HP Phone/Database/Note | 1994-03-15 | 12.3 KB | 377 lines
&Drug
D&ose
&Note
Business;Personal
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Drug:
Dose:
Note:
Name and Business Phone
May repeat as a 12 mg bolus if initial
dose is unsuccessful. May repeat 12mg
dose if necessary. Max single dose
is 12 mg.
MUST give RAPID bolus - direct IV if possible over 1-2 seconds
Adenocard
6 mg bolus
If first dose does not result in desired rhythm, then 12 mg bolus may
be given, and may be repeated if
necessary. Max single dose is 12 mg.
See AdenoCard
Adenosin-bolus
6 mg IV bolus
Althesin - induction
0.05-0.075 ml/kg
neonates: 0.15 mg/kg/hr
infants < 1 yr : 0.2-0.8 mg/kg/hr
children 1-9 : 0.85 mg/kg/hr
children 9-17: 0.7 mg/kg/hr
healthy smoker adults: 0.7mg/kg/hr
healthy non-smoker adults:0.4 mg/kg/hr
Liver dysfunction: 0.2 mg/kg/hr
Cardiac patients: 0.2 mg/kg/hr
Aminophylline-drip
see additional
1.0mg/kg = 2.0mcg/ml serum level
1 G in 500cc D5W @ 15cc=30mg/hr
Aminophylline-loading
5 mg/kg
followed by 2-20 mcg/kg/min infusion
Should be used with caution, if at all, in patients with ischemic heart disease.
Phosphodiesterase inhibitor
Hemodynamic monitoring essential
Amrinone
0.75 mg/kg loading
See : Succinylcoline
Anectine-Bolus
1.0-1.5 mg/kg
Competitive Nondepolarizing Muscle blocker.
Atacurium
0.5 mg/kg ;20 Min Duration
Parasymathetic Blocker
Atropine
g/Kg : 1/2-Hr duration
Bicarb-Bolus
1 mEq/kg/dose
20 mg/kg rectal in unsedated pt.
15 mg/kg rectal in sedated pt.
Brevital
2 mg/kg IV
See : Marcaine
Bupivacaine-local
2.0 mg/kg plain max
CaCl-Bolus
25 mg/kg
CaGluconate-Bolus
100 mg/kg
Calcium Gluceptate
50 mg/kg
%conc.=(((vf)[Vpa/(AP-Vpa)])*100)/tf
VF= vaporizer flow
Tf=total flow
Vpa=Vapor press. Agent
AP=Atmospheric pressure
Copper Kettle
see additional
Do not use wiyhin 6 hours of apresoline, reserpine, alphaprodine,
methyldopa, beta-blockers, prazosin,
minoxidil, nitrates, etc.
Diazoxide - HyperStat
1-3 mg/kg bolus
100 mg PR
75 mg IM
NSAID AKA "volterol"
Diclofenac Sodium
20 mg IV q 4 Hrs.
Dilantin - maintenance
4-8 mg/kg/day
give no faster than 25 mg/min
Dilantin-Bolus
15-18 mg/kg IV
60-90 mg TID orally
Theraputic level:30-130 nanograms/ml
Diltiazem
75-150 mcg/kg IV
duration 10 Min.
Diprivan-induction
2 mg/Kg Induction
250mg/250ml - 1000mcg/ml
See : Dobutrex
Dobutamine-drip
1-10 mcg/kg/min
200mg/250ml - 800mcg/ml
2-10 mcg/kg/min : Renal flow +
10-20 mcg/kg/min : Beta + Dopa. Recept
20+ mcg/kg/min : Alpha predominates
See : Dobutrex
Dopamine-drip
2-20 mcg/kg/min
Max dose 1.5 mg/kg
See : Dopram
Doxapram-bolus
0.5-1.0 mg/kg
250 mg/250 ml
start at 5 mg/min until satis. respon,
then 1-3 mg/min. Max dose 4 mg/kg.
