Nitroglycerin 50mg + NS 40ml 0.6ml/h (10ug/min) Qu Xin, ICU, Shandong Provincial Hospital
Sodium nitroprusside 50mg + NS 50ml 0.6ml/h (10ug/min)
Dopamine 200mg + NS 30ml 4ml/h (5ug/kg/min)
Dobutamine 200mg + NS 30ml 4ml/h (5ug/kg/min)
Norepinephrine 50mg + NS 25 mL 1.5ml/h (0.5ug/kg/min)
Insulin 50u + NS 50ml 5ml/h (0.1u/kg/h kg=50)
Atium (pracuronium bromide) 0.08mg-0.1mg/kg 4mg-5mg Renal insufficiency not more than 0.04mg/kg 2mg
Senlin (vecuronium bromide) 70-100ug/kg 3.5-5mg/h (kg=50)
Imipramine 15mg + NS 15 ml 2ml/h (2mg/h)
Stavudine 3mg + NS 50ml 4.1ml/h (250ug/h)
Morphine 10mg + NS 9ml
Cordarone (Amiodarone) 150 mg + NS 20 ml first dose
Maintenance 300 mg + NS 44 ml less than or equal to 6 ml (35mg/h)
Isoproterenol First dose 40mg Maintenance 40mg/h
Nimotropic Initial 2 hours 1mg/h (>70kg) or 0.5mg/h (<50kg) 2mg/h after 2 hours for those who can tolerate
Aminophylline 250mg+NS 40ml (within 30min)
Maintenance 500mg+NS 50ml (5ml/h)
Diuretic combination 5% glucose 250ml + dopamine 20mg + ligandine 5-10mg + tachyphylaxis 80mg
Centrum (vecuronium bromide) First dose 0.08-0.1mg/kg Supplementation 0.03-0.05mg/kg
Digoxin First dose 1-1.5mg/d Maintenance 0.25-0.5mg/d
Dobutamine 20-40mg+100mlGS(40–120mg/d) 2.5-10ug/kg/min
Lidocaine first dose 50mg iv Inactive 100mg /5-10min (<=500-800mg)
Maintenance 400mg +GS 500ml (<=1000-1500mg/d)
Amiodarone First dose 5-10mg/kg iv Maintenance 300mg ivgtt <=30min
Norepinephrine First dose 2mg/dose 8-12ug/min Maintenance 2–4ug/min
Alamine 0.015-0.1g + NS 500ml ( 0.2–0.4mg/min)
Common drug infusion calculation
Drug name Micro pump drug concentration preparation Digital display Input dose Commonly used dose
(mg/50ml) (ml/h)
Dopamine Body weight (kg) × 3 1 1.0μg/(kg?min) 5 — 20μg/(kg?min)
Sodium nitroprusside Weight (kg) × 3 1 1.0μg/(kg?min) 0.5–8μg/(kg?min)
Nitroglycerin Weight (kg) × 0.3 0.1μg/(kg?min) 1–5μg/(kg?min)
Maximum dose 10μg/(kg?min)
Dobutamine Body weight (kg) × 3 1 1.0μg/(kg?min) 5 – 20μg/(kg?min)
Epinephrine Body weight (kg) × 0.03 1 0.01μg/(kg?min) 0.01-0.2μg/(kg?min)
Common drug dosage calculation
Dopamine: (kg body weight × 3) mg diluted to 50ml If the pumping speed is 1ml/h, the pumping volume is 1μg/kg?min, the common dose is 1-20μg/kg.min; the starting dose is 5μg/kg.min.
Dobutamine: the same as dobutamine, the usual dose is 1-20μg/kg.min, the starting dose is 1μg/kg.min.
Sodium nitroprusside: 5％ GS 50ml + sodium nitroprusside 50mg, i.e. 1mg/ml (1000μg/ml), common dose 10-200μg/min or 0.1-2μg/kg?min, starting dose 5-10μg/min (0.3-0.6 ml/h).
Nitroglycerin: (kg body weight × 0.3) mg diluted to 50ml If the pumping speed is 1ml/h, the pumping volume is 0.1μg/kg?min or: NS 44ml + nitroglycerin 30mg, i.e. 0.6mg/ml (600μg/ml), the common dose is 10-200μg/min or 0.1-2μg/kg?min. -2μg/kg?min, starting dose 5-10μg/min (0.5-1ml/h).
