Push Dose Pressors

Drips

TXA

Cyanokit

RSI

Post-intubation Sedation/Analgesia

Push Dose Pressors

Epinephrine

  • Mix: Add 1ml (1:10,000 cardiac epi) to 9ml saline syringe

    • Take 10ml saline flush and discard 1ml

    • Draw up 1ml of cardiac epinephrine into saline flush with remaining 9ml saline

    • LABLE SYRINGE

    • Final concentration: 10mcg/1ml

  • Administer: 0.5-2 ml (5-20mcg) q2-5 min PRN

Phenylephrine/NeoSynephrine

  • Mix: Add 1ml (10mg phenyl) to 100 ml NS bag

    • Draw up 1ml (10mg) of phenylephrine into empty syringe

    • Inject 10mg phenylephrine 100ml normal saline bag

    • Draw up 10ml from 100ml bag into empty syringe

    • LABLE SYRINGE

    • Final Concentration: 100mcg/1ml

  • Administer: 0.5-2ml (50-200mcg) q2-5min PRN

  • ***Why…unstable tachyarrythmia

Drips

Levophed/Norepinephrine

  • Add 4mg to 250 cc bag of NS (bag=0.016 mcg/mg)

  • Administer: ie 5mcg/min = 18.75 ml/hr

Epinephrine

  • Add ***

  • Administer***

Dobutamine

  • Add 500mg to 250mL bag of NS (bag=2mg/mL)

  • Administer 2-20mcg/kg/min

Dopamine

  • Add 400mg to 250mL bag of NS (bag=1.6mg/mL)

  • Administer 2-20mcg/kg/min

Nicardipine

  • Add 50mg nicardipine to 250mL bag (bag=0.2mg/mL)

  • Administer: ie 5mg/hr=25 ml/hr. Dose is 5-15mg/hr

Esmolol

  • Add ***

  • Administer ***

Ketamine

  • Add ***

  • Administer ***

TXA

  • Combine 1g (1 vial = 10cc = 1000mg/1g) with 100cc NS bag

  • Administer over 10 minutes

Cyanokit

  • ***Evidence of smoke inhalation + AMS = administer kit

  • Adults: Hydroxycobalamin 5gram IV/IO

  • Children: Hydroxycobalamin 70mg/kg IV/IO

RSI

Post-intubation Sedation/Analgesia