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31 Cards in this Set
- Front
- Back
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Diltiazem |
No infusion >24 hours or >15mg/hr Wait 15 minutes to rebolus Protect from light and RF IV push and infusion |
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Bivalirudin |
Renal dose adjustment: 1mg/kg/hr (10-29) Metabolism: proteases |
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Labetalol |
Bolus dose at 10mg/min D/C after 2.5 hours of 2mg/min IV push and infusion |
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Abciximab |
Filter needle for bolus 0.22 micron in-line filter for infusion Do not shake Must give with heparin and ASA Infusion time: 12-24 hours |
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Alteplase |
Do not shake Do not use filter or in-line needles Use within 8 hours SWFI reconstitute |
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Esmolol |
Vesicant: watch thrombophlebitis Load over 30seconds-1 mintue |
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Lidocaine |
Reduce dose in CHF, shock, hepatic Dx Max: 1.5mg/min C/I: WPW, amide anesthetic allergy
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Lorazepam |
Max: 2mg load/10mg/hr Use 0.22 micron filter (watch for precipitation) PG toxicity |
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Dobutamine |
Goal: SCVO2 >70% Titrate Q15 minutes Caution with BB Large vein needed |
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Nicardipine |
Max 15mg/hr Do not run in same line as other medications |
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Nitroglycerin |
Non-PVC plastic OR glass Protect from light |
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Dopamine |
Goal: MAP >65mmHg Titrate 1-4mcg every 10-30minutes Large vein Protect from light |
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Nitroprusside |
Avoid >3mcg/kg/min for >3 days Risk of thiocyante toxicity in renal/hepatic impairment Dilute in D5W Protect from light |
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Epinephrine |
CI: use central line IM (1:1000) IV (1:10000) Incompatible with Na Bicarb |
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Eptifibatide |
Renal dose adjustment No titration Onset: one hour (load) D/C 2-4 hours before CABG Use with ASA and heparin |
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Fentanyl |
Titrate to adequate pain control Protect from light |
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Amiodarone |
Max: 2.2g/day 0.22 micron in-line filter Avoid quick infusions (hypotension) non-PVC or glass CVC or PICC within 12 hours Protect from light |
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Argatroban |
Falsely increases INR Start warfarin when platelets >150 X 109 Protect from light |
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Atracurium |
Hoffman elimination (pH and temp influences) Increased pH/temp = increased elimination Use with peripheral nerve stimulator Incomp with LR |
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Norepinephrine |
Central line: vesicant Avoid Na Bicarb Protect from light
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Phentolamine |
5-10mg in 10-15mL NS |
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Octreotide |
No titration Up to 5 days |
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Phenylephrine |
Watch necrosis |
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Propofol |
Avoid >48 hours Do not use in-line filter Shake well 1kcal/mL |
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Carbapenems |
Erta: no dextrose ImiL inactive in acidic/alkaline |
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Milrinone |
Avoid 50mcg/kg load if MAP <65 Titrate by 0.125mcg/kg/min Q15 mins Renal dose adjust <50ml/min |
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Midazolam |
Use short-term to prevent accumulation of mets in peripheral tissues (lipophilic) |
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Heparin |
Bolus doses from 1000unit/ml vial |
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Protamine: heparin |
Max: 50mg 1-1.5mg: 100 unit hepairn (immediate) 0.5-0.75mg (30-60 mins out) 0.25-0.375 (>2h out) |
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Protamine: LMWH |
</8hours: 1mg = 1mg >8 hours: 0.5 = 1mg >12 hours: NO |
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isoproterenol |
Not with Na Bicarb, alkaline Titrate by 0.5mcg/min Inspect for precipitate |
