Levophed vs neosynephrine for sepsis
[DOC File]Pressors and Vasoactives - Notes on ICU Nursing
https://info.5y1.org/levophed-vs-neosynephrine-for-sepsis_1_52f9c0.html
To counter that dilation, we use (usually) a pure alpha-agonist pressor: neosynephrine (phenylephrine). “Neo” agonizes the alphas, and makes the arteries tighten up again. So the SVR, which might be as low as 200-300, should rise as the arteries constrict. In sepsis, …
[DOC File]Bedside Emergencies
https://info.5y1.org/levophed-vs-neosynephrine-for-sepsis_1_f6f3da.html
The three rules of sepsis: 1: Fill the tank (fill up the dilated system with volume). 2: Squeeze the tank (that’ll be your alpha pressor; probably neosynephrine). 3: Kill the bugs. You’re really going to want both central and arterial lines for this patient.
[DOCX File]Vasopressors and Inotropes in Shock 2019
https://info.5y1.org/levophed-vs-neosynephrine-for-sepsis_1_6ccb93.html
Per the Surviving Sepsis Campaign guidelines, vasopressin 0.03 U/min can be added to norepinephrine to raise MAP or to decrease norepinephrine dosage (34). Its use is supported by observed endogenous vasopressin decline which can be seen as early as 6 hours from the onset of septic shock with vasopressin deficiency seen at 36 hours (36).
[DOC File]www.chisaintjosephhealth.org
https://info.5y1.org/levophed-vs-neosynephrine-for-sepsis_1_9ae063.html
Norepinephrine (Levophed) Phenylephrine (Neosynephrine) Procainamide . Propofol. Retevase (rPA) Sodium Bicarbonate. Sodium Chloride 3% Injection. Sotalol. Vasopressin Issued: 7/08 Reviewed: Revised: 10/11, 6/14 Approved: Director of Pharmacy
[DOCX File]guardstars.files.wordpress.com
https://info.5y1.org/levophed-vs-neosynephrine-for-sepsis_1_a66494.html
Increase MAP: neosynephrine 100 mcg. Elevate HOB. Loosen collar/trach ties. Run iSTAT. Increase MAP further: Vaso 0.04 U/min. Levo 2-30 mcg/min? blood products. Mannitol: 25-50 mg. Hyperventilate PCO2 30-35. Call neurosurgeon
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