Drug
Dose Fluid
To yield
Usual Dose Range
Other information
Dopamine
(Inotropin)
400 mg
D5W
250ml 1.6 mg/ml
2 - 20 mcg/kg/min <3 mcg renal dose 1-3: renal
>7 mcg begins to impair renal 5-10: inotropic
circulation. 10-20:vasoconstrictor
Sodium
Nitroprusside
(Nipride)
50 mg
D5W
250ml
0.2mg/ml
200mcg/ml
0.5 - 8 mcg/kg/min
1) Protect from light
2) Monitor serum Thiocyanate levels if on drip greater
than 3 days
Dobutamine
(dobutrex)
250 mg
D5W
250ml
1 mg/ml 2.5 -10 mcg/kg/min Inotropic Agent –Increases strength of contraction
Epinephrine
(Adrenelin)
2 mg D5W 250 ml 8 mcg/ml 1 - 10 mcg/min
Large doses produce vasoconstriction
Small doses produce vasodilation
Norepinephrine
(Levophed) 4 mg
D5W 250ml 16 mcg/ml 2 -12 mcg/min May be titrated to higher doses
Phenylephrine
(Neosnyephrine)
80 mg D5W 250ml
320
mcg/ml
10 -20 mcg/kg/min Higher doses may be ordered
Nitroglycerin
(Tridil)
50 mg D5W 250 ml
200
mcg/ml
5 - 200 mcg/min
Must be mixed in glass bottle & administered in special
tubing
Lidocaine
(xylocaine)
2 Grams D5W 500 ml 4 mg/ml 1 - 4 mg/min Loading dose: 1 mg/kg up to 3 mg/kg
Vasopressin
(Pitressin)
20 IU 100ml NS
0.2
units/ml
0.2 - 0.4 units/min Must be aqueous pitressin
Diltiazem
(Cardizem)
125 mg
D5W 100 ml
qs to make
125ml
volume
1 mg/ml 5 - 15 mg/ hr can also be used for atrial arrythmias & SVT
Insulin
100
units
NS 100ml 1 unit/ml
Given based on Capillary
Blood Glucose readings
watch for hypoglycemia
Amiodarone
(Cordarone) 450 mg 250 ml 1.8 mg/ml
1 mg/min for 6 H @33
ml/hr then reduce to 0.5
mg/min @17 ml/hr
watch for hypotension
Nicardipine
(Cardene)
50mg 250cc 0.2mg/ml
5mg/hr (25cc/hr) increase
by 12.5cc/hr q 5-10 min
up to max of 75cc/hr
(15mg/hr)
Hypotension, tachycardia

ICU Drips

  • 1.
    Drug Dose Fluid To yield UsualDose Range Other information Dopamine (Inotropin) 400 mg D5W 250ml 1.6 mg/ml 2 - 20 mcg/kg/min <3 mcg renal dose 1-3: renal >7 mcg begins to impair renal 5-10: inotropic circulation. 10-20:vasoconstrictor Sodium Nitroprusside (Nipride) 50 mg D5W 250ml 0.2mg/ml 200mcg/ml 0.5 - 8 mcg/kg/min 1) Protect from light 2) Monitor serum Thiocyanate levels if on drip greater than 3 days Dobutamine (dobutrex) 250 mg D5W 250ml 1 mg/ml 2.5 -10 mcg/kg/min Inotropic Agent –Increases strength of contraction Epinephrine (Adrenelin) 2 mg D5W 250 ml 8 mcg/ml 1 - 10 mcg/min Large doses produce vasoconstriction Small doses produce vasodilation Norepinephrine (Levophed) 4 mg D5W 250ml 16 mcg/ml 2 -12 mcg/min May be titrated to higher doses Phenylephrine (Neosnyephrine) 80 mg D5W 250ml 320 mcg/ml 10 -20 mcg/kg/min Higher doses may be ordered Nitroglycerin (Tridil) 50 mg D5W 250 ml 200 mcg/ml 5 - 200 mcg/min Must be mixed in glass bottle & administered in special tubing Lidocaine (xylocaine) 2 Grams D5W 500 ml 4 mg/ml 1 - 4 mg/min Loading dose: 1 mg/kg up to 3 mg/kg Vasopressin (Pitressin) 20 IU 100ml NS 0.2 units/ml 0.2 - 0.4 units/min Must be aqueous pitressin Diltiazem (Cardizem) 125 mg D5W 100 ml qs to make 125ml volume 1 mg/ml 5 - 15 mg/ hr can also be used for atrial arrythmias & SVT Insulin 100 units NS 100ml 1 unit/ml Given based on Capillary Blood Glucose readings watch for hypoglycemia Amiodarone (Cordarone) 450 mg 250 ml 1.8 mg/ml 1 mg/min for 6 H @33 ml/hr then reduce to 0.5 mg/min @17 ml/hr watch for hypotension Nicardipine (Cardene) 50mg 250cc 0.2mg/ml 5mg/hr (25cc/hr) increase by 12.5cc/hr q 5-10 min up to max of 75cc/hr (15mg/hr) Hypotension, tachycardia