titrate: by 2.5mcg every 10 min to achieve MAP 65+

7

epinephrine

Fx: vasopressor, cardiac stimulant

Mix: 5mg/250mL NS or D5W

Dose: start 0.05mcg/kg/min upto 0.45mcg
Titrate: by 0.01mcg every 15 min to achieve MAP 65+

8

esmolol (Brevibloc)

.

ez-muh-laal

Fx: antiarrhythmic, Beta blocker

Mix: 2500mg/250mL premix

Bolus: 500mcg/kg
Dose: start 50mcg/kg/min upto 200mcg
Titrate: by 50mcg every 4 min to achieve HR <110

9

etomidate

.

uh-tah-muh-date

Fx: general anesthetic, sedative for rapid sequence intubation

Mix: 20mg/10mL vial

Dose: 0.3mg/kg IVP over 15-60 seconds

10

fentanyl (Sublimaze)

Fx: narcotic, analgesic

Dose: 1000mcg/100mL NS or D5W

Dose: start 50mcg/h upto 500mcg/h
Titrate: by 25mcg q30min to achieve CPOT score of 0 to 2; if used with sedatives > RASS score of 0 to -2

11

heparin

Fx: anticoagulant

Mix: 25,000units/250mL NS or D5W

Dose: weight-based or PTT-based per MD orders

12

insulin (regular)

Fx: endocrine hormone

Mix: 1mg/250mL NS or D5W

Dose: 2mcg/min upto 20mcg based on MD orders

13

isoproterenol (Isuprel)

.

eye-suh-pro-tear-ruh-naal

Fx: inotrope

Mix: 1mg/250mL NS or D5W

Dose: start 2mcg/min upto 20mcg
Titrate: by 1mcg q 5 min, contact MD for titration goal

14

lidocaine (Xylocaine)

Fx: antiarrhythmic

Mix: 2g/500mL in NS or D5W

Dose: range 1-4mg/min (1mg = 15mL/hr...4mg=60mL/hr)
Titrate: by 1mg upto 4mg until arrhythmia terminated > stop infusion once rhythm stabilizes

15

midazolam (Versed)

.

muh-dazzuh-lam

Fx: Benzo sedative

Mix: 100mg/100mL in NS or D5W

Dose: start 1mg/h upto 30mg
Titrate: by 1mg q hour to achieve RASS 0 to -2

16

milrinone (Primacor)

.

mill-ruh-known

Fx: + inotrope, vasodilator

Mix: 20mg/100mL D5W premixed

Bolus: 50mcg/kg
Dose: 0.375mcg/kg/min upto 0.75
Titrate: contact MD for goal parameters

17

morphine

Fx: narcotic analgesic

Mix: 100mg/100mL in NS or D5W

Bolus: 1mg
Dose: 1mg/h upto 10mg
Titrate: by 1mg q30min to achieve CPOT score of 0 to 2; if used with sedatives > RASS score of 0 to -2

18

nicardipine (Cardene)

.

nuh-kaar-duh-peen

Fx: Ca2+ channel blocker, DHP

Mix: 20mg/200mL or 25mg/250mL in NS or D5W

Dose: 5mg/h upto 15mg
Titrate: by 2.5mg q 15min to achieve a SBP of <160. Attempt to decrease rate 3mg/h once BP is controlled. Rotate IV infusion site q12h if via peripheral site

19

nitroglycerin

Fx: vasodilator

Mix: 25mg/250mL in NS or D5W

Dose: start 5mcg/min upto 200mcg
Titrate: by 5mcg q 5 min to goal parameters per MD

20

nitroprusside (Nipride) (protect from light)

.

nitro-press-ide

Fx: veno and arterial vasodilator

Mix: 50mg/250mL D5W only (not NS)

Dose: start 0.5mcg/kg/min upto 10mcg
Titrate: by 0.25mcg q 3 min to achieve SBP of <160.

21

norepinephrine (Levophed)

.

nor-epinephrine (Leh-voe-fed)

Fx: vasopressor

Mix: 4mg/250mL in NS or D5W

Dose: start 0.05mcg/kg/min upto 0.45mcg
Titrate: by 0.05mcg q 3min to achieve MAP 65+

22

phenylephrine (Neosynephrine)

.

feh-nuhl-eh-freen

Fx: vasopressor

Mix: 20mg/250mL in NS or D5W

Dose: start 50mcg/min upto 260mcg
Titrate: by 10mcg q 3min to achieve MAP 65+

23

propofol (Diprivan)

Fx: general anesthetic/sedative

Mix: 1000mg/100mL premix

Dose: start 10mcg/kg/min upto 50mcg
Titrate: by 5mcg q 5min to achieve RASS score of 0 to -2

24

rocuronium (Zemuron)

Fx: neuromuscular paralytic

Mix: 250mg/250mL in NS or D5W for continuous infusion

Bolus: 0.6mg/kg
Dose: start 8mcg/kg/min upto 12mcg
Titrate: by 25% q 15min to achieve a Train-of-Four TOF 1-2 out of 4

25

succinylcholine

Fx: paralytic for rapid sequence intubation

Mix: 200mg/10mL vials

Dose: 0.6-1.1mg/kg IVP over 10 sec (max 150mg)

26

vasopressin

Fx: vasopressor for septic shock

Mix: 20 units/100mL in NS or D5W

Dose: start 0.03units/min (septic shock) max rate
vasoplegic syndrome 0.1-1unit/min
Titrate: do not titrate for septic shock; for DI or variceal hemorrhage > seek MD orders for dosing/titration

27

vecuronium (Norcuron)

.

veck-your-own-nee-um

Fx: NM paralytic

Mix: 20mg/100mL in NS or D5W

Bolus: 100mcg/kg IVP
Dose: start 0.8mcg/kg/min upto 2mcg
Titrate: by 0.2mcg q 10min to achieve Train-of-Four 1-2 out of 4.