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Recommended Standard Cardiovascular Drip Concentrations & Doses

Adenosine Amiodarone Atropine Bretylium Calcium Diltiazem Dobutamine Dopamine
Epinephrine Esmolol Furosemide Isoproterenol Labetolol Lidocaine Magnesium Metoprolol
Milrinone Nicardipine Nitroglycerin Nitroprusside Norepinephrine Phenylephrine Potassium Procainamide
Propranolol Sodium bicarb Verapamil Make.A.Drip

Rate Simplifier (printable cheat sheet, bring me with you when attending a Code Blue)

Adenosine (Adenocard)

6 mg/2 ml

  • IVP Dose: Initiate with 6 mg over 1-3 seconds with 20 ml saline flush. May repeat with 12 mg doses q 1-2 minutes to 30 mg total.
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Amiodarone (Cordarone)

Amount: mg

Volume: ml of D5W or NS

Concentration: mg/ml

  • Loading infusion: Mix 150 mg in 100 ml D5W and infuse at 15 mg/min (600 ml/hr) over the first 10 minutes.
  • Maintenance infusion: Mix 900mg in 500ml D5W and infuse at 1 mg/min (33 ml/hr) over the next 6 hours, then reduce to 0.5 mg/min (17 ml/hr) over the remaining 18 hours.
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Enter Patient Weight

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Infusion Rate: ml/hr

Atropine

1 mg/10 ml

  • IVP Dose: 0.5-1 mg q 3-5 min. Usual max is 3 mg (0.04 mg/kg).
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Bretylium

Amount: mg

Volume: ml of D5W or NS

Concentration: mg/ml

  • IVP Dose: 5-10 mg/kg repeated at 5-30 min intervals to max of 35 mg/kg.
  • Infusion: 1-2 mg/min.
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Enter Patient Weight

Enter dose

Infusion Rate: ml/hr

Calcium Chroride 10%

1 g/10 ml

  • Hyperkalemia or Ca Channel Blocker overdose: IVP 8-16mg/kg.
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Diltiazem (Cardizem)

Amount: mg

Volume: ml of D5W or NS

Concentration: mg/ml

  • Bolus IVP: 0.25 mg/kg over 2 min (20mg average patient). If inadequate response after 15 minutes, re-bolus with 0.35 mg/kg over 2 minutes (25mg average patient).
  • Infusion: 5-15mg/hr.
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Enter Patient Weight

Enter dose

Infusion Rate: ml/hr

Dobutamine (Dobutrex)

Amount: mg

Volume: ml of D5W or NS

Concentration: mg/ml

  • Infusion: 2-20 mcg/kg/min.
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Enter Patient Weight

Enter dose

Infusion Rate: ml/hr

Dopamine (Intropin)

Amount: mg

Volume: ml of D5W or NS

Concentration: mg/ml

  • Infusion: Initiate at 1-5 mcg/kg/min and titrate to 5-20 mcg/kg/min.
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Enter Patient Weight

Enter dose

Infusion Rate: ml/hr

Epinephrine

Amount: mg

Volume: ml of D5W or NS

Concentration: mg/ml

  • IVP Dose: 1 mg q 3-5 minutes or 0.1 mg/kg.
  • Infusion: 1-10 mcg/min or titrate to desired effect. There is no max dose, although the minimum effective dose is suggested.
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Enter Patient Weight

Enter dose

Infusion Rate: ml/hr

Esmolol (Brevibloc)

Amount: mg

Volume: ml of D5W or NS

Concentration: mg/ml

  • Loading infusion: 250-500 mcg/kg/min for 1 minute.
  • Initial maintenance infusion: 25-50 mcg/kg/min for 4 minutes, and titrate upwards at 5-10 min intervals to max of 300 mcg/kg/min.
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Enter Patient Weight

Enter dose

Infusion Rate: ml/hr

Furosemide (Lasix)

Amount: mg

Volume: ml of D5W or NS

Concentration: mg/ml

  • IVP Dose: 0.5-1 mg/kg slowly over at least 1-2 minutes.
  • Infusion: 0.25-0.75 mg/kg/hr.
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Enter Patient Weight

Enter dose

Infusion Rate: ml/hr

Isoproterenol (Isuprel)

Amount: mg

Volume: ml of D5W or NS

Concentration: mg/ml

  • Infusion: 2-10 mcg/minute.
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Enter Patient Weight

Enter dose

Infusion Rate: ml/hr

Labetolol (Trandate)

Amount: mg

Volume: ml of D5W or NS

Concentration: mg/ml

  • IVP Dose: 0.25 mg/kg (20 mg) over 2 minutes. Additional 40-80 mg can be given q 10 min until desired BP is reached or until 300 mg total dose.
  • Infusion: 2 mg/min, titrate until either desired effect or cumulative dose of 200-300 mg is reached.
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Enter Patient Weight

