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IV Critical Care Infusion Drip Chart
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COMMONLY USED CRITICAL CARE INFUSIONS

DISCLAIMER:We have taken considerable care while collecting this information to assure accuracy and appropriate content. The user is reminded that utilmate responsibility for accuracy of calculations and appropriateness of medication rests with the prescriber and professional actually administering the medication. Accordingly, Workplace Nurses LLC accepts NO RESPONSIBILITY FOR ERRORS resulting from information taken from this page.

Drug

Dose

Fluid

To yield
Calculation
Constant

Usual DoseRange

Other information
Dopamine
(Inotropin)
400 mg

D5W
250cc

1.6 mg/cc

26.7 mcg/mcgtt:weight

2 - 20 mcg/kg/min

 

 

<3 mcg renal dose
>7 mcg begins to impair renal
circulation.
Sodium Nitroprusside
(Nipride)

50 mg

D5W

250cc

0.2mg/cc
3.3 mcg/mcgtt:weight
0.5 - 8 mcg/kg/min
1)Protect from light
2)Monitor serum Thiocyanate levels.

Dobutamine (dobutrex)

250 mg

D5W
250cc

1 mg/cc
16.7 mcg/mcgtt:weight
2.5 -10 mcg/kg/min
Inotropic Agent

Epinephrine (Adrenelin)

2 mg

D5W 250 cc

8 mcg/cc
0.13 mcg/mcgtt:weight
1 - 4 mcg/min
Large doses produce vasoconstriction
Small doses produce vasodilation
Isopreterenol (Isuprel)
2 mg

D5W 250 cc

8 mcg/cc
0.13 mcg/mcgtt:weight
2 -10 mcg/min

use with caution in patients who are experiencing VPCs. Increases possibility of VT/VF.

Norepinephrine (Levophed)

2 mg

D5W 250cc

8 mcg/cc
0.13 mcg/mcgtt:weight
2 -12 mcg/min
May be titrated to higher doses

Phenylephrine (Neosnyphrine)

20 mg

D5W 250cc

80 mcg/cc
1.3 mcg/mcgtt:weight
10 -20 mcg/min
Higher doses may be ordered
Amrinone
500 mg

NS100cc to make 200cc volume

2.5 mg/cc
41.7 mcg/mcgtt:weight
2 - 20 mcg/min
Loading dose 0.75 mg/kg.
must be mixed in NS or .45 NS
Nitroglycerin (Tridil)
50 mg

D5W 250 cc

200 mcg/cc
3.33 mcg/mcgtt:weight
5 - 200 mcg/min
Must be mixed in glass bottle & administered is special tubing
Lidocaine (xylocaine)
2 Grams

D5W 250cc

8 mg/cc
0.13 mg/mcgtt:weight
1 - 4 mg/min
Loading dose: 1 mg/kg up to 3 mg/kg
Procanamide (Pronestyl)
2 Grams

D5W 250cc

8 mg/cc
0.13 mg/mcgtt:weight
1 - 4 mg/min
Loading Dose: 20 mg/min up to 1 gram
Bretylium (Bretylol)
2 Grams

D5W 250cc

8 mg/cc
0.13 mg/mcgtt:weight
1 - 2 mg/min
Loading Dose: 5 mg/kg up to 30 mg/kg
Vasopressin (Pitressin)
200 IU

D5W 250cc

0.8 units/cc
0.013 units/mcgtt:weight
0.2 - 0.4 units/min
Must be aqueous pitressin
Labetalol (Trandate)
300 mg

D5W 240cc to make 300c total volume

1 mg/cc
16.7/mcgtt:weight
2 mg/min
Loading Dose: 20 mg up to 80 mg
Esmolol (Brevibloc)
5 Grams

D5W 500 cc

10 mg/cc
167 mcg/mcgtt:weight
50 - 200 mcg/kg/min
short acting Beta Blocker
Diltiazem (Cardizem)
125 mg

D5W 100 cc qs to make 125cc volume

1 mg/cc
16.7 mcg/mcgtt:weight
10 - 15 mg/ hr
can also be used for atrial arrythmias & SVT
Heparin
25,000 units

D5W 250 cc

100 units/cc
----
Given based on protocol. adjusted per nomogram based on PTT
watch carefully for signs of bleeding
Insulin
100 units

NS 100cc

1 unit/cc
----
Given based on orders, sliding scale adjusted per Capillary Blood Glucose readings
watch for hypoglycemia
Amiodarone (Cordarone)
450 mg

250 cc

----
----
1 mg/min for 6 hours @33 cc/hr then reduce to 0.5 mg/min @17 cc/hr
watch for hypotension

Propofol (Diprivan)

1000 mg

100cc

10 mg/cc

167mcg/mcgtt:weight

titrate to sedation

control according to Ramsey sedation scale

THE USER IS REMINDED TO VERIFY ALL ORDERS FOR COMPLETENESS. ELEMENTS OF A COMPLETE ORDER ARE SPECIFIC MEDICATION, DOSES, SCHEDULES AND INDICATIONS. PRN ORDERS WITHOUT SPECIFICATIONS & RANGE ORDERS ARE NO LONGER ACCEPTABLE AND SHOULD BE REFUSED BY YOUR PHARMACIST.  PLEASE CONSULT YOUR INSTITUTION'S SPECIFIC POLICY & PROCEDURE MANUAL FOR CLARIFICATION & GUIDANCE.*

*MOST STATE BOARDS OF NURSING, CMS & JOINT COMMISSION HAVE VERY STRICT REGULATIONS & INTREPRETATIONS REGARDING VERBAL & TELEPHONE ORDERS. AS A RULE VERBAL ORDERS ARE NOT PERMITTED. TELEPHONE ORDERS ARE ACCEPTABLE AND MUST INCLUDE A NOTATION THAT THEY WERE READ BACK & VERIFIED!

USERS ARE REMINDED TO VERIFY ALL CALCULATIONS BEFORE ADMINISTERING MEDICATIONS!

WORKPLACE NURSES LLC
(504) 367-5355