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IV Medication Drip Chart

IV Medication drip chart. Version 1/2018.IndexSummary chartIV Medication drip ntanylHeparinInsulinLabetalol222, 52, 522, 62, 62, 72, 733, 83, mPropofolRocuroniumSuccinylcholineVecuroniumIV compatibility chart3, 93, 93, 103, 104, 104, 114, 114, 1244, 124, 1344, 13141

IV Medication drip chart. Version 1/2018.Drug nameAdministrationAmiodarone150mg/100mL(Cordarone 150mg/3ml) 600-900 mg/500mLMax conc: 2mg/mLSolution: D5W onlyAtracurium(Tracrium 50 mg/5ml)Cisatracurium(Nimbex 10mg/5mL)Dexmedetomidine(Precedex 200µg/2ml)Dobutamine(250mg/20mL)Dopamine(500 mg/10ml)Epinephrine(Adrenalin 1mg/ml)Esmolol(Esbloc 100mg/10ml)250mg/100ml (2.5mg/ml)Max conc : UndilutedSolution: NSS, D5W, D5NS100mg/100mL (1mg/ml)Max conc : UndilutedSolution: NSS, D5W, D5NS400µg/100mLMax conc. 4µg/mLSolution: NSS, D5W500mg/500mL (1mg/ml)Max conc: 5mg/mLSolution: NSS, D5W, D5NS,D5S/2500mg/500mL (1mg/ml)1000mg/500ml (2 mg/ml)Max conc: 3.2mg/mLSolution: NSS, D5W, D10W,D5NS, D5NS/210mg/100mL (0.1mg/ml)Max conc : UndilutedSolution: NSS, D5W, D5S1000mg/100mL (10mg/ml)Max conc : UndilutedSolution: NSS, NS/2, D5W,D5S, D5S/2, D5NSDosing instructionACLS : 300 mg bolus then150 mg over 10 minInfusion: 1 mg/min x 6 h then0.5 mg/min x18 hMax dose 2.2 g/dayMax rate 30 mg/minBolus: 0.4-0.5 mg/kgInfusion: 5-20µg/kg/min(see drip chart)Bolus: 0.1-0.2 mg/kgInfusion: 1-10 µg/kg/min(see drip chart)Load: 1 µg/kg over 10 minInfusion: 0.2 – 1.5 µg/kg/hInfusion: 2.5-15 µg/kg/min(up to 20 µg/kg/minif on beta blockers)(see drip chart)Infusion: 2-20 µg/kg/minCardiac dose 5-10 µg/kg/minVasopressor 10-20 µg/kg/min(see drip chart)ACLS : 1 mg IV q 3-5 minVasopressor Infusion :1-10 µg/min(0.01-3 µg/kg/min)(see drip chart)Bolus: 0.5-1mg/kg in 1 minInfusion: 0.05-0.3 mg/kg/min(see drip chart)How to titrateNon-titratablePeripheral line : Up to 2 mg/mLCentral line : Up to 6 mg/mLMonitoring/Other informationBP (hypotension occurs frequently with initial rates),HR (arrhythmias: AV block, bradycardia, VT/VF,torsades de pointes), Electrolytes, Pulmonary function test,Thyroid function , Liver enzymes , Venous irritation ( 2mg/mL)Titrate dose by 1-2 µg/kg/min tomaintain desired neuromuscularblockadeTitrate dose by 2 µg/kg/ min q 10 minsto maintain desired neuromuscularblockadeTitrate dose by 0.1 µg/kg/h q 15 minsto achieve a RASS score of 0 to -1.Titrate slowly to avoid hypotension.Titrate dose by 2.5-5 µg/kg/minq 5-15 mins to achievea MAP 65mmHg.BP, HR, peripheral nerve stimulation, respirationsOpioid analgesic : Possibly additive histamine release andincreased risk and severity of bradycardia and hypotensionBP, HR, peripheral nerve stimulation, muscle twitching,blood gases, respirationsTitrate dose by 2-5 µg/kg/minq 5-15mins to achievea MAP 65 mmHg.BP, HR, EKG, Urine output, Sign