Norepinephrine: (kg body weight × 0.3) mg diluted to 50 ml If the pumping speed is 1 ml/h, the pumping volume is 0.1 μg/kg.min Commonly used dose 0.1-2 μg/kg?min, starting dose 0.1 μg/kg?min (norepinephrine should be used via central vein)
Epinephrine: the same method as norepinephrine, the starting dose is 0.1μg/kg.min, the usual dose is 0.1-1μg/kg.min (as far as possible through the central vein) severe hypotension and anaphylaxis 0.3-0.5mg ih or iv
Isoprenaline: (kg body weight × 0.03) mg diluted to 50ml If the pumping rate is 1ml/h, the pumping volume is 0.01μg/kg?min starting dose 0.01μg/kg.min, with the target heart rate as the end point.
Amiodarone: Amiodarone 450mg diluted to 45ml with 5% glucose, i.e. 10mg/ml, 150mg iv bolus (10 minutes), 60mg/h x 6h, 30mg/h x 18h, 20mg/h maintenance for 3 days, total amount of 24 hours should not exceed 1.2g
Cardioplegia: 70mg/20ml 70mg diluted to 50ml with 5% glucose solution, iv bolus (10 minutes), closely observe the heart rate and rhythm, stop the injection immediately after the ventricular tachycardia or supraventricular tachycardia is restored. If necessary, the injection can be repeated after 20 minutes, the total amount should not exceed 210mg.
Heparin: Heparin 1 (12500u) plus NS to 12.5ml, prepared into 1000U/ml, when heparinized: 75U/kg iv bolus, followed by 18U/kg?h intravenous pumping, adjust the dose to maintain aPTT-R at 1.5-2.5.
Morphine: 1J/ml (20J/20ml, or 50mg/50ml), 5mg iv bolus, followed by 3mg/h pumping, <1mg/kg.
Commonly used intravenous pumping drugs preparation and application method (for reference)
Lidocaine: NS45ml+Lidocaine 50mg prepared into 1mg/ml (1000μg/ml), commonly used dose 300-500μg/min, the starting dose is 100μg/min intravenous pumping.
Lidocaine: draw 5 sticks of original solution (200mg/10ml/sticks) that is 20 mg/ml, the first dose of 1.5mg/kg iv bolus, ineffective can be repeated every 8 minutes 0.5mg/kg until the total amount of 3mg/kg, after successful resuscitation 2-4mg/min maintenance.
Posterior pituitary hormone: NS30ml+posterior pituitary hormone 60U, i.e. 2 U/ml, common dose 0.2-0.4 U/min for gastrointestinal bleeding; 0.1 U/min for hemoptysis; 0.1-0.2 U/min for uremic patients, adjusted according to urine volume; 0.01-0.2 U/min for infectious shock intractable hypotension Patients with infectious shock intractable hypotension, the usual dose is 0.01-0.04 U/min.
Stavudine: 250 μg/ml, 250 μg iv bolus as a loading dose, then 250 μg/h intravenous pump.
Valium: 10mg iv bolus, followed by 5mg/h pump, max 100mg/d.
Depakene (sodium valproate for injection): 400mg/specimen formulated as 10mg/ml, first 400mg (15mg/kg), iv bolus, >5 minutes, maintenance 60mg/h (1-2mg/kg/h).
Nimoton: 10mg/50ml starting dose 0.2mg/h (1ml/h), increasing to full dose 2mg/h according to blood pressure, maintain until 10-14 days after subarachnoid hemorrhage.
Aminophylline: 0.5 diluted to 50ml to make 10mg/ml, adult loading dose 5mg/kg, iv bolus, rate <25mg/min. (Generally adult aminophylline 0.25, 15 minutes of sedation is enough) maintenance dose 0.5-0.7mg/kg/h. Can start from 20mg/h (2ml/h).
Insulin: Prepared as 1U/ml, starting rate 1U/h, adjusted according to blood glucose.
Atracurium: first dose 0.3-0.5mg/kg (standard rate 9-10ug/kg/min), iv,then 5-9ug/kg/min maintenance
Magnesium sulfate: loading dose of 25% magnesium sulfate 10ml diluted 1 times, iv bolus. maintenance dose: 25% magnesium sulfate 4.0 added to 5% glucose solution or saline 250ml, 1-3ml/min
Vecuronium bromide: first dose 0.075mg/kg iv, then 0.075mg/kg/h maintenance
Fentanyl: first load 4–20u/kg, then maintenance 2-10u/(kg.h)
Octreotide: Initial dose 0.1mg iv (>5min), then maintain 0.025-0.05mg/h
Midazolam: first iv 2-3mg/kg, then 0.05mg/(kg.h)
Diisoproterenol: 0.3-0.4mg/(kg.h) pumped, size 200mg/20ml
Etomidate: 10ug/(kg.min) pumped in 20mg/10ml