Pediatric Guidelines for IV Medication Administration
Pediatric Guidelines for IV Medication Administration
Drug
Acetazolamide (Diamox?) Acetylcysteine (Acetadote?)
Acyclovir
Adenosine (Adenocard?)
Albumin 5% (forhypovolemia, hypoalbuminemia
Albumin 25%
(forhypoproteinemia w/ generalized edema)
Alprostadil, PGE1 Prostin VR Pediatric?) Amikacin (Amikin?)
ICU ED X X
Bolus +
infusion
X X
X
X
X
X
Approved For
Telemetry Required
Acute Care
X
IVP
IV Infusion
X
X
X
Infusion
only
X
X
X
X
X
See
restriction
.
X
X
Concentration
Dilute to MAX of 100 mg/mL 30 gm/1000
mL (30 mg/mL)
Diluted to 50kg: 6mg, 12mg, 12mg
0.5-1 gm/kg/dose (10-20 mLs/kg/dose). Infusion over 3060 minutes. In emergencies, may administer over 15 minutes. Adult MAX: 600mls/hr
Monitor serum electrolytes
When used in acetaminophen overdose, monitor serum acetaminophen concentrations; monitor LFTs. Bolus doses, monitor for hypotension, flushing, anaphylaxis Bolus doses must be completed in critical care areas only. Maintenance IV infusions may be continued or initiated in acute care areas. Patient should be well hydrated to prevent
nephrotoxicity. Monitor urine output, Scr.
Restriction: In acute care areas, doses must be administered by a physician. . Communication with the ICU team prior to adenosine administration is required. An attending Hospitalist, Cardiologist, or ICU physician must be at the bedside. A continuous ECG rhythm strip must be obtained during dosing to monitor and document drug effects Rapid infusion may cause hypertension and pulmonary edema. Monitor vital signs and fluid balance. Use within 4 hours of opening vial. 60 micron filter/tubing supplied by pharmacy
X
X
25%
0.25-1 gm/kg/dose (1-4 ms/kg/dose)
Rapid infusion may cause hypertension &
(250 mg/mL) Infusion as tolerated over 30-120 minutes.
pulmonary edema. Monitor vital signs and
Adult MAX :180ml/hr
fluid balance. Use within 4 hrs of opening.
60 micron filter/tubing supplied by pharmacy
X X
X
Continuous
infusion
X
Dilute 500 mcg in
50mls NS (10 mcg/ml)
Diluted to < 5 mg/mL
Initial: 0.05- 0.1 mcg/kg/min. Range: 0.01 up to MAX 0.4mcg/kg/minute
5-10mg/kg/dose q8hrs with NL renal function. Infusion: Over 30 minutes.
Infuse via large vein. Monitor arterial pressure, RR, HR, oxygen saturation, temp.
Urine output, Serum creatinine, Peak and trough concentrations.
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
1
Version 9/28/2008 Barb Maas Pharm. D.
Pediatric Guidelines for IV Medication Administration
DrugDrD Amiodarone (Cordarone?)
Ampicillin
Ampicillin/ Sulbactam (Unasyn?)
Atropine
Azithromycin (Zithromax?)
Aztreonam (Azactam?)
ICU ED X
X X
X X
X
Approved For
Telemetry Required
Acute Care
IVP
IV Infusion
Concentration
Usual Dosing and Administration
X
X
X
X
Bolus diluted to BOLUS: PALS for pulseless VF/VT5 mg/kg (MAX
Bolus in code only
1.5-3 mg/mLin 300 mg/dose) given over 5-10 minutes. - 0.22 micron
D5W
filter preferred . Flush post dose.
No infusion
Infusion 450 For perfusing VF/VT 5 mg/kg over 20-60 min, MR X mg/ 250 mL in 3
D5W
X
X
X
slow
Dilute to 1 month-90-120 mg/kg/day div q 8h or q 6
h. CF: 50 mg/kg/dose q 6 hrs MAX 8 gm/day
Comments
Central line preferred for concentrations exceeding 2 mg/mL. Dedicated filtered (0.22 micron) line required. Continuous BP/cardiac monitoring, thyroid function, LFTs, and pulmonary function should be monitored frequently.
Adjust with renal dysfunction.
Unsayn: Each 1.5mg unasyn=1mg apicillin +0.5mg sulbactam. With prolonged therapy, monitor hematologic, renal and hepatic function. Observe for change in bowel frequency.
