PDF Adult Critical Care IV Medication Infusion Sheet

DRUG

Abciximab Amiodarone

Argatroban

Bivalirudin

Bumetanide Cisatracurium Dexmedetomidine Diltiazem Dobutamine Dopamine Drotrecogin alfa Epinephrine Eptifibatide

Esmolol Esomeprazaole Acute UGI Bleed Fentanyl Furosemide Heparin

Insulin

Isoproterenol Ketamine Labetalol

STD CONC

2 mg/mL (bolus) 36 mcg/mL

1.5 mg/mL (bolus) 1.8 mg/mL

1 mg/mL

5 mg/mL

0.04 mg/mL 0.8 mg/mL

4 mcg/mL 1 mg/mL

2 mg/mL 1.6 mg/mL 3.2 mg/mL 0.1 mg/mL 64 mcg/mL 128 mcg/mL 2 mg/mL (bolus) 0.75 mg/mL 10 mg/mL

0.8 mg/mL (bolus) 0.32 mg/mL 10 mcg/mL 1 mg/mL 100 units/mL

1 unit/mL

16 mcg/mL 1 mg/mL 2 mg/mL

Adult Critical Care IV Medication Infusion Sheet

STD DILUTION

STD FLUID ALT FLUID

COMMON ADULT ADMINISTRATION RATE

MAX ADMIN. RATE

MAX CONC/ REFERENCE

Bolus: 10mg/5mL 9mg/250mL

Bolus: 150mg/100mL 450mg/250mL

250mg/250mL

250mg/50mL

10mg/250mL

200mg/250mL

200mcg/50mL 100mg/100mL

500mg/250mL

400mg/250mL 800mg/250mL 15mg/150mL 16mg/250mL 32mg/250mL Bolus: 20mg/10mL 75mg/100mL

2500mg/250mL

Bolus: 80mg/100mL 80mg/250mL

1000mcg/100mL 250mg/250mL 500mg/250mL

25,000units/250mL

100units/100mL

4mg/250mL 500mg/500mL 500mg/250mL

D5W / NS D5W

(use non-PVC bag) D5W/NS

D5W/NS

D5W D5W / NS

NS D5W / NS D5W Premix/ NS D5W Premix/ NS

NS D5W / NS RTU Premix glass vials

RTU Premix/ D5W NS

D5W / NS D5W / NS D5W Premix/ NS

NS / D5W

D5W / NS NS

D5W / NS

Bolus: 0.25 mg/kg 0.125 mcg/kg/min x 12 hours

Bolus: 150 mg over 10 min 1 mg/min x 6 hours

0.5 mg/min x 18 hours 2 mcg/kg/min

Hepatic Failure, Heart Failure, Multisystem organ failure start at

0.5 ? 1 mcg/kg/min

Bolus: 0.75mg/kg 1.75mg/kg/hr

For CrCl < 30mL/min: 1 mg/kg/hr

0.25 - 0.5 mg/hr

10 mcg/min Max dose 2.2g/ 24hr

10 mcg/kg/min

2.5mg/kg/hr

Bolus 0.15 mg/kg IV 0.15-0.2 mg/kg/hr 0.2 ? 1.4 mcg/kg/hr

Bolus 0.25 mg/kg over 2 min 5-15 mg/hr

2.5-20 mcg/kg/min

15 mg/hr 40 mcg/kg/min

2-20 mcg/kg/min

20 mcg/kg/min

24 mcg/kg/hr (max 135 kg) 1-10 mcg/min

Not to exceed 96hrs

Bolus: 180 mcg/kg (PCI: bolus x 2) 2 mcg/kg/min

For CrCl < 50 mL/min: 1 mcg/kg/min Bolus: 500mcg/kg over 1 min 50-300 mcg/kg/min Bolus: 80mg over 30 min 8 mg/hr up to 72 hrs

25-150 mcg/hr

10-40 mg/hr

Max bolus: 22.6mg Max inf: 15 mg/hr 300 mcg/kg/min

160 mg/hr

Bolus: 65 unit/kg 13 units/kg/hr

See Heparin Protocol See Insulin Protocol

0.5-20 mcg/min 8 - 25 mg/hr 1-2 mg/min

Titrate to target serum glucose level

0.1 mcg/kg/min

2 mg/mL 2 mg/mL

1 mg/mL

5mg/mL3

0.25 mg/mL (undiluted)

2 mg/mL 4 mcg/mL3 1 mg/mL 12.5 mg/mL4 12.8 mg/mL4 0.1 mg/mL 1 mg/mL4 2 mg/mL 40 mg/mL1

