1ampule: 25,000 unit
Preparation: 45ml NS +25000 (5ml) heparin
Rate of infusion: Desired dose x Quantity / Drug concentration
Example:(100units x50)/25,000 units = 0.2ml/hr
- an anticoagulant(blood thinner) that prevents the formation of blood clots
- used to treat and prevent blood clots in the veins, arteries or lung, reduce risk of blood clot in surgery
- check the body weight before injection
Dopamine
1ampule : 200mg/5ml
amount of drug needed per 50ml ifusion solution:
amount of drug to dilute = body weight x3
Example: 70kg x3= 210mg
amount of drug = (210x5ml)/200mg =5.25ml
Preparation: 44.75ml NS +5.25ml drug = 50ml
1ml= (210mgx1000)/50ml = 4200mcg
Rate of INFUSION: (mcg x body weight x 60min) / drug concentration
Example : (5mcg x 70 x 60)/4200mcg = 5ml/hr
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Midazolam
preparations ready in vial, so can infuse without dilute
1ml = 1mg available (5ml vial)
Lasix
Direct IV, no dilution
1 ampule = 20mg(2ml)
Rate of infusion: Desired dose x Quantity / Drug concentration
Adrenaline
- to reverse severe low blood pressure, wheezing, severe skin itching, hives and severe allergic reaction (anaphylaxis).
Vasopressin
- 1ampule - 20units/1ml
usual dose: 0.01 to 0.03 unites/minute
preparation: 20 unites in 50 ml NS
Drug concentration: 20 units/50ml = 0.4 units/ml
- raise B/P by constricting the blood vessels
- to treat diabetes insipidus
Phenytoin
- 1 ampule: 250mg/5ml
loading dose: 15mg.kg at a rate not greater than 50mg/min for 20-30 minutes
maintanence dose: followed by 100mg every 6-8 hours
Prophylaxis: 200-600mg/day PO IV
Antiarrythmic : 10mg IV every 15 minutes until arrythmia stops
- antiepileptic drug / anticonvulsant
- does not treat all kinds of seizures
Insulin
- 40units=1ml
preparation: 40 units(1ml) + 39ml NS = 40ml
40ml needs 40unit of insulin. if 4units/hr means 4ml/hr
Dobutamine
Fentanyl
-treat ongoing chronic pain, sedation
Amiodarone
Sandostatin(octreotide)
- reduce flushing episode and watery diarrhea caused by tumors
Nitroglycerine
- prevent angina with CAD.
used when heart doesnt get enough blood
Propofol
- general anesthesia for surgery
Labetalol
- treat high b/p
- beta blocker
