SAINTJOSEPHHOSPITAL & SAINT JOSEPH EAST

CRITICAL CARE INTRAVENOUS MEDICATIONS CHART

DRUG NAME

/ ONSET / CONCENTRATION / UNIT OF MEASUREMENT / DRUG CLASS / HOW TO TITRATE
Amiodarone / Non-specific / 450mg /250 mLD5W only
Can not mix in NS / Continuous infusion – mg/min
Common dose: 1mg/min for 6 hrs,
then 0.5 mg/min infusion / Antiarrhythmic / Non-titratable;
Initiate at 1 mg/min x 6 hours, then 0.5 mg/min infusion
Bumetanide
(Bumex) / 3 min / 10mg/100 mL NS
Can mix in D5W / IV Bolus Dose – mg/hr
Dose: 0.5 – 1 mg slow IVP over 1-2 min or
Continuous infusion – mg/hour
Usual dose: 1 mg/hr or (MD preference) / Loop Diuretic / Dose ordered per MD based on UOP or PCWP
Cisatracurium
(Nimbex) / 1.5-3 min / 200 mg/200 mL NS
Can mix in D5W / Continuous infusion – mcg/kg/min
May give IV loading dose: 100 mcg/kg
Usual range: 1 – 10 mcg/kg/min / Neuromuscular
Blockade
(Paralytic) / Titrate by 2 mcg/kg/min increments to 1-2 twitches on Peripheral Nerve Stimulator (TOF) or per MD orders;
Dexmedetomidine (Precedex) / 5-10 min / 200 mcg/50 mL
400 mcg/100 mL
Can mix in NS and D5W / Continuous infusion – mcg/kg/hr
Loading dose: 1 mcg/kg over 10 minutes
Avg. rate: 0.2 – 0.7 mcg/kg/hr / Sedative
(Alpha2 – Adrenergic Agonist) / Titrate in 0.1 mcg/kg/hr
increments to desired level of
sedation (Max dose: 1.5
mcg/kg/hr)
Diltiazem
(Cardizem) / 5 minutes / 1 mg/mL
Can mix in NS and D5W / Continuous infusion – mg/hour
Dose: 5 – 15 mg/hr / Ca Channel
Blocker
Non DHP / Increase rate 5 mg/hr
Q15min to desired heart rate
Dobutamine / 1-10 min / 500 mg/250 mL (Standard)
Can mix in NS and D5W / Continuous infusion – mcg/kg/min
Dose: 2 – 20 mcg/kg/min / Inotrope / Increase rate 1-4 mcg/kg/hr Q10min
Dopamine / 5 min / 400 mg/250 mL (Standard)
Can mix in NS and D5W / Continuous infusion – mcg/kg/min
Dose: 2 – 20 mcg/kg/min / Vasopressor / Increase rate 5-10 mcg/kg/min Q10-30min intervals. Titrate to effect desired per MD
Epinephrine / minutes / 5 mg/250 mL (Standard)
Can mix in NS and D5W / Continuous infusion
mcg/kg/minute -- OR -- mcg/min
UsualRange: 2 - 10 mcg/min
0.05 – 1 mcg/kg/min / Vasopressor
Cardiac Stimulant / Increase 0.01 mcg/kg/min Q15min or 0.5-1 mcg/min. Titrate to effect desired per MD
Esmolol
(Brevibloc) / 2-10 min / 2500 mg / 250 mL
Pre-mixed / Continuous Infusion – mcg/kg/min
Dose: Usual Range: 50-200 mcg/kg/min / Antiarrhythmic
Beta Blocker / Usual Titration:
50 mcg/kg/min increments
Etomidate / 30-60 sec / 20 mg/10 mL or
40 mg/20 mL vials / 0.3 mg/kg IVP over 15-60 seconds / General anesthetic
Sedative / For rapid sequence intubation
Fenoldopam
(Corlopam) / 5 min / 20 mg/500mL
Can mix in NS and D5W / Continuous infusion – mcg/kg/min
Dose: Initial 0.1 mcg/kg/min
Avg. rate: 0.01-1.6 mcg/kg/min / Vasodilator / Dopamine agonist / Titrate 0.05 – 0.1 mcg/kg/min increments Q15min until target BP
Fentanyl / seconds / 1 mg/100 mL NS (Standard)
Can mix in D5W / Continuous Infusion – mcg/hour
UsualRange: 50 – 300 mcg/hr / Narcotic
Analgesic / Titrate rate by 25 mcg/hr increments based on pain control
Heparin / seconds / 25,000 units/250 mL
Can mix in NS and D5W / Continuous Infusion–units/kg/hour or ml/hr
Dose: Weight-based --OR-- PTT-based / Anticoagulant / Based on PTT and Per Protocol per MD orders
Insulin (regular) / 15 min / 100 units/100 mL NS only
Can’t mix in D5W / Continuous infusion – units/hour
Dose: Based upon blood glucose level / Hormone
Agent / Based on Blood Glucose
Per protocol per MD order