Enter dose

Infusion Rate: ml/hr

Lidocaine

Amount: mg

Volume: ml of D5W or NS

Concentration: mg/ml

  • IVP Dose: 1-1.5 mg/kg q 3-5 min, up to 3mg/kg total dose.
  • Infusion: 1-4 mg/min.
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Enter Patient Weight

Enter dose

Infusion Rate: ml/hr

Magnesium Sulfate 50%

8 mEq/2 ml or 1 g/2 ml

  • For VT: 1-2 g diluted in 10 ml of D5W and IVP over 1-2 minutes.
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Metoprotol (Lopressor)

5 mg/5 ml

  • IVP Dose: 5 mg over 2-5 min, may repeat q 5 min to 15 mg total.
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Milrinone (Primacor)

Amount: mg

Volume: ml of D5W or NS

Concentration: mg/ml

  • Bolus infusion: 50 mcg/kg over 10 min.
  • Maintenance infusion: 0.375-0.75 mcg/kg/min. Max daily dose of 0.59-1.13 mg/kg.

Enter Patient Weight

Enter dose

Infusion Rate: ml/hr

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Nicardipine (Cardene)

Amount: mg

Volume: ml of D5W or NS

Concentration: mg/ml

  • Infusion: 5 mg/hr, and may be increased in increments of 2.5 mg/hr q 15 min to a max of 15mg/hr.
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Enter Patient Weight

Enter dose

Infusion Rate: ml/hr

Nitroglycerin (Tridil)

Amount: mg

Volume: ml of D5W or NS

Concentration: mg/ml

  • A bolus of 12.5-25 mcg may be administered before the initiation of a continuous infusion.
  • Infusion: Initiate at 10-20 mcg/min. May increase by 5-10 mcg/min q 5-10 min until desired response.
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Enter Patient Weight

Enter dose

Infusion Rate: ml/hr

Nitroprusside (Nipride)

Amount: mg

Volume: ml of D5W or NS

Concentration: mg/ml

  • Infusion: Initiate at 0.1 mcg/kg/min, and titrate to effect.
  • Average dose is 0.5-8 mcg/kg/min.
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Enter Patient Weight

Enter dose

Infusion Rate: ml/hr

Norepinephrine (Levophed)

Amount: mg

Volume: ml of D5W or NS

Concentration: mg/ml

  • Infusion: Initiate at 0.5-1 mcg/min and titrate to effect.
  • Average dose is 2-12 mcg/min.
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Enter Patient Weight

Enter dose

Infusion Rate: ml/hr

Phenylephrine (Neo-synephrine)

Amount: mg

Volume: ml of D5W or NS

Concentration: mg/ml

  • IVP Dose: Diluting 10 mg/ml in 9 ml sterile water for injection. Dose is 0.1-0.5 mg.
  • Infusion: Initial rate 100-180 mcg/min to raise BP rapidly. Maintenance rate is 40-60 mcg/min.
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Enter Patient Weight

Enter dose

Infusion Rate: ml/hr

Potassium Chloride

Amount: mEq

Volume: ml of Sterile Water

Concentration: mEq/ml

  • Acute replacement, max infusion rate:
    • For serum K+ > 3 mEq/L: 10 mEq/hr.
    • For serum K+ < 3 mEq/L: 20 mEq /hr.
    • For serum K+ < 2.5 mEq/L and symptomatic: 40 mEq/hr.
  • Maintenance, max infusion rate:
    • For peripheral line: 10 mEq/hr.
    • For central line: 20 mEq/hr.
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Procainamide (Pronestyl)

Amount: mg

Volume: ml of D5W or NS

Concentration: mg/ml

  • Bolus infusion: 20-30 mg/min up to 17 mg/kg, until suppression of arrhythmia, hypotension, or QRS widens by 50% of original.
  • Maintenance infusion: 1-4 mg/min.
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Enter Patient Weight

Enter dose

Infusion Rate: ml/hr

Propranolol (Inderal)

1 mg/ml

  • IVP Dose: 1-3 mg over 2-5 min (do not exceed 1 mg/min). May repeat after 2 min to a total dose of 0.1mg/kg
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Sodium bicarbonate 8.4%

50 mEq/50 ml

  • IVP Dose: 1 mEq/kg initially, then 0.5 mEq/kg q 10 min.
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Verapamil

10 mg/2 ml

  • IVP Dose: 2.5-5 mg over 1-2 minutes (3 minutes in elderly). May repeat 5-10mg q 15-30 minutes to 30 mg total.
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Make Your Own Drip

Enter Drug Name

Enter Amount

Enter Volume ml

mg/ml

Enter Patient Weight

Enter Dose

Infusion Rate: ml/hr

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Please email to Khanh D. Luong for comments, suggestions, or error-reporting.