of Peripheral necrosisInfuse via central line to avoid extravasationTitrate dose by 0.01 µg/kg/minq 15 mins to achievea MAP of 65 mmHgBP, HR, Urine output, Sign of Peripheral necrosisTachyarrhythmias and hypertension at high dosesTitrate dose by 0.05 mg/kg/minq 4 mins to desired effectShould taper off slowly.BP, HR , EKG, Phlebitis, Inflammatory skinContraindication : Sinus bradycardia, Heart block 1st degree,Cardiogenic shock, Decompensated HFPrecaution : Hypotension, Bronchospasm, Renal impairmentInfuse via central line to prevent extravasationDo not bolus this drug due to bradycardia, hypotensionBP, HR, EKG, Urine outputInfuse via central line to avoid extravasation2

IV Medication drip chart. Version 1/2018.Drug nameEtomidate(20 LMax conc : Undiluted200µg/100mL (2 µg/ml)Max conc : UndilutedSolution: NSS, D5WHeparin(25000u/5ml)25,000units (5 ml)/250mL10,000units (2 ml)/100mLSolution: NSS (24h), D5W (8h)100units/100mL (1unit/ml)Solution: NSS250mg/250ml (1mg/ml)Max conc : UndilutedSolution: NSS, D5WInsulin(Regular L)Midazolam(Dormicum 5mg/mL)Milrinone(Primacor LMax conc : UndilutedSolution: NSS, D5W20 mg/100ml (0.2 mg/ml)50 mg/100mL (0.5 mg/ml)Max conc : UndilutedSolution: NSS, D5W20mg/100mL (0.2mg/ml)Max conc: 0.2mg/mLSolution: NSS, D5W, NS/2100mg/100mL(1mg/mL)Max conc: 5mg/mLSolution: NSS, D5W, D10WDosing instructionBolus: 0.3 mg/kg IV push over15-60 secsBolus: 0.35-0.5 µg/kgInfusion rate: 0.5-10 µg/kg/h(25– 500 µg/h)(see drip chart)Weight based or aPTT based(see heparin protocol)How to titrateFor rapid sequence intubationMonitoring/Other informationBP, Myoclonic, ThrombophlebitisTitrate dose by 25 µg/h q 30 minsto achieve desired effectBP, HR, RR, Pain score, Sedative score, Anaphylactoid,GI side effectBased upon aPTT and per protocolCBC, Coagulogram, Sign of bleedingBased upon blood glucose levelBolus: 10-20 mg(0.2mg/kg/dose) initially over2 min then 40-80 mgq 10-20 min up to 300 mgInfusion: 0.5-3mg/minBolus : 1-1.5 mg/kg (2-3 mins); repeat dose 0.5-0.75 mg/kgin 3-5 min(Max cumulative dose: 3 mg/kg)Infusion : 1-4 mg/min(see drip chart)Bolus: 0.03-0.3 mg/kg(0.5-4mg)Infusion: 0.02-0.2 mg/kg/h(1-30 mg/h) (see drip chart)Bolus: 50 µg/kg over 10 minInfusion: 0.375 – 1 µg/kg/min(1.13 mg/kg/day)(see drip chart)Bolus: 2-5 mg (0.05-0.2mg/kg)Infusion: 0.8-80mg/h(0.01-0.03 mg/kg/hr)(see drip chart)Blood glucose, Potassium level (Do not lower Blood glucose 100 mg/dl/hr. Rapid lowering may lead to cerebral edema)Titrate dose q 15 mins to desired effect BP, HRContraindication : Sinus bradycardia, Heart block 1st degree,Cardiogenic shock, Decompensated HFDon’t exceed total dose of 300 mg; duration of actionextend to nearly 18 hIncrease by 1 mg/min up to 4 mg/min EKG, HR, BP, CNS effect (confusion, nervousness, seizure),until arrhythmia terminated:Cardiovascular collapse, arrhythmia.stop