Meds Flashcards
Dopamine Dosing
1600 mCg/mL
2-20 mCg/kg/min (2 Q 5 min)
NE Dosing
4 mg/250
2-30 mCg/min (2 Q5 min)
Epinephrine Dosing
4 mg/250
1-10 mCg/min (1 Q5 min)
Dobutamine Dosing
500 mg/250 mL
2-20 mCg/KG/min (2 Q 10 min)
Milrinone Dosing
20 mg/100 mL
0.375-0.75 mCg/kg/min (0.125 Q 1 hr)
Nitroglycerine Dosing
50 mg/250 mL
5-100 mCg/min (5 Q 3 min)
Nitroprusside Dosing
50 mg/250 mL
0.5-10 mCg/kg/min (0.5 Q 5 min)
Amiodarone Dosing
450 mg/250 mL
1 mg/min x 6 hrs then 0.5 mg/min x 18 hours
DA effect 0.5-2
Beta-1 🔼 CO,BP, HR ↔️ SVR
DA effect 5-10
🔼 CO, SVR, HR, BP
DA effect 10-20
🔽 CO 🔼 HR ⏫ SVR, BP
EPI effect
⏫ CO🔼 SVR, HR, BP
NE effect
🔼 CO, HR, BP⏫ SVR
Milrinone effect
🔼 CO, HR🔽 SVR, BP
Phenylephrine effect
🔼 CO, BP🔽 HR⏫ SVR
Vasopressin
🔽 CO, HR🔼 SVR, BP
PAP
15-30/6-12 mmHg
PAOP
4-12 mm Hg
CVP
2-6 mm Hg (status of right ventricle, fluid status)
CO
4-8 L/min
CI
2.5-4.2 L/min/m2
SVR
770-1500 dyne/sec/cm-5
Elevated CVP
Overhydration (increased venous return), HF, PA stenosis, poss pressure breathing.
Decreased CVP
Hypovolemia (shock, fluid shift, dehydration, hemorrhage)
Vasopressin
Can cause hyponatremia
Epi
Titrate down slowly. Can cause hyperglycemia.
Nipride
Titrating off too quickly can cause rebound hypertension and seizures.
Vasopressin
Titrating off drip too fast can lead to rebound hypotension. Antidiuretic hormone.
Levophed
Use phentolamine for extravasation.
Dobutamine
Will cause hypotension if hypovolemic. If this happens, stop drip and address fluid status. Acts as a chemical balloon, reducing afterload.
Nipride
Indicated with HF, hypertensive crisis,
