Emergency Department IV Infusion Guidelines

<p>Local thrombophlebitis (A)</p> Signup and view all the answers

<p>Circumoral numbness (C)</p> Signup and view all the answers

<p>Within 5 minutes (D)</p> Signup and view all the answers

<p>Sinus pause (B)</p> Signup and view all the answers

<p>300 mg (B)</p> Signup and view all the answers

<p>In patients with hepatic dysfunction (C)</p> Signup and view all the answers

<p>Dobutamine (C)</p> Signup and view all the answers

<p>12.5 mg/mL (C)</p> Signup and view all the answers

<p>Monitor BP every 5 minutes at the beginning and with each dosage change (D)</p> Signup and view all the answers

<p>Fluid volume status (B)</p> Signup and view all the answers

<p>Urine output and serum glucose (D)</p> Signup and view all the answers

<p>Phentolamine (A)</p> Signup and view all the answers

<p>10-20 mg (A)</p> Signup and view all the answers

<p>Severe hypotension and bradycardia (A)</p> Signup and view all the answers

<p>0.5 to 5 mcg/kg/min (C)</p> Signup and view all the answers

<p>Hypokalemia (D)</p> Signup and view all the answers

<p>Withdraw 10 mL from a 250 mL bag and add 60 mL of labetalol (B)</p> Signup and view all the answers

<p>1-10 minutes (B)</p> Signup and view all the answers

<p>3 minutes (A)</p> Signup and view all the answers

<p>Every 3 to 5 minutes for the first 15 minutes (B)</p> Signup and view all the answers

<p>No removal is required (C)</p> Signup and view all the answers

<p>5-15 mg/h (C)</p> Signup and view all the answers

<p>Frequent urination (D)</p> Signup and view all the answers

<p>150 mg/min (B)</p> Signup and view all the answers

<p>Acute narrow-angle glaucoma (B)</p> Signup and view all the answers

<p>10 mg/h (D)</p> Signup and view all the answers

<p>Asystole (A)</p> Signup and view all the answers

<p>Heart rate and ECG (A)</p> Signup and view all the answers

<p>Anterograde amnesia (C)</p> Signup and view all the answers

<p>IV over 1-5 hours (C)</p> Signup and view all the answers

<p>1-3 mg/h (C)</p> Signup and view all the answers

<p>10 mcg/min (D)</p> Signup and view all the answers

<p>Blood pressure (A)</p> Signup and view all the answers

<p>Loading dose administration over 30 minutes (A)</p> Signup and view all the answers

<p>Every 15 minutes (A)</p> Signup and view all the answers

<p>Immediate (B)</p> Signup and view all the answers

<p>Avoid administering Isoproterenol (C)</p> Signup and view all the answers

<p>Serum potassium (A)</p> Signup and view all the answers

<p>50 mL (B)</p> Signup and view all the answers

Diltiazem's onset of action is roughly 3 minutes.

The bolus dose of diltiazem can be administered 1-3 hours beforehand.

A continuous diltiazem infusion can last from 30-60 minutes after the end of the infusion.

Dilute 125mg diltiazem in 100mL D5W or NS for IV Continuous Infusion.

Continuous cardiac monitoring and frequent blood pressure checks are required during diltiazem administration.

Dobut Amine is a medication used to support heart pumping function (inotropic support). It's an adrenergic agonist that speeds up your heart rate and strengthens the heart muscle.

Dobut Amine is given as a continuous intravenous infusion (IV) in a large vein. It's typically diluted in saline (NS) or dextrose (D5W) to make a final concentration of 1 mg/mL.

The starting dose of Dobut Amine is usually between 2.5 and 20 mcg/kg/min. You can start low and gradually increase the dose as needed.

Dobut Amine can lead to a rapid heart rate (tachycardia), low blood pressure (hypotension), headache, and chest pain. It can also increase the risk of irregular heartbeat.

Patients on Dobut Amine should be closely monitored for heart rhythm changes (ECG), blood pressure, and overall heart function. Also, monitor for signs of hypovolemia (low blood volume).

If a patient overdosed on Dobut Amine, it's crucial to have phentolamine (an antidote) readily available to counteract its effects.

Before starting Dobut Amine, assess and address any electrolyte imbalances, particularly low potassium (hypokalemia) or low magnesium (hypomagnesemia).

Correct any fluid deficit (hypovolemia) before initiating Dobut Amine. It's important to make sure the patient has enough blood volume.

Isoproterenol is a beta1 and beta2 agonist that stimulates the heart and bronchodilates.

Isoproterenol is administered intravenously.

Isoproterenol takes effect immediately.

Isoproterenol's effects last for approximately 10-15 minutes.

Isoproterenol infusion is used to treat bradyarrhythmias or slow heart rates.

The dose of isoproterenol varies depending on the patient's needs and prescribed parameters.

Cardiac and respiratory monitoring are crucial during isoproterenol administration.

Isoproterenol is contraindicated in patients with pre-existing ventricular arrhythmias or cardiac glycoside intoxication.

Lidocaine is classified as a Class Ib antiarrhythmic agent.

Lidocaine has a rapid onset of action, typically 45-90 seconds, and a relatively short duration of 10-20 minutes for a single bolus dose.

Lidocaine is available for intravenous administration as a bolus injection, a continuous infusion, or a combination of both.

The maximum cumulative dose of lidocaine is 3 mg/kg.

Intravenous lipid emulsion (Intralipid®) is the antidote for severe lidocaine toxicity.

Labetalol can be administered intravenously (IV) either as an intermittent bolus or as a continuous infusion.

The initial IV bolus dose of labetalol is 10-20 mg undiluted over 1-2 minutes, followed by 20-80 mg over 2 minutes every 10 minutes.

The maximum cumulative IV bolus dose of labetalol is typically 300 mg.

For continuous infusion, prepare a solution by withdrawing 10 mL from a 250 mL bag and adding 60 mL of labetalol (300 mg) to create a concentration of 1 mg/mL.

Labetalol IV continuous infusion is typically administered at a rate of 0.5-2 mg/min, with higher doses potentially required.

Labetalol accumulation can occur with high-dose continuous infusions, leading to severe hypotension and bradycardia.

Continuous cardiac and respiratory monitoring is crucial during labetalol administration, along with frequent blood pressure checks.

Labetalol should be administered with caution in patients with hepatic dysfunction as they may require dose reduction.

The maximum infusion rate for magnesium sulfate is 150 mg/min, unless there is an urgent indication.

Magnesium sulfate can be diluted in either D5W or Normal Saline (NS) for IV infusion.

Rapid IV administration of magnesium sulfate may be necessary in cases of life-threatening conditions like ventricular arrhythmias.

Closely monitor vital signs like heart rate, blood pressure, and respiratory rate during magnesium sulfate administration.

Flumazenil is an antidote used to reverse severe benzodiazepine overdose.

The dose for a continuous benzodiazepine infusion is 1-3 mg/h, with a maximum dose of 10 mg/h.

Do not administer benzodiazepines in cases of acute narrow-angle glaucoma or pre-existing severe respiratory insufficiency.