Monitor vital signs and EKG; monitor for side effects including dry mouth, dizziness and palpitations.
Monitor for pain at infusion site, LFTs, WBC and infection.
Adjust dosing with renal dysfunction.
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
2
Version 9/28/2008 Barb Maas Pharm. D.
Pediatric Guidelines for IV Medication Administration
Drug
Bumetanide (Bumex?)
Caffeine Citrate (Cafcit) For apnea
Caffeine sodium benzoate For spinal headache
ICU ED X X
X
Approved For
Telemetry Required
Acute Care
X
X
X
IVP
IV Infusion
X
X
X
X
Concentration
0.25 mg/mL
20 mg/mL citrate salt (=10 mg/mL caffeine base)
Dilute to 0.5 mg/mL
Usual Dosing and Administration
Comments
Dosing:0.015-0.1 mg/kg/dose up to 4 mg q 6-24 hrs (MAX dose is 10 mg/day, 20 mg/day w/ RF)) IV Push: over 1-2 minutes MAX 1mg/min
Loading: 10-20 mg/kg citrate salt infused over 30 minutes Maintenance: 5 mg/kg/day as citrate salt once daily starting 24 hours after bolus doseinfused over 10 minutes
Adults: 500 mgs as a single dosediluted with 1000 mL NS and infused over 1 hour, followed by 1000 mL NS over 1 hour.
Monitor blood pressure, serum electrolytes and renal function.
Clarify if dosing is as citrate salt or caffeine base. Must be specified on medication order. May dilute in D5W Monitor heart rate, number and severity of apnea spells, and serum caffeine levels Not to be administered in neonates(benzoates). Monitor heart rate.
Calcium Chloride
X
Slow IVP
X
IVP In
X
X
code only Slow
w/MD
IVP
present.
No
infusion.
Calcium Gluconate
X
X
Slow IVP
X
X
Slow IVP
Slow IVP only.
in code
Slow
w/ MD
IVP
present.
Infusion
OK
Cefazolin (Kefzol)
X
X
X
X
1 gm/ 10 mL vial
1 gm/50 mL =20 mg/mL
Dilute to < 20mg/ml
Recommend use only in symptomatic hypocalcemia
Bolus: 10-20 mg/kg/dose up to 1gm over a minimum of 10 minutes.
Infusion: Do not exceed 45-90 mg/kg given over 1 hour
200-500 mg/kg/DAY as continuous infusion or in 4 divided doses Acute::Usual 100mg/kg or 1gm MAX 3gm over 10 minutes Non-Acute: Usual 50-100mg/kg not to exceed 2gm over no less than 60 minutes. MAX: 200mg/kg up to 3gm
IVP: Over 3-5 minutes Infusion: Over 10-15 minutes Dosing:Neonates>2 kg, + 7 days-60 mg/kg/day div q 8h. Infants/Children: 50-100 mg/kg/day div q 8h Adolescent/Adult: 1-2 gm IV q 8h MAX ADULT DOSE: 12 gm/day
Central Line preferred unless emergency administration. Do not administer I.M. or S.C. or use scalp, small hand or foot veins for IV administration since severe necrosis may occur. Monitor serum calcium (ionized calcium is recommended), heart rate and EKG. Do not infuse calcium chloride in same IV line as phosphate-containing solutions. Do not infuse calcium gluconate in same IV line as phosphate-containing solutions. Monitor serum calcium (ionized calcium is recommended), heart rate and EKG. See label comments on Pedi IV Calcium Gluconate Bags
Adjust dosing with renal dysfunction.
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
3
Version 9/28/2008 Barb Maas Pharm. D.
Pediatric Guidelines for IV Medication Administration
Drug
Cefepime (Maxipime)
Cefotaxime (Claforan?)
Cefoxitin (Mefoxin?) Ceftazidime (Fortaz)
Ceftriaxone (Rocephin?)
Chlorothiazide (Diuril?)
ICU ED X X
X X X
X
Approved For
Telemetry Required
Acute Care
X
X
X X X
X
IVP
IV Infusion
Concentration
Usual Dosing and Administration
Comments
X
X
Dilute to
IVP over 5 minutes.
< 20 mg/mL Infusion over 30 minutes
ID approval required for patients outside the ICU. Pseudomonal
Dosing 2 mo-16yo: 100-150 mg/kg/day div q 12 or 8 hrs.
infections should be dosed at the
CF 50 mg/kg/dose q 8hr MAX 6 gm/day
higher end of the dosing range.