See : Dopram
Doxapram-drip
start 5 mg/min
For nausea +/or vomiting
May be very sedating, prolonged wakeup
See : Inapsine
Droperidol-bolus
0.625-1.25 mg IV
following sux, 0.25 mg/kg
d-Tubocurarine
0.5 mg/kg for intub.
Edrophonium-bolus
0.5 mg/kg
8 ml 0.25% Marcaine
40-80 mg DepoMedrol
-In Patient: place catheter, inject daily x 3 doses
-Out Patient: inject thru needle, bring back weekly x 3 doses
Epidural Steroids
see additional
max dose 4.5 mcg/kg/hour
Epinephrine+Halothane
1.5 mcg/kg/dose q10 min
Epinephrine-bolus
10 mcg/kg/dose
1mg/250ml - 4mcg/ml
-1-2 mcg/min Beta
.01-.03 mcg/kg/min
-2-10 mcg/min Alpha+Beta
0.03-0.15 mcg/kg/min
-10-16 mcg/min Alpha
0.15+ mcg/kg/min
Epinephrine-drip
0.01-0.18 mcg/kg/min
usual effective dose is in the range
of 50-200 mcg/kg/min. Greater than 200 mcg/kg/min is usually ineffective, and the safety of doses greater than 300 mcg/kg/min have not been studied.
Esmolol-bolus
500 mcg/kg
see data under Esmolol bolus
Esmolol-drip
50-200 mcg/kg/min
Maintenance: 0.01 mg/kg/minute
DC 5 minutes beofe end of case
For short case: load for only 5 mins
Etomidate-drip
0.1 mg/kg/min x 10 min
Etomidate-induction
0.3 mg/kg
Suppliment w/ 50 mcg boluses
Infusion: 0.003xloading dose(mcg/kg)=
infusion rate mcg/kg/min
Fentanyl
5 mcg/kg loading
following sux, 1.5 mg/kg
Gallamine
2 mg/kg for intub.
Glucagon drip
66 mcg/kg/min
Parasympathetic Blocker.
Duration 1-2 Hrs.
Glycopyrrolate
Carboprost tromethamine
Hemabate
250 mcg IM
Inderal-bolus
0.25-1.0 mg IV
For Heart Block refractory to Atropine:
g/Kg/Min, Titrate to Effect.
(Or 2-10
g/Min on Adult)
1mg/250ml - 4mcg/ml
Isuprel-drip
g/Kg/Min -Titrate
Ketamine infusion
10-30 mcg/kg/min
IM: 4-6 mg/kg, may go to 10 mg/kg
Ketamine - induction
0.5-1.5 mg/kg IV
Ketamine-Bolus
1.0-1.5 mg/kg IV
Maybe repeated every 10 minutes, and
dose may be doubled with repeated dosing (ie, 0.5 mg/kg at 10 minutes,
and 1.0 mg/kg).
Labetalol - bolus
0.25 mg/kg
Labetalol-drip
Lanoxin-loading
Lidocaine drip
20-50 mcg/kg/min
Lidocaine-Bolus
1 mg/kg
Lidocaine-local
4-6 mg/kg plain
Lidocaine :
Bupivacaine :
Carbocaine :
Etidocaine :
Tetracaine :
Chloroprocaine :
Local - plain
see additional
Lidocaine : 5-6 mcg/ml
Mepivacaine : 5-6 mcg/ml
Bupivacaine : 1.6 mcg/ml
Etidocaine : 2.0 mcg/ml
Local - toxic levels
see additional
Prilocaine : 1.0-1.1
Lidocaine : 0.5-0.7
Mepivacaine : 0.7
Bupivacaine : 0.2-0.4
Etidocaine : 0.2-0.3
Local - U/M Ratios
see additional
Lidocaine : 7-8 mg/kg
Mepivacaine : 7-8 mg/kg
Tetracaine : 2 mg/kg
Procaine : 10-12 mg/kg
Chloroprocaine : 10-15 mg/kg
Bupivacaine : 3-4 mg/kg
Etidocaine : 4-5 mg/kg
Prilocaine : 8 mg/kg
Local - with epi
see additional
2nd dose wait 30 secs - 0.3mg over 30 sec
Further doses - 0.5 mg over 30 secs
Max dose is 3mg total
If partial response at 3mg, may go to 5mg total.
