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    DRIPS

    Uploaded by

    Kim Alvarez
    This document provides information on medication indications, dosages, and administration methods for various drugs including: 1) Amiodarone for wide-complex tachydysrhythmias and atrial fibrillation, with dosages listed for oral and IV administration. 2) Dopamine, dobutamine, and norepinephrine which are used to treat hypotension and shock, along with their dosage ranges. 3) Mannitol for increased intracranial and intraocular pressures, with loading and infusion dosages provided. 4) Formulas and administration methods for insulin, epinephrine, omeprazole, tramadol, nalbuphine, nicard

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    DRIPS

    Uploaded by

    Kim Alvarez
    487 views7 pages
    This document provides information on medication indications, dosages, and administration methods for various drugs including: 1) Amiodarone for wide-complex tachydysrhythmias and atrial fibrillation, with dosages listed for oral and IV administration. 2) Dopamine, dobutamine, and norepinephrine which are used to treat hypotension and shock, along with their dosage ranges. 3) Mannitol for increased intracranial and intraocular pressures, with loading and infusion dosages provided. 4) Formulas and administration methods for insulin, epinephrine, omeprazole, tramadol, nalbuphine, nicard

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    Selected IV medications for adults

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    This document provides information on medication indications, dosages, and administration methods for various drugs including: 1) Amiodarone for wide-complex tachydysrhythmias and atrial fibrillation, with dosages listed for oral and IV administration. 2) Dopamine, dobutamine, and norepinephrine which are used to treat hypotension and shock, along with their dosage ranges. 3) Mannitol for increased intracranial and intraocular pressures, with loading and infusion dosages provided. 4) Formulas and administration methods for insulin, epinephrine, omeprazole, tramadol, nalbuphine, nicard

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    487 views7 pages

    DRIPS

    Uploaded by

    Kim Alvarez
    This document provides information on medication indications, dosages, and administration methods for various drugs including: 1) Amiodarone for wide-complex tachydysrhythmias and atrial fibrillation, with dosages listed for oral and IV administration. 2) Dopamine, dobutamine, and norepinephrine which are used to treat hypotension and shock, along with their dosage ranges. 3) Mannitol for increased intracranial and intraocular pressures, with loading and infusion dosages provided. 4) Formulas and administration methods for insulin, epinephrine, omeprazole, tramadol, nalbuphine, nicard

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    Amiodarone

    Indications: Wide-complex tachydysrhythmias


    New-onset atrial fibrillation (conversion to sinus rhythm)
    Stable monomorphic ventricular tachycardia
    Polymorphic ventricular tachycardia with normal QT interval
    Rate controller due to accessory pathway conduction
    in pre-excited atrial arrhythmias
    Preferred in: Acute myocardial infarction
    Left ventricular dysfunction

    • Stable patient: Amiodarone 150 mg SIVP over 10 mins


    (may repeat same dose every 10 mins up to 2 gms)

    • Amiodarone drip: Amiodarone 150 mg + 100 ml PNSS x 10 mins,


    followed by 1 mg/min for 6 hrs, then 0.5 mg/min for the next 18 hrs
    • Amiodarone 300 mg + 250 ml D5W / PNSS over 24 hours







    Dopamine
    ml/hr = mcg/kg/min x weight x 60 x ml (solution)
    mg (stock) x 1000

    1 vial = 200 mg/5 ml (40 mg/ml)

    Dose range = 2 to 20 mcg/kg/min


    5 to 10 mcg/kg/min
    ­ renal blood flow & cardiac output, positive inotropic & chronotropic
    >10 mcg/kg/min
    vasoconstriction and increase blood pressure







    Dobutamine

    ml/hr = mcg/kg/min x weight x 60 x ml (solution)


    mg (stock) x 1000

    1 vial = 250 mg/5 ml (50 mg/ml)

    Dose range = 2 to 20 mcg/kg/min


    Uses: Acute decompensated heart failure
    Cardiogenic shock
    Vasodilatory shock (septic shock)





    Norepinephrine

    ml/hr = mcg/kg/min x weight x 60 x ml (solution)


    mg (stock) x 1000

    1 vial = 4 mg/4 ml (1 mg/ml)