20 mcg/mL 10 mg/mL

16 mcg/mL

March 2010 Administration

Central (C) or

3,4

Peripheral (P) C or P

Use 0.22 micron filter C or P:

( 2 mg/mL)

C or P

C or P

C or P

C or P

C or P C or P

C or P

C: preferred P: large vein

C or P C: preferred P: large vein

C or P

C or P: ( 10 mg/mL)

C or P

C or P C or P

C or P

C or P

C or P C or P C or P

DRUG

Lidocaine Lorazepam Midazolam Milrinone Morphine Nesiritide Nicardipine Nitroglycerin

Nitroprusside Norepinephrine Octreotide Pentobarbital Phenylephrine Procainamide Propofol Rocuronium Sodium Bicarbonate

Vasopressin Septic Shock Vasopressin Variceal Bleed Vecuronium

STD CONC

4 mg/mL

0.2 mg/mL 1 mg/mL

200 mcg/mL

1 mg/mL

6 mcg/mL

0.1 mg/mL

0.2 mg/mL 0.4 mg/mL 0.2 mg/mL 0.4 mg/mL 32 mcg/mL 64 mcg/mL 5 mcg/mL 1 mg/mL

400 mcg/mL

4 mg/mL

10 mg/mL

5 mg/mL

0.15 mEq/mL 0.6 mEq/mL 0.4 unit/mL

0.4 unit/mL

1 mg/mL

Adult Critical Care IV Medication Infusion Sheet

STD DILUTION

STD FLUID ALT FLUID

COMMON ADULT ADMINISTRATION RATE

MAX ADMIN. RATE

MAX CONC/ REFERENCE

1000mg/250mL

24mg/120mL 50mg/50mL 100mg/100mL 20mg/100mL

50mg/50mL 100mg/100mL 1.5mg/250mL

25mg/250mL

50mg/250mL 100mg/250mL 50mg/250mL

8mg/250mL 16mg/250mL 500mcg/100mL 500mg/500mL

100mg/250mL

1000mg/250mL

1000mg/100mL

D5W Premix / NS

D5W/NS D5W / NS

D5W / NS

D5W / NS

D5W / NS

D5W / NS

D5W Premix/ NS

D5W / NS Protect from light

D5W / NS

NS / D5W D5W/NS

D5W / NS

NS Protect from light 10% Intralipid Premix

1-4 mg/min

0.5-2 mg /hr 2-4 mg/hr

Bolus: 50mcg/kg over 10min 0.375-0.75 mcg/kg/min 1-10 mg/hr

Bolus: 2mcg/kg 0.01 mcg/kg/min

5 mg/hr Titrate by 2.5 mg/hr q15min

5-25 mcg/min

0.5-8 mcg/kg/min

0.5 - 30 mcg/min

50-100 mcg/hr Bolus: 10-15 mg/kg over 1-2hrs

0.5-4 mg/kg/hr 100-180 mcg/min

Bolus: 15-18mg/kg over 30 min 1-4 mg/min

5-75 mcg/kg/min

5 mg/min 8 mg/hr 20 mg/hr 1 mcg/kg/min

0.03 mcg/kg/min 15 mg/hr

300 mcg/min 10 mcg/kg/min 1 mcg/kg/min

Goal level 20-40 mcg/mL

400mcg/min

75 mcg/kg/min

16 mg/mL4 1 mg/mL1,3 2 mg/mL 200mcg/mL2 5mg/mL2 6 mcg/mL3 0.1 mg/mL

0.8 mg/mL GLASS2

0.8 mg/mL

128 mcg/mL

10 mcg/mL 8 mg/mL 6.4mg/mL4 16 mg/mL

10 mg/mL

500mg/100mL

150meq/1000mL 300meq/500mL 20units/50mL

D5W D5W NS/ D5W

Bolus: 0.6 mg/kg 0.6 - 0.9 mg/kg/hr

0.04 units/min

0.04 units/min

0.15 mEq/mL 1 unit/mL

100units/250mL 100mg/100mL

NS/ D5W D5W / NS

Bolus: 20 units 0.2-0.4 units/min Bolus: 0.1 mg/kg 0.08-0.1 mg/kg/hr

0.9 units/min

1 unit/mL 1 mg/mL

March 2010 Administration

Central (C) or

3,4

Peripheral (P) C or P

C or P C or P

C or P

C or P

C or P

C or P* * site change q12

C or P

C or P

C: preferred P: large vein

C or P C: preferred P: large vein C: preferred P: large vein

C or P

C or P Change tubing q12

C or P

C: preferred P: large vein

C5

C

C or P

To review clinical care guideline G-13.6ADULT CRITICAL CARE MEDICATIONS FOR CONTINUOUS IV INFUSION

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