infusion once rhythm stabilizesDecrease dose by 50% for CHF, impair liver function, elderly,shockTitrate dose by 1 mg/h every 1 hourto achieve desired effectDrowsiness, impaired memory or coordination,agitation (paradoxical), ExtravasationDose increases per CO/CI or SVO2 andcan be discontinued without weaningBP, HR, EKG, Urine outputTitrate dose by 1 mg/h q 30 minto achieve desired effectBP, RR, HR, GI effectsPain scale assessment for analgesia.Recommend lower initial dose for renal or hepatic dysfunctionand elderly3

IV Medication drip chart. Version 1/2018.Drug nameNicardipine(2mg/2ml)Administration10 mg/100 mLMax conc: 0.2mg/mLSolution: NSS, D5W, D5NSDosing instructionInfusion: 5 - 15 mg/hNitroglycerine(50mg/10ml)50mg/250mL (0.2 mg/mL)Max conc: 0.4mg/mLSolution: NSS, D5WNitroprusside(50mg/vial)50mg/250mL (0.2mg/mL)Max conc: 1 mg/mLSolution: D5W only4mg/100mLMax conc: 1.28mg/mLSolution: D5W onlyMax conc : UndilutedSolution: NSS, D5W, D5NSNorepinephrine(4mg/4ml)Pancuronium(Pavulon 4mg/2ml)Propofol(Diprivan 200mg/20ml)Rocuronium(Esmeron uron 10 mg/vial)1000mg/100mLMax conc : UndilutedMin conc: 2mg/mlSolution: D5W100mg/100mLMax conc : UndilutedSolution: NSS, D5W, D5SConc: 1-2mg/mLSolution: NSS, D5W, D5NS100mg/250mL (0.4mg/ml)Max conc: 2mg/mlSolution: NSS, D5W, D5NSHow to titrateTitrate dose by 2.5 mg/h q 15 mins toachieve BP. Reduce infusion to 3 mg/hrafter BP is controlled.Monitoring/Other informationBP, HR, N/V, HeadacheRotate the IV infusion site q 12h if administered viaa peripheral IV and q 24 hr via central line.Infusion: 5 - 400 µg/min(0.25-1 µg/kg/min)(see drip chart)Titrate dose by 5 µg/min q 5 minsto achieve desired effect.BP, HR, Headache, Flushing, Postural hypotension,Reflex tachycardia, dizziness, MethemoglobinemiaTolerance may develop after 12-24 hInfusion: 0.5 – 10 µg/kg/min**Protect from light**(see drip chart)Infusion : 0.02-3 µg/kg/minor 0.5-30 µg/min(see drip chart)Bolus: 0.05-0.1 mg/kg then0.015-0.1mg/kg q 30-60 minInfusion: 0.8-1.7 µg/kg/min(0.06-0.1mg/kg/hr)Bolus : 1-3mg/kgInfusion : 5-100 µg/kg/min(see drip chart)Titrate dose by 0.25 µg/kg/minq 3 mins to achieve BP.BP, HR, Flushing, Methemoglobinemia, Cyanide poisoningImpaired renal function or doses 3mcg/kg/min for 72hours may cause thiocyanate toxicityEKG, HR, BP, Peripheral ischemia, Urine outputInfuse via central line to avoid extravasation(see drip chart)Bolus: 0.6-1.2mg/kgInfusion: 0.4-0.7 mg/kg/h(see drip chart)Bolus: 0.3-1.1 mg/kg then0.04 - 0.07 mg/kg q 5-10 minInfusion: 2.5 mg/minMax dose: 150 mgBolus: 0.05-0.1 mg/kgInitial: 0.8-2 µg/kg/min(see drip chart)Titrate dose by 0.05 µg/kg/minq 3 mins to achievea MAP of 65 mmHg.BP, HR, RR**Prolong blockadeTitrate dose by 5 µg/kg/min q 5 minsto achieve RAAS score 0 to -2if use with paralytics, titrate to abispectral index (BIS) of 40 to 60Titrate dose to achieve desired effect.BP, HRPropofol infusion syndrome (metabolic acidosis(base deficit 10 mmol/L), rhabdomyolysis, hyperlipidemia,and enlarged or fatty liver)BP, HR, RR, QT prolongContinuous IV infusion forlong surgical proceduresBP, HR, Malignant hyperthermiaelectrocardiogramneuromuscular functionTitrate dose by 0.2 µg/kg/minq 10 mins to achieve desired effect.BP, HR, RR**Prolong blockade4

