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ICU drips

front 1 amiodarone . eh-mee-owe-derr-own	back 1 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
front 2 cisatracurium (Nimbex) . sis-atra-cure-ee-um	back 2 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
front 3 dexmedetomidine (Precedex) . deks-meh-duh-tow-muh-din	back 3 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)
front 4 diltiazem (Cardizem) . duhl-tie-ah-zim	back 4 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

front 5 dobutamine . doe-byoo-tuh-meen	back 5 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+
front 6 dopamine . doe-puh-meen	back 6 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+
front 7 epinephrine	back 7 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+
front 8 esmolol (Brevibloc) . ez-muh-laal	back 8 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

front 9 etomidate . uh-tah-muh-date	back 9 Fx: general anesthetic, sedative for rapid sequence intubation Mix: 20mg/10mL vial Dose: 0.3mg/kg IVP over 15-60 seconds
front 10 fentanyl (Sublimaze)	back 10 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
front 11 heparin	back 11 Fx: anticoagulant Mix: 25,000units/250mL NS or D5W Dose: weight-based or PTT-based per MD orders
front 12 insulin (regular)	back 12 Fx: endocrine hormone Mix: 1mg/250mL NS or D5W Dose: 2mcg/min upto 20mcg based on MD orders

front 13 isoproterenol (Isuprel) . eye-suh-pro-tear-ruh-naal	back 13 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
front 14 lidocaine (Xylocaine)	back 14 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
front 15 midazolam (Versed) . muh-dazzuh-lam	back 15 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
front 16 milrinone (Primacor) . mill-ruh-known	back 16 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

front 17 morphine	back 17 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
front 18 nicardipine (Cardene) . nuh-kaar-duh-peen	back 18 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
front 19 nitroglycerin	back 19 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
front 20 nitroprusside (Nipride) (protect from light) . nitro-press-ide	back 20 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.

front 21 norepinephrine (Levophed) . nor-epinephrine (Leh-voe-fed)	back 21 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+
front 22 phenylephrine (Neosynephrine) . feh-nuhl-eh-freen	back 22 Fx: vasopressor Mix: 20mg/250mL in NS or D5W Dose: start 50mcg/min upto 260mcg Titrate: by 10mcg q 3min to achieve MAP 65+
front 23 propofol (Diprivan)	back 23 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
front 24 rocuronium (Zemuron)	back 24 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

front 25 succinylcholine	back 25 Fx: paralytic for rapid sequence intubation Mix: 200mg/10mL vials Dose: 0.6-1.1mg/kg IVP over 10 sec (max 150mg)
front 26 vasopressin	back 26 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
front 27 vecuronium (Norcuron) . veck-your-own-nee-um	back 27 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.