How to titrate dobutamine drip
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19. Your patient weighs 143 lb, and you are ordered to infuse 250 mg dobutamine in 500 mL NS at 10 mcg/kg/min. How many milligrams of dobutamine will infuse per hour? 20. Phenobarbital 180 mg/m 2 /24 hours given every eight hours is ordered for a child whose BSA (body surface area) is 0.29 m 2 . How much will each dose be? 21.
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Dose Ordered Drip Rate 0.01 Units/Min 3 ml/hr 0.02 Units/Min 6 ml/hr 0.03 Units/Min 9 ml/hr 0.04 Units/Min 12 ml/hr 0.06 Units/Min 18 ml/hr 0.08 Units/Min 24 ml/hr 0.1 Units/Min 30 ml/hr 0.2 Units/Min 60 ml/hr 0.4 Units/Min 120 ml/hr 0.6 Units/Min 180 ml/hr 0.8 Units/Min 240 ml/hr
[DOC File]Pressors and Vasoactives
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Cardiogenic shock is produced by “pump failure” – usually from a big MI. In this case, the set of adrenergic receptors to work on are the beta-1s, and the pressor to apply in this situation is dobutamine – a “pure” beta pressor.(Assuming you want to use a pressor at all.
[DOC File]Ft
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0.5mcg/kg/min and titrate. (NO inotropes) If unknown cardiac status. and signs of hypotension/shock – Use Inotrope – Dobutamine. 2 mcg/Kg/min and titrate up. If refractory, can add pressor – Norepinephrine. start 2 mcg/kg/min . Once BP established start low dose Nitro. drip as above and titrate. Fentanyl. 20-25 mcg IV prn for anxiety.
[DOC File]DOCTOR’S ORDER SHEET
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DOBUTamine at 2.5 mcg/kg/min and increase by 2.5 mcg/kg/min every 30 minutes to a maximum of 20 mcg/kg/min. Titrate to . ScvO2 greater than 70% *Call physician to consider decreased dose of DOBUTamine or . discontinue. if MAP cannot be maintained greater than 65 or heart rate is greater than 120 beats per minute Additional Orders:
[DOC File]Practice of Cardiothoracic Anesthesiology
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Check ACT 5-10 min after completion of protamine and titrate 1 mg/kg increments of protamine if necessary to restore normal ACT. Recheck ACT before leaving OR to verify complete heparin reversal. Transfer to Intensive Care Unit. All drip infusions should be on Baxter systems before transporting patient to ICU. Carry all pumps with patient to ICU.
[DOC File]Pediatric Donor Management Guidelines
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Begin T4 drip at 2.5 ml/hr. May titrate to 5 -7.5 ml/hr (max) 2.5 ml/hr = 1 mcg/hr. 5.0 ml/hr = 2 mcg/hr. 7.5 ml/hr = 3 mcg/hr. Before starting T4 drip, be sure that serum potassium levels are within normal range. If potassium is < 0.5 give KCl boluses per protocol.
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