Mazicon
0.2mg IV over 30 secs
Metaclopramide-bolus
10-20 mg/70 kg
1 mg methadone =
1 mg Heroin
3 mg Morphine
4 mg Pantopon
0.5 mg dilaudid
20 mg Demerol
30 mg Codiene
Methadone
see additional
following sux, 0.15 mg/kg
Metocurine
0.25 mg/kg for intub.
For moderate to severe pain.
A Synthetic partial opiate agonist-antagonist.
Experience shows only 2-4 Hr duration w 2 mg IV dose.
Nalbuphine
10-20 mg IM/IV/SQ q4-6 Hr.
Narcan-bolus
0.01 mg/kg/dose
Anticholinesterase parasympathetomimetic
Neostigmine
g/Kg : 20 min Duration
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)
Neosynephrine-drip
10 mg/250ml, titrate
10-30 mg TID
Theraputic levels: 25-100 nanograms/ml
Nifedipine
3-15 mcg/kg IV
50mg/250ml - 200 mcg/ml
Nipride
0.5-8.0 mcg/kg/min
4mg/250ml - 16 mcg/ml
Norepinephrine-drip
2-16 mcg/min
For moderate to severe pain.
A Synthetic partial opiate agonist-antagonist.
Experience proves duration only 2-4 Hrs. with 2 mg IV dose.
Nubain
10-20 mg IM/IV/SQ q4-6 Hr.
Opioid
Omnipon- Papaveretum
0.2-0.3 mg/Kg q 2-4 Hr.
Opioid
Papaveretum-"omnipon"
0.2-0.3 mg/Kg q 2-4 Hr.
If following sux, then 0.15 mg/kg
Pavulon-bolus
0.25 mg/kg for intub.
30 mg/kg rectal in unsedated pt.
20 mg/kg in sedated pt.
Ultra short acting Barbiturate
10 Min. Duration IV
Pentothal-Induction
4-5 mg/kg IV
Procainamide-drip
20-50 mcg/kg/min
25-50 mg/min up to 1 gram, then
20-50 mcg/kg/min
Procainamide-IV
25-50 mg/min until cure
duration 10 Min.
Propofol-induction
2 mg/Kg Induction
Neostigmine : 0.06 mg/kg
Atropine : 0.02 mg/kg
Pyridostigmine : 0.1-0.25 mg/kg
Glycopyrrolate : 0.2/5mg Pyrido
Glycopyrrolate : .02/1.0 mg Neostig
Edrophonium : 0.5 mg/kg + 3.5mcg/kg Robinul
Reversal Agents
see additional
30 mg/kg rectal in unsedated pt.
20 mg/kg in sedated pt.
Ultra short acting Barbiturate
10 Min. Duration IV
Sodium Pentothal-Induction
4-5 mg/kg IV
Depolarizing muscle relaxant
Suxamethonium
1.0 mg/Kg :5 Min. Duration
mEq THAM = kg*BE*0.25
Give 1/2 calculated dose IV over 4-6 hrs
see additional
30 mg/kg rectal in unsedated pt.
20 mg/kg in sedated pt.
Ultra Short acting barbiturate
10 Min. Duration IV
Thiopentone-Induction
4-5 mg/kg IV
Tracrium-bolus
0.2 mg/kg
Tracrium-drip
Tracrium-intubation
0.3-0.5 mg/kg
Give 40-60 units IV over 60-90 seconds when skin incision made then 20-30 units after 5 Min.-> Supplemental doses of 20 Units as needed during the Operation. Duration is 30-45 Min. (only use for long operations if you don't want the Pt. on vent for 1 Hr. postop.)
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