Special Medications

-Nitroprusside sodium 0.25-10 mcg/kg/min IV (50 mg in 250 mL of D5W), titrate to desired BP

-Labetalol (Trandate, Normodyne) 20 mg IV bolus (0.25 mg/kg), then 20-80 mg boluses IV q10-15min titrated to desired BP. Infusion of 1.0-2.0 mg/min

-Fenoldopam (Corlopam) 0.01mcg/kg/min IV infusion. Adjust dose by 0.0250.05 mcg/kg/min q15min to max 0.3 mcg/kg/min. [10 mg in 250 mL D5W].

-Nicardipine (Cardene IV) 5 mg/hr IV infusion, increase rate by 2.5 mg/hr every 15 min up to 15 mg/hr (25 mg in D5W 250 mL).

-Enalaprilat (Vasotec IV) 1.25- 5.0 mg IV q6h. Do not use in presence of AMI.

-Esmolol (Brevibloc) 500 mcg/kg/min IV infusion for 1 minute, then 50 mcg/kg/min; titrate by 50 mcg/kg/min increments to 300 mcg/kg/min (2.5 gm in D5W 250 mL).

-Clonidine (Catapres), initial 0.1-0.2 mg PO followed by 0.05-0.1 mg per hour until DBP <115 (max total dose of 0.8 mg).

-Phentolamine (pheochromocytoma), 5-10 mg IV, repeated as needed up to 20 mg.

-Trimethaphan camsylate (Arfonad)(dissecting aneurysm) 2-4 mg/min IV infusion (500 mg in 500 mL of D5W).

Was this article helpful?

0 0

Post a comment