IV Medication drip chart. Version 1/2018.Cisatracurium (Nimbex 10mg/5ml )Atracurium (Tracrium 50 mg/5ml)Max concentration : Undiluted ( 10mg/ml )Solution : NSS, D5W, D5NSDosing instruction : Bolus : 0.4 - 0.5 mg/kgInfusion Rate : 5 – 20 µg/kg/minTitrate dose by 1-2 µg/kg/min to maintain desired neuromuscular blockadeInfusion chart : Atracurium250mg/100mL (2.5 18192122Body weight (Kg)50 55 60 65 70Drip rate (µd/min or ml/hr)677887899 1089 10 11 1210 11 12 12 1311 12 13 14 1512 13 14 16 1713 15 16 17 1814 16 17 19 2016 17 19 20 2217 18 20 22 2418 20 22 23 2519 21 23 25 2720 22 24 27 2922 24 26 28 3023 25 27 30 3224 26 29 31 34Max concentration : Undiluted (2mg/ml)Solution : NSS, D5W, D5NSDosing instruction : Bolus Dose : 0.1-0.2mg/kgInfusion Rate : 1 – 10 µg/kg/minTitrate dose by 2 µg/kg/min q10mins to maintain desired neuromuscular blockadeInfusion chart : Cisatracurium100mg/100mL (1 dy weight (Kg)50 55 60 65 70Drip rate (µd/min or ml/hr)334445556667788889 10 119 10 11 12 1312 13 14 16 1715 17 18 20 2118 20 22 23 2521 23 25 27 2924 26 29 31 3427 30 32 35 3830 33 36 39 42758057911141823273236414557101214192429343843485

IV Medication drip chart. Version 1/2018.Dobutamine (250mg/20mL)Dopamine (500 mg/10ml)Max concentration : 5 mg/mlSolution : NSS, D5W, D5NS, D5S/2Dosing instruction : Infusion Rate :2.5-15 µg/kg/min (up to 20 µg/kg/min if on beta-blockers)Titrate dose by 2.5-5 µg/kg/min q 5-15mins to achieve a MAP 65mmHg.Max concentration : 3.2mg/mLSolution : NSS, D5W, D10W, D5NS, D5NS/2Dosing instruction: Infusion Rate : Cardiac dose 5-10 µg/kg/minVasopressor dose 10-20 µg/kg/minTitrate dose by 2-5 µg/kg/min q 5-15mins to achieve a MAP 65 mmHg.Infusion chart : Dobutamine or Dopamine 500 mg/500mL (1 45965707681Body weight (Kg)50 55 60 65 70Drip rate (µd/min or ml/hr)910 11 12 1312 13 14 16 1715 17 18 20 2118 20 22 23 2521 23 25 27 2924 26 29 31 3427 30 32 35 3830 33 36 39 4236 40 43 47 5042 46 50 55 5948 53 58 62 6754 59 65 70 7660 66 72 78 8466 73 79 86 9272 79 86 94 10178 86 94 101 10984 92 101 109 11890 99 108 117 126Infusion chart : Dobutamine or Dopamine 1000 mg/500mL (2 911121416192224273032353841Body weight (Kg)50 55 60 65 70Drip rate (µd/min or ml/hr)5556667788889 10 11910 11 12 1311 12 13 14 1512 13 14 16 1714 15 16 18 1915 17 18 20 2118 20 22 23 2521 23 25 27 2924 26 29 31 3427 30 32 35 3830 33 36 39 4233 36 40 43 4636 40 43 47 5039 43 47 51 5542 46 50 55 5945 50 54 59 5156616671776