Cardiac Drug Card Flashcards
dobutamine drug class
inotrope
dobutamine concentration
premixed 1mg/ mL
250mg/ 250 mL D5W
dobutamine infusion rate
2-20 mcg/kg/min
epi drug class
inotrope
epi concentration
16mcg/ mL
4mg in a 250mL bag
epi bolus dose
10-50mcg
up to 1mg emergency (cardiac arrest)
epi infusion rate
0.01- 0.3 mcg/kg/min
calcium drug class
inotrope
calcium concentration
100mg/mL (10%)
calcium bolus dose
250mg- 1g
glucagon and isoproterenol (Isuprel) drug class
inotrope
dopamine drug class
vasopressor
dopamine concentration
premixed
dopamine infusion rate:
renal
beta
alpha
renal: 2-5 mcg/kg/min
beta: 5-10 mcg/kg/min
alpha: >10 mcg/kg/min
vasopressin drug class
vasopressor
vasopressin concentration
1 unit/mL
100 units in 100mL bag
vasopressin infusion rate
1-6 units/hr
norepinephrine (Levophed) drug class
vasopressor
norepinephrine concentration
16mcg/mL
4mg in 250mL bag
norepinephrine bolus dose
4-16 mcg
norepinephrine infusion rate
0.02-0.2mcg/kg/min
phenylephrine drug class
vasopressor
phenylephrine concentration
80mcg/mL
20mg in 250mL bag
phenylephrine infusion rate
10-100mcg/min
nitroglycerin (NTG) drug class
vasodilator
nitroglycerin concentration
100 mcg/mL
nitroglycerin bolus dose
10-100mcg
nitroglycerin infusion rate
0.1-2mcg/kg/min (initial)
Up to 5mcg/kg/min (max)
nitroprusside (Nipride) drug class
vasodilator
nitroprusside concentration
0.2mg/mL
50mg/250mL bag
nitroprusside bolus dose
Half NTG dose
only emergencies
nitroprusside infusion rate
0.1-2mcg/kg/min (initial)
Up to 10mcg/kg/min (max
nicardipene ( Cardene) drug class
vasodilator
nicardipene concentration
2.5 mg/mL in the vial
• 0.5mg/mL for bolus (5mg in 10L syringe)
• 0.1mg/mL for drip (25mg in 250mL)
nicardipene bolus dose
0.25-0.5mg (0.5-1mL)
nicardipene infusion rate
5-15mg/hr
amiodarone drug class
antiarrhythmics
amiodarone concentration
50mg/mL (3mL vial)
amiodarone bolus dose
150mg over 10 minutes
magnesium drug class
antiarrythmics
magnesium concentration
0.5 g/mL
magnesium bolus dose
1-2g over 10 minutes
insulin drug class
glucose control
insulin concentration
1 Unit/mL
100 Units/100mL bag
insulin bolus dose
use sliding scale
insulin infusion rate
2-6 Units/hr (titrate up or down)
dextrose drug class
glucose control
dextrose concentration
50% Dextrose (500mg/mL)
50mL = 25g
dextrose loading dose
25g (1 amp 50%)
dextrose bolus dose
≈ 0.5g/kg
1g raises blood sugar ≈ 3-4mg/dL
Amicar (Epsilon- Aminocaproic Acid) drug class
coagulation
Amicar concentration
10g in 500mL LR
Amicar loading dose
5g (Liberty)
10g (MAHI)
Amicar infusion rate
- 1g/hr
* Continue 4hrs in ICU
Desmopressin (DDAVP) drug class
coagulation
Desmopressin concentration
4 mcg/mL
Desmopressin infusion rate
0.3mcg/kg in 50mL N/S over 20 min