Emergency ICU common resuscitation drugs (adult) usage

  1.Nitroglycerin: 1 for 5mg/1ml 10ug/min start, maximum 200ug/min
  (1) 10mg + 5% GS or NS 500ml = 20ug/ml static dose, 0.5ml/min (10ug/min) start 10 drops/min
  (2) 20mg+NS16ml = 1mg/ml pump 0.6ml/h (10ug/min) start
  2. Sodium nitroprusside: 1 for 50mg (powder)
  50mg add liquid to 50ml equivalent to 1mg/ml 10ug/min (0.6ml/h) start, maximum available to 200-300ug/min.
  3, dopamine, dobutamine injection: 1 for 20mg/2ml The usual dosage of 5-20ug/kg/min
  (1)stock solution 500mg/50ml=10mg/ml pump 1ml/h is about equal to 3ug/kg(60)/min
  (2)60mg+5%GS or NS500ml=120ug/ml static dose, 1ml/min [2ug/kg(60)/min] 20 drops/min
  (3) (kg×3)mg plus NS to 50ml pump 1ml/h equivalent to 1ug/kg/min
  4. Phentolamine: 1 for 10mg/2ml
  50mg+NS40ml=1mg/ml pumped The starting dose is 0.1mg/min(6ml/h), the maximum can be increased to 1.5-2.0mg/min
  5.Mesohydroxylamine: 1 for 10mg/1ml
  The initial amount of 0.5-5mg sedation, followed by static drip or pumping speed extreme amount of 0.3-0.4mg/min
  6.Epinephrine: 1 for 1mg/1ml Regular dosage 1-10ug/min
  5mg+NS45ml=100ug/ml, pumping Start 1ug/min(0.6ml/h)
  7, norepinephrine: 1 2mg/1ml usual dosage 1-10ug/min
  5mg+NS47.5ml=100ug/ml pumped Start 1 ug/min(0.6ml/h)
  8.Isoprenaline:1 for lmg/2ml Common dosage 1-3ug/min
  1mg+5% GS or NS500ml=2ug/ml Intravenous 10 drops/min (1ug/min)
  3mg+NS44ml=60ug/ml Pump 1ml/h (1ug/min)
  9. Amiodarone: 1 for 150mg/3ml
  (1) Ventricular fibrillation Ventricular flutter Pulseless ventricular tachycardia 300 mg diluted and sedated (10 min)
  (2) Other tachyarrhythmias 150mg diluted and then sedated
  Ineffective 150mg diluted and repeated once, followed by 450mg+NS36ml=10mg/ml Maintenance pumping 6ml/h (1mg/min), changed to 3ml/h after 6 hours
(0.5mg/min)
  Tip: When using vasoactive drugs, blood pressure and pulse must be measured every five minutes to observe the drug response and adjust the speed to achieve the therapeutic goal and hemodynamic stability, the observation time can be extended appropriately.
  10, lidocaine: 1 for 100mg / 5ml regular dosage 1-4mg / min
  1000mg/50ml=20mg/ml pumped 6ml/h (2mg/min)
  1000mg+5%GS or NS 500ml=2mg/ml Intravenous 1-2ml/min (2-4mg/min)
  11, posterior pituitary hormone: 1 for 6u/1ml 6u dilution after sedation
  (1) For gastrointestinal bleeding: 120U+NS20ml=3u/ml Pump 4-8ml/h (0.2-0.4u/min) 2-4ml/h after hemostasis
(0.1-0.2u/min) 102u+5% GS or NS 500ml=0.2u/ml IV 1-2ml/min (0.2-0.4u/min)
  (2) For hemoptysis: 54U+5% GS or NS 500ml≈0.1u/ml IV 1ml/min (0.1u/min)
  12. (1)Octreotide (octreotide) 1 for 0.1mg/1ml: commonly used amount 25ug/h 0.6mg+NS44ml=12ug/ml pumped 2ml/h (25ug/h)
  (2) Growth inhibitor (tetradecapeptide): 0.25mg (powder) for 1; 3mg (powder)
  First 0.25mg diluted by slow shock injection (3-5 minutes)
  Continuous static point 0.25mg/h (equivalent to 0.0035mg/kg/h) 3mg+NS50ml=0.06mg/ml Pump 4ml/h (0.25mg/h)
  13.RI (normal insulin): 1 for 400u/10ml
  40u plus NS liquid to 40ml 1u/ml Adjust the pumping speed according to the blood sugar value.
  14.Uladil: 1 stick of 25mg/5ml
  Control blood pressure first slowly sedation 10-50mg, the maximum drug concentration is 4mg/ml.
  250mg+5% GS or NS 500ml=1mg/2.2ml
  Initial rate (2mg/min) 44 drops/min sedation, maintenance give 9mg/h (7 drops/min)
  15.Midazolam injection: 1 for 10mg/2ml
  Sedation 2-3mg sedation, followed by 0.05mg/kg/h pump
  50mg+NS40ml=1mg/ml 3ml/h [equivalent to 0.05mg/kg(60)/h]
  16.Furosemide: 1 for 20mg/2ml Daily total less than 1000mg
  (1)Chronic cardiac insufficiency, commonly used amount 1-5mg/h, continuous pumping
  (2)Acute cardiac insufficiency, common amount 5-40mg/h, continuous pumping
  100mg+NS40ml=2mg/ml 0.5ml-2.5ml/h (1-5mg/h)
  (3) Acute renal insufficiency, pumping rate less than 4mg/min
  Stock solution 500mg/50ml =10mg/ml Pumping rate <24ml/h