Adjust dosing with renal dysfunction.
X
X
Dilute to
IVP over 3-5 minutes
< 40 mg/mL Infusion: Over 10-30 minutes
Indicated in neonate < 2 weeks or in infants with clinically relevant
2000 g:100-150 mg/kg/day div every 8-12 hrs
hyperbilirubinemia who may be at
> 7 days: >2000 g: 150-200 mg/kg/day divided every 6-8
risk for kernicturus.
hrs
1 month- 12 years: 50 kg: Moderate infection 1-2 gms q 6-8hrs, Severe 2 gms type of stools/day for diarrhea.
every 4 to6 hrs (MAX 12 g/day)
Adjust dosing with renal dysfunction.
X
X
Dilute to < 40mg/ml
IVP over 5 minutes Infusion over 10-30 minutes
Adjust dosing with renal dysfunction. Monitor INR with prolonged use
X
X
Dilute to 2 kg: 100-150 mg/kg/day div q 8-12 hrs
prior to drawing up dose--
>7 days >2 kg: 150 mg/kg/day div q 8h
Adjust dosing with renal
Infant/child: 100-150 mg/kg/day div q 8h
dysfunction..
CF: 150-300 mg/kg/day usual MAX 12 gm/day
X
X
Dilute to
IVP over 5 minutes
< 20 mg/mL Infusion over 10-30 minutes
*Do not use in any child 40 kg 5 mg/min
May cause phlebitis Monitor heart rate, respiratory rate,
Dose:0.04-0.3 mg/kg/dose (up to 10 mg/dose) every 2-4
blood pressure and mental status
hours to MAX of 0.6 mg/kg within an 8-hour period if
Digoxin (Lanoxin)
X
MD adminis-
X
tration for
Maint-
loading doses enance
only.
doses
needed.
X
Dilute to < 100 Infusion:Slowly administer over 5-10 mins
mcg/mL w/NS Dosing: See age specific references
cLoading dose requires telemetry. Not for maintenance dose. Monitor heart
Loading Dose: range 10-30 mg/kg divided in 3 doses over rate, rhythm, periodic EKGs, serum
16-24 hrs (as 50%/25%/25%) not to exceed total 1 mg dose. electrolytes, renal function and serum
Maintenance: approx 1/3 of loading dose divided q 12 or
levels.
24 hrs. Rarely exceeds 10 mcg/kg/day up to 0.25 mg/day.
Digoxin Immune
X
X
Fab
(DigiFAB)
X
X
Dilute to 1-10 Requires toxicology consult! Dosing based on amount of 0.22 micron filter required
mg/mL with NS digoxin ingested. Each 40mg vial binds 0.5mg digoxin
Monitor EKG, serum potassium and
IVP: If in Cardiac Arrest over3-5 minutes using. Infusion digoxin serum levels.
preferred.
Check for S/S of an acute allergic
Infusion:Over 15-30 minutes through 0.22 micron filter.
reaction.
Decrease rate or hold if infusion reaction occurs.
Diltiazem (Cardizem)
X
X
X
X
5 mg/mL for IVP Bolus: 0.25 mg/kg over 2- 5 minutes; if inadequate
During administration monitor EKG,
Infusion 1
response, 0.35 mg/kg dose may be administered after 15
heart rate, blood pressure and renal
mg/mL
minutes
function.
Infusioncontinuous(start after IV bolus doses)
< 50 kg (limited data) 0.05-0.15 mg/kg/hr up to 15 mg/hr
Adult: 5-15 mg/hr
Diphenhydramine
X
(Benadryl)
X
X
Dilute to ................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- intravenous medication guidelines for adults ventura county california
- intravenous medication guidelines for adults vchca
- vasoactive continuous infusions adult inpatient guideline uw health
- critical care intravenous drug administration guide sgul
- adult iv push infusion guidelines for select medications
- diltiazem cardizem bolus dose and infusion
- diltiazem hydrochloride injection 0 5 5 mg ml akorn
- cardizem cd diltiazem hydrochloride capsule label food and drug
- highlights of prescribing information these highlights do not include
- pediatric guidelines for iv medication administration
Related searches
- medication administration form nyc 2018
- medication administration form school
- medication administration form nyc 504
- nyc school medication administration form
- school medication administration form ny
- ny state medication administration form
- medication administration quiz printable
- medication administration form nyc 2019
- medication administration form for school
- guidelines for pediatric immunizations
- iv medication for itching
- iv chemotherapy administration for nurses