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Lidocaine / minutes / 2 g/500 mL
Can mix in NS and D5W / Continuous infusion – mg/min
Usual range: 1 – 4 mg/min
1 mg/min =7.5 mL/hr 3 mg/min =22.5 mL/hr
2 mg/min =15 mL/hr 4 mg/min =30 mL/hr / Antiarrhythmic / Increase by 1 mg/min up to 4 mg/min until arrhythmia terminated; Stop infusion once rhythm stabilizes
Midazolam
(Versed) / 1-5 min / 125 mg/125 mL
Can mix in NS and D5W / Continuous infusion – mg/hour
Usual range: 1 – 30 mg/hr / Benzodiazepine
(Sedative) / Titrate rate by 1 mg/hr increments based on sedation (titrate to lowest dose possible)
Milrinone
(Primacor) / 5-15 min / 20 mg/100 mL D5W
Pre-mixed / Continuous infusion – mcg/kg/min
Loading dose: 0.05 mg/kg (50 mcg/kg)
Usual range: 0.375 – 0.75 mcg/kg/min / + Inotrope
and Vasodilator / Dose ordered per MD
Nesiritide
(Natrecor) / 15 min / 1.5 mg/250 mL (6 mcg/mL)
Can mix in NS and D5W / IV bolus: 2 mcg/kg over 60 seconds
Continuous infusion: 0.01-0.02 mcg/kg/min / BNP; Acutely Decompensated
CHF / If ordered, may be increased by 0.005 mcg/kg/min
(max: 0.03 mcg/kg/min)
Nicardipine
(Cardene) / 10 min / 0.1 mg/mL Standard
0.2 mg/mL Double Conc.
Can mix in NS and D5W / Continuous Infusion – mg/hour
Dose: 2.5 – 15 mg/hr
Rotate IV infusion site Q12hr if given in peripheral IV / Ca Channel
Blocker
DHP / Start at 5 mg/hr thenincrease rate by 2.5 mg Q15min;Attempt to decrease to 3 mg/hr once BP controlled
Nitroglycerin / 1-2 min / 25 mg/250 mL (Standard)
Can mix in NS and D5W / Continuous infusion – mcg/min
Usual range: 1 – 200 mcg/min
“No fixed optimum dose” / Vasodilator / Increase rate 5 mcg/min
Q3-5min. May increase 10 mcg/min if exceeds 20.
Nitroprusside
(Nipride) / < 2 min / 50 mg/250 mL D5W only
Can not mix in NS / Continuous infusion – mcg/kg/min
Dose: 0.3-0.5 mcg/kg/min
Maximum: 10 mcg/kg/min / Veno & Arterial Vasodilator / Increase rate 0.5 mcg/kg/min increments Q3–5min
Norepinephrine
(Levophed) / seconds / 8 mg/250 mL (Standard)
Can mix in NS and D5W / Continuous infusion
mcg/kg/minute -- OR -- mcg/min
Usual range: 0.5 – 30 mcg/min
0.01 – 2 mcg/kg/min / Vasopressor / Increase rate 5 mcg /min or 0.05 mcg/kg/min Q3–5min
Pancuronium
(Pavulon) / 2-3 min (dose depend.) / 50 mg/100 mL (Standard)
Can mix in NS and D5W / Continuous infusion – mg/kg/hr
May give loading dose: 0.04-0.1 mg/kg IVP
Usual range: 0.06 – 0.12 mg/kg/hr / Neuromuscular Blockade
(Paralytic) / Titrate by 0.02 mg/kg/hr increments to 1-2 twitches on Peripheral Nerve Stimulator(TOF) or MD order.
Phenylephrine
(Neosynephrine) / seconds / 20 mg/250 mL (Standard)
Can mix in NS and D5W / Continuous infusion – mcg/min
Usual range: 10 – 220 mcg/min / Vasopressor / Increase rate 5 mcg/min
Q3–5min
Propofol
(Diprivan) / seconds / 1000 mg/100 mL vial
500 mg/50 mL vial
Pre-mixed / Continuous infusion – mcg/kg/min
Dose: Usual range: 5-50 mcg/kg/min / General Anesthetic / Sedative / Increase 5 mcg/kg/minQ5min based on sedation (BIS or RASS)
Succinylcholine / 30–60 sec / 200mg / 10mL vials / 0.6-1.1mg/kg IVP over 10 sec(max 150 mg) / Neuromuscular Blockade
(Paralytic) / For rapid sequence intubation
Vecuronium
(Norcuron) / seconds / 20 mg/100mL (Standard)
Can mix in NS and D5W / Continuous Infusion – mcg/kg/min
May give loading dose: 100 mcg/kg IVP
Usual dose: 0.8-1.7 mcg/kg/min / Neuromuscular Blockade
(Paralytic) / Titrate by 0.2 mcg/kg/min increments to 1-2 twitches on Peripheral Nerve Stimulator
(TOF) or MD orders
Vasopressin / minutes / 20 units/100 mL (Standard)
Can mix in NS and D5W / Continuous infusion – units/min
Range: 0.01 – 0.1 units/min
Usual dose: 0.04 units/min fixed dose
May see 0.1-1 unit/min–vasoplegic syndrome / Vasopressor
for Septic Shock
and Tx GIB / Septic Shock – no titration

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Updated 6/14 CW/MC/MV