Drip Notes

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DRIPS notes Calcium gluconate 10amps + 1L PNSS to run for 24h for 1 cycle 1. Pantoloc drip: Pantoprazole 80mg + 80cc pNSS at 10cc/hr 2. Clonidine drip: Clonidine 600mcg + 500cc pNSS 3. Theophylline drip: Aminophylline 250mcg + 250ccto run in 24hrs 4. Insulin drip: Regular insulin 100 units + PNSS 100 in soluset to run starting at 0.1 mkd or 0.14 mkd 5. Amiodarone drip: Amiodarone 600mg IV + D5W 250 cc to run in 24 hrs 6. Furosemide Drip: Furosemide 100mg + 100cc PNSS in soluset to run in 5cc/hr. Uptitrate by 5c as indicated with BP precaution 7. Norepinephrine drip: Norepinephrine 10mg + 250 cc D5W in soluset to run starting at 0.2 mkm. Uptitrate by 0.02 every 30mins until desired BP 8. ISDN drip: ISDN 10g/amp + 90cc PNSS in soluset to run at Scc/hr. Uptitrate ng mqhq 9. Isdn (isoket) drip: isdn 10mg/amp + pnss/ d5water 90cc in soluset to run at 5cc/hr, uptitrate by 5cc/hr until chest pain free 10. Nicardipine drip: nicardipine 10mg/amp + pnss 90cc in soluset to run at 5cc/hr increments or decrements of 2.5mg/hr q15 mins to maintain SBP of 120-140mmHg 11. Lidocaine Drip: lidocaine 4cc + 96cc of pnss to run for 24 (indicated for vtach) 12. Tramadol Drip: tramadol 300mg + 500cc d5w to run at 20cc/hr 13. Heparin Drip: 5000 u (5 vials) in 25 cc PNSS (500 u per cc) to run at 18 u/kg/hr. Aptt q 6hrs. 14. lron sucrose: 2 amps in 100cc PNSS to run for 4 hrs every other day. 15. KCl 40meqs + 1L PNSS to run for 100cc/ hr x 4 cycles6 16. Dopamine 200/250 @ 5mkd Dobu 200 mg 20cc amp + 30 cc d5 water or pnss at 5mkd iptitrate at 2.5 mkd q30mib or hrly until 17. Amiodarone drip 300mg in 250 cc D5W to run for 24hrs. 18. Albumin 20% + Furosemide 20mg IV q12 to run for 4hrs 19. MgS0O4 2g 1:1 dilution slow IV push now 20. Meropenem 1g IVTT + 100cc PNSS in soluset as infusion now then Q8 21. N-Acetylcysteine 600 mg IV q12 24 hours prior to the procedure. Comtinue up to 3 days after the procedure. Rpt Crea 36 and 72 hrs after the CT scan. 22. Factor VIII (human plasma derived) 1500 iu to be given Q12. Do not give more than 10mL in 1 min. Target - Baseline x BW x 0.5u/kg 23. For Warfarin Toxicity Vitamin K 1 amp Q8 Rpt PT INR afte Give Vit K >= PT INR9 > 60% activity PT INRQ <60 24. Mannitol 150cc Q6 x 4 doses then 100cc Q6 x 4 doses then 75cc Q6 x 4 doses then 50cc Q6 x 4 doses Guerrero: Frequency Q6 to Q8 to Q12 to OD 25. Epinephrine 1 amp + 9cc PNSS Q6 nebulization RTC 26. Nystatin 100,000 iu/mL 5cc + 3cc H20 swish and swallow 27. Ciprofloxacin TID + Metronidazole 28. Give Ocreotide 100mcg IV bolus now then start drip as follows: 500 mcg in 250 DSW @ 20cc/hr. Use infusion pump. 29. H pylori regimen Omeprazole 40mg 1 cap BID x 2weeks then 1 cap OD x 6 weeks Amoxicillin 500mg cap 2 caps BID x 2weeks Clarithromycin 2 caps BID x 2 weeks 30. NaHCO3 drip 100 meqs NaHCO3 + 250cc D5W to run for 24hrs. 31. Dopamine 250/200 to run at 10mkd 32. NaHCO3 drip 320 bicarb deficit Give 150 megs (3 vials) NaHCO3 now as IV bolus. Rpt ABG. Start NaHCO3 drip 150 meqs NaHCO3 1:1 dilution to.run for 24 hrs. In lieu of NaHCO3 amp, may give NaHCO3 tabs. Give 10 tabs now. Then 10 tabs Q2hrly x 4 doses 33. Vancomycin 1g in 200cc pNSS via soluset to run in 1.5hr q12 34. Ciprofloxacin 400mg IVTT q12 SG, TT 0.5mL IM now HT IG 250 iu IM now 36. PREDNISONE TAPERING Prednisone 5 mg/tab 6 tabs BID x 3 days 5 tabs BID x next 3 days 4 tabs BID x next 3 days 3 tabs BID x next 3 days 2 tabs BID x next 3 days 1 tab BID x next 3 days 1 tab OD x next 3 days OFF Prednisone thereafter Cerebellopontine mass s/p excision Dexamethasone 4mg/tab q6 x 7 days then q8 x 7 days then q12 x 7 days then OD x 7 days then discontinue 37. Aminoleban 500 ml 1 bottle to run 50 cc/ hr. 38. Hyperkalemic Regimen A. Salbutamol 4 nebules in 4cc pNSS to nebulize for 10 mins q6hrs x 4 doses B. Calcium gluconate 10% 1:1 dilution slow IV push q6hrs x 3 doses C. Kalimate sachet TID x 3 doses D. 10 units Insulin + D50W IV Q6 39. Dopamine 200/250 at 10mkd. Uptitrate by 5mkd every Q30min 40. Hydralazine 5mg IV now then check after 20mins 5mg IV 10mg IV 41. DVT skin lesions Soap and water Apply Suprasorb gel X + H Apply Solvaline Then mollelast adhesive dressing 42. Free water 100cc Q6 43. Pulmonary hemorrhage. Methylprednisolone 1g IV OD x 3 days. Then prednisone 2 tabs TID. 44, Praziquantel 3 tabs now then 2 tabs after 4hrs 45. For certain cases of thrombocytopenia: Eltrombopag 25mg/tab 1 tB BID 46. 2 amps iron sucrose in 250 cc D5W tp run for 2 hrs 47. 200mcg ng precedex add ka 46cc d5w to run at 0.2mkd na BRONCHOSCOPY Pre meds - nebulize px with 1 amp lidocaine 30 mins prior to procedure. Atropine 1/2 amp im 30 mins prior to procedure. Dr orca: atropine 1/2 amp IM prior to procedure

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