Common ICU Drips Flashcards by Josh Kotov

Q

Norepi
Levophed

Desired effect
Starting dosage

A

Increases BP

5mcg/min

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Q

Norepi/Levo

Titration Amount
Max
Notes

A

1-5 mcg/min q3-5min

40 mcg/min

MUST run through CVC

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Q

Vasopressin

Desired effect
Starting dosage

A

Increases BP

0.04 unites/min

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Q

Vasopressin

Max
Notes

A

NA

For sepsis, enhances Levo

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Q

Neosynephrine/Phenylephrine

Desired effect
Starting dosage

A

Increases BP

30mcg/min

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Q

Neosynephrine/Phenylephrine

Titration amount
Max
Notes

A

5-10 mcg/min q3-5min

220mcg/min

To raise BP rapidly START at 100mcg

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Q

Epinephrine

Desired effect
Starting dosage

A

Increases BP

1-4mcg/min

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Q

Epinephrine

Titration amount
Max
Notes

A

1-2mcg/min

2-10mcg/min is typical

Higher doses are NOT better,
WATCH increased HR

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Q

Dopamine

Desired effects
Starting dosage

A

Increases BP

2-5mcg/min

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Q

Dopamine

Titration amount
Max
Notes

A

1-4 mcg/kg/hr q10min

20 mcg/kg/min

WATCH for increase HR

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Q

Cardene/Nicardipine

Desired effects
Starting dosage

A

Decreases BP

5mg/hr

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Q

Cardene/Nicardipine

Titration Amount
Max
Notes

A

2.5mg/hr q15min

15mg/hr

CHANGE IV SITE Q12Hr

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Q

Esmolol

Desired effects
Starting dosage

A

Decreases BP

25-50 mcg/kg/min

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Q

Esmolol

Titration amount
Max

A

50mcg/kg/min q4min

300mcg/kg/min

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Q

Nipride/Sodium Nitroprusside

Desired effects
Starting dosage

A

Decreases BP

0.2-4mcg/kg/min

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Q

Nipride/Sodium Nitroprusside

Titration amount
Max
Notes

A

0.25-0.5mcg/kg/min

10 mcg/kg/min

Can cause MAJOR Hypotension

Q

Propofol/Diprivan

Desired effect
Starting dosage

A

Sedative

10 mcg/kg/min

Q

Propofol/Diprivan

Titration amount
Max
Notes

A

5mcg/kg/min q5min

80mcg/kg/min

QUICK half life

Q

Precidex/Dexmedetomidine

Desired effect
Starting dosage

A

Sedative

0.2mcg/kg/min

May have loading dose

Q

Precidex/Dexmedetomidine

Titration amount
Max

A

0.1mcg/kg/min

1.4mcg/kg/min
(0.7 MOST typical)

Q

Cardizem/Diltiazem

Desired effect
Starting dosage

A

Decrease HR
Convert to NSR

5mg/hr

Q

Cardizem/Diltiazem

Titration amount
Max

A

5mg/hr
q15min

20mg/hr

Q

Amiodarone

Desired effect
Starting dosage

A

Decreases HR
Converts to NSR

1mg/min x6 hours

Q

Amiodarone

Titration amount
Max
Notes

A

None

NA

3 premixed bags over 24 hours