ICU drips Flashcards
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
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
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)
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
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+
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+
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+
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
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
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
heparin
Fx: anticoagulant
Mix: 25,000units/250mL NS or D5W
Dose: weight-based or PTT-based per MD orders
insulin (regular)
Fx: endocrine hormone
Mix: 1mg/250mL NS or D5W
Dose: 2mcg/min upto 20mcg based on MD orders
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
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
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
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
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
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
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
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.
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+
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+
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
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
succinylcholine
Fx: paralytic for rapid sequence intubation
Mix: 200mg/10mL vials
Dose: 0.6-1.1mg/kg IVP over 10 sec (max 150mg)
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
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.