    Dose range = 2 to 50 mcg/min


    0.02 to 2 mcg/kg/min
    Uses: Acute hypotension
    Post-cardiac arrest patients
    Severe sepsis and septic shock
    (refractory to adequate fluid resuscitation)








    Mannitol


    Loading dose: 0.5 to 1.0 mg/kg x weight x 100
    20

    IV infusion: 1.5 to 2 g/kg over 30 to 60 mins

    1 vial Mannitol = 20 mg/100 ml

    Uses: Increased intracranial pressure


    Increased intraocular pressure




    Insulin Drip

    Humulin R 100 units + 100 ml PNSS x 0.1 unit/kg/hr







    Epinephrine Drip

    Epinephrine 1 mg + 250 ml D5W x 15 to 150 ugtts/min


    Dose = 2 – 10 mcg/min






    Omeprazole Drip


    Omeprazole 80 mg + 90 ml PNSS x 8 mg/hr x 10 hrs






    Tramadol Drip


    Tramadol 300 mg + 250 ml D5W x 24 hrs





    Nalbuphine Drip


    Nalbuphine 10 mg + 250 D5W x 24 hrs






    Nicardipine


    Nicardipine 10 mg + 90 ml PNSS x 10 ml/hr (1 mg/hr)

    Titrate: 2.5 mg/hr every 5 to 15 mins
    Maximum dose: 15 mg/hr






    Isosorbide dinitrate (ISDN) Drip


    Single concentration:

    Isoket 10 mg + 90 ml PNSS x 10 ml/hr (1 mg/hr)
    (10 to 50 ml/hr or 1 to 5 mg/hr)

    Double concentration:
    Isoket 20 mg + 80 ml PNSS x 5 ml/hr (1 mg/hr)


    (5 to 25 ml/hr or 1 to 5 mg/hr)







    Sodium Bicarbonate (NaHCO3)


    HCO3 Deficit (mEqs) = 0.4 x kg x (24 – actual)


    2


    1) Give 1/2 of volume as IV bolus
    2) Give 1/2 as drip: NaHCO3 (mEqs) + 250 ml PNSS x 24 hrs









    Hypokalemia



    K+ Deficit = (Expected K+ - Actual K+) x ICF


    Intracellular fluid (ICF) = 0.4 x kg



    Moderate Hypokalemia (K+ < 3.0):


    40 mEqs KCl + 1000 ml PNSS x 8 hours



    Severe Hypokalemia (K+ < 2.0):
    10 – 20 mEqs KCl + 100 ml PNSS x 1 hr x 3 cycles

    Repeat serum potassium after 3rd cycle






    Hyponatremia


    Expected ∆Na+ (mEq/L) = Infusate Na+ - Actual serum Na+
    (TBW + 1)
    Infusates: Total Body Water = kg x %
    3% Hypertonic Saline = 513 mEq/L 60% adult male <65 & children
    0.9% Normal Saline = 154 mEq/L 50% adult female <65 & elderly male
    45% elderly female



    How much to give? ml = 1000 ml x 5 mEqs x 6 hrs
    Expected DNa+

    Chronic hyponatremia: >48 hours of suspected hyponatremia
    à 6 mEqs in 24 hours (high risk patients)


    à 12 meqs in 24 hours (low risk patients)






























    Hypocalcemia


    Calcium gluconate 1 amp + 10 – 30 ml IV x 10 – 20 mins


    (May repeat every 60 mins)

    Ca2+ gluconate infusion: 0.02 – 0.08 ml/kg/hr




    Hypomagnesemia



    MgSO4 1 to 4 grams + 100 ml D5W or PNSS x 10 – 60 mins
    MgSO4 2 grams + 50 ml PNSS x 20 mins





    Levetiracetam


    Levetiracetam 500 mg or 1 gram + 100 ml PNSS x 15 mins





    Furosemide


    Furosemide 200 mg + 100 ml PNSS x 20 mg/hr





    Midazolam


    Midazolam 50 mg + PNSS to make 100 ml x 3 mg/hr

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