Vasodilators/Inotropes

Question 1

All vasodilators/antihypertensives

Answer 1

• Clevidipine (Cleviprex*)
• Labetalol
• Nicardipine
• Nitroglycerine
• Nitroprusside

Question 2

Clevidipine (Cleviprex*) (start, titrate, max dose)

Answer 2

Start @ 2 mg/hr
Titrate 2 mg/hr every 5 min
Max dose 32 mg/hr

Question 3

Labetalol (start, titrate, max dose)

Answer 3

Start @ 2 mg/min (physician specific order for bolus 20 mg over 2min)
Titrate 1 mg/min every 15 min
Max dose 300 mg/24hr

Question 4

Nicardipine (start, titrate, max dose)

Answer 4

Start @ 2.5 mg/hr
Titrate 2.5 mg/hr every 15 min
Max dose 20 mg/hr

Question 5

Nitroglycerine (start, titrate, max dose)

Answer 5

Start @ 20 mcg/min
Titrate 20 mcg/min every 5 min
Max dose 200 mcg/min

Question 6

Nitroprusside (start, titrate, max dose)

Answer 6

Start @ 0.3 mcg/kg/min
Titrate 0.25 mcg/kg/min every 1 min
Max dose 10 mcg/kg/min

Question 7

All Inotropes

Answer 7

• Dobutamine
• Milrinone
• Isoproterenol

Question 8

Dobutamine (start, titrate, max dose)

Answer 8

Start @ 2mcg/kg/min
Titrate 1 mcg/kg/min every 10 min
Max dose 20 mcg/kg/min

Question 9

Milrinone (start, titrate, max dose)

Answer 9

Start @ 0.375 mcg/kg/min
Titrate 0.125 mcg/kg/min
Max dose 0.75 mcg/kg/min

Question 10

Isoproterenol (start, titrate, max dose)

Answer 10

Start 2 mcg/min
Titrate 1mcg/min every 5-15 min
Max dose 20 mcg/min