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HP Phone/Database/Note | 1994-04-04 | 6.2 KB | 186 lines |
- followed by 5-10
- g/kg/min infusion
- (into central line only)
- Should be used with caution, if at all, in patients with ischemic heart disease.
- Phosphodiesterase inhibitor
- Hemodynamic monitoring essential
- Adults: Asystole: 1.0mg IV repeat in 5 Min.
- Bradycardia: 0.5mg IV q5Min. (up to 2.0 mg total)
- Peds: 0.01-0.03 mg/Kg IV, Min 0.1mg
- Dilute in 10 ml sterile water
- after 1-2 minutes, attempt defib again.
- May increase dose to 10mg/kg q 15-30 min. Max dose 30 mg/kg.
- In v.tach 5-10 mg/kg infused over 8-10 minutes. Second dose may be given in 1-2 hrs.
- 10% Solution is 100mg/mL
- Calcium salts should not be used during resusitation except for treatment of acute hyperkalemia, hypocalcemia, or
- or calcium channel blocker toxicity and
- hypermagnesemia.
- 10% solution
- Calcium salts should not be used during
- resusitation. See Calcium Chloride.
- 10% Solution
- See Calcium Chloride
- Second attempt with 200-300 joules
- Third attempt with max power
- In peds, 1 joule/pound
- PS Tach = 75-100 j
- V-tach = 50 joules, 100, 200, max
- A-flutter = 25 joules
- A-fib = 100j, 200j, max
- Shock: 2-6 mg/Kg IV repeat q 2-6 Hr.
- Cerebral Edema: 10mg IV, then 4 mg IM q 6Hr. X 2-10 Days
- give no faster than 50 mg/min
- Peds: 15-20 mg/Kg Bolus (Max 10-25 mg/min)
- Monitor for cardiac depression. Only mix with Saline (not D5W or other)
- 1000mg/250ml = 4mg/ml = 4000
- May be effective in doses as low as
- g/Kg/Min. Can cause arrhythmias at doses above 20
- g/Kg/Min.
- 400-800 mg/250ml
- MAO ihibitors (anti-depressants) may
- potentiate response to Dopamine. Reduce dopamine starting dose by factor of 10.
- Dilantin may cause hypotension with Dopamine
- dilute 1 mg in 10ml of sterile water
- Titrate to desired hemodynamic effect.
- Onset 5 Min. Peak action 30 Min.
- Use contraindicated in cardiac arrest.(due to vaso-dil effect)
- Titrate to heart rate of 60
- 1mg/500ml
- Repeat at 0.5 mg/kg q 2-10 minutes
- max dose 3 mg/kg
- follow by 50-100 mg PO q12Hr.
- Titrate to effect.
- For Shock and Hypotension->
- Initially: 100-180
- g/Min
- After BP stabilized:40-60
- g/Min
- For Paroxysmal SV Tach.->
- 0.2-0.5 mg IV Bolus (repeat PRN)
- q 3-5Min.
- May increase by 5 or 10
- g/min until desired hemodynamic response is achieved (fall in svr or wedge pressure).
- Usual respond to 50-200
- g/min.
- 40 mg/250 ml
- Starting dose usually 2
- g/min, titrate to achieve systolic pressure of 90 mmHg.
- Average adult dose 2-12
- g/min
- give at 20 mg/min until:
- 1)Arrhythmia is suppressed;
- 2)Hypotension ensues;
- 3)QRS widens by 50%;
- 4)Total dose reaches 1 gram.
- Loading dose 17 mg/kg over 1 hour,
- then 17
- g/kg/min maintenance infusion.
- Reduce dose in cardiac failure or renal
- dysfunction - 12 mg/kg loading and 1.4
- mg/kg/hour
- Max dose 0.1mg/kg
- 0.3*kg*base deficit
- Follow w/ 1 mEq/Kg q 10 Min
- dilute 1:1 with D10 in peds
- Repeat dose: 0.15 mg/kg (max 10 mg) 30 minutes after initial dose.
- Age 8-15: 0.1-0.3 mg/kg (2-5 mg range)
- Repeat: 0.1-0.2 mg/kg 15-30 minutes after initial dose
- NEVER USE IF RECENT BETA BLOCKER TX
- Amiodarone
- 75-83
- g/Kg/Min over 1Hr.
- Atropine
- 0.01-0.03 mg/kg(0.5mg minimum)
- Atropine - endotracheal
- 1.0-2.0 mg
- Bretylium
- 5 mg/kg bolus
- Bretylium - drip
- 2 mg/min
- Calcium Chloride
- 2-4 mg/kg q 10 Min. IV Bolus
- Calcium Gluceptate
- 50 mg/kg
- Calcium Gluconate
- 100mg/kg
- Defibrillation - V Fib
- 200 joules
- Dexamethasone
- 200-500
- g/kg/24hr
- Digoxin
- 10-15
- g/kg loading
- Dilantin-Bolus
- 18-20 mg/kg IV
- Dobutamine drip
- 2.5-10
- g/kg/min
- Dopamine-infusion
- 2-20
- g/kg/min
- Epinephrine - endotracheal
- 1.0-2.0 mg /10-20 ml
- Epinephrine-bolus
- 7.5-15
- g/kg q 5 minutes
- Epinephrine-drip
- 0.1-1.0
- g/Kg/min
- Furosemide - bolus
- 0.5-2.0 mg/kg/dose
- Furosemide - drip
- 0.25mg/kg/hr
- Isoproterenol drip
- 0.1-1.0
- g/Kg/Min. (titrate)
- Lidocaine-bolus
- 1 mg/kg/ 1st dose
- Lidocaine-drip
- 20-50
- g/kg/min
- Metoprolol
- 5 mg/dose q 5 Min IV
- Morphine Sulphate
- 2-5 mg IV q 5-30 Min (initial)
- Naloxone
- g/kg/dose
- Neosynephrine-drip
- 10 mg/250ml, titrate
- Nipride drip
- 0.5-8.0
- g/kg/min
- Nitoglycerin-bolus
- Nitroglycerin - drip
- 10-20
- g/min starting
- Nitroprusside
- 0.5-8.0
- g/kg/min
- Norepinephrine drip
- 0.1 - 0.6
- g/kg/min
- Procainamide - bolus
- 50 mg q 5 minutes
- Procainamide - drip
- 20-50
- g/kg/min
- Propanolol
- 1-3mg/dose IV q5Min
- Sodium Bicarbonate
- 1-2 mEq/kg/dose
- Sodium Nitroprusside
- 0.5-8.0
- g/kg/min
- Verapamil - bolus
- 0.075 - 0.15 mg/kg (max 10mg)
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