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Critical Care Intravenous Infusion Drug Handbook - E-Book

Critical Care Intravenous Infusion Drug Handbook - E-Book

Gary J. Algozzine | Deborah J. Lilly | Robert Algozzine

(2010)

Additional Information

Book Details

Abstract

Compact and easy to use, this handy reference focuses on the information you need to administer intravenous medications in critical care and emergency environments. Essential coverage of 48 of the most common and complex IV drugs, including drip rate calculation charts, drug calculation formulae, and much more help you safely and efficiently administer IV drugs.

  • Fully updated coverage includes the newest IV treatments with magnesium, conivaptan, potassium, and nicardipine, helping you provide the most effective care possible.
  • Current drug dosing charts for 48 of the most common, and most difficult to administer, intravenous infusion critical care drugs ensure that the information you need is readily available.
  • Quick reference drug compatibility charts provide instant access to this crucial information.
  • Drip Rates and Dosing information are arranged in tabular manner for each drug referenced in the text, allowing you to quickly prepare drugs in critical situations.
  • A Drug Calculation Formulae section includes a list of the formulae most useful in determining IV drug concentration, doses, and infusion rates, helping you to eliminate memorization errors when calculating these important parameters.
  • Calculation factors based on patient weight enable you to quickly change a patient’s infusion dose and titrate the drug to reduce the chance of medication errors.
  • Nursing Considerations in each drug monograph offer practical information on administration and monitoring.
  • Trade and generic drug name indexes help you find information quickly no matter what name is used.
  • A handy reference to ACLS guidelines allows you to quickly see how infusion therapy fits into the ACLS protocol.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Critical Care Intravenous Infusion Drug Handbook i
Copyright Page ii
Dedication iii
Reviewers iv
Preface v
Contents vii
Sources ix
Abbreviations xi
Drug Calculation Formulae xvi
Common Metric Conversions xviii
Section I: Critical Care Intravenous Infusion Drugs-Quick Mixing Guide 1
Abciximab (Reopro) 2
Alteplase (Activase) 2
Aminophylline (Theophylline) 500 mg in 500 mL D5W 2
Amiodarone (Cordarone) 2
Argatroban (Acova) 250 mg in 250 mL NS 2
Atracurium (Tracrium) 250 mg (25 mL) in 250 mL D5W 2
Bivalirudin (Angiomax) 250 mg (5 mL) in 50 mL D5W 2
Cisatracurium (Nimbex) 250 mg in 250 mL D5W 2
Conivaptan (Vaprisol) 3
Dexmedetomidine (Precedex) 2 mg in 50 mL NS 3
Diltiazem (Cardizem) 125 mg in 100 mL D5W 3
Dobutamine (Dobutrex) 500 mg in 250 mL D5W 3
Dopamine (Intropin) 400 mg in 250 mL D5W 3
Drotrecogin Alfa (Xigris) (2 x 5 mg) 10 mg in 100 mL NS 3
Epinephrine (Adrenalin) 1 mg in 250 mL D5W or NS 3
Eptifibatide (Integrilin) 75 mg in 100-mL Vial 3
Esmolol (Brevibloc) 2.5 g in 250 mL D5W or NS 4
Fenoldopam (Corlopam) 10 mg in 250 mL D5W or NS 4
Haloperidol (Haldol) for Rapid Tranquilization 4
Heparin 25,000 Units in 500 mL D5W 4
Ibutilide (Corvert) 1 mg in 50 mL D5W or NS 4
Immune Globulin Doses 4
Inamrinone (Inocor) 500 mg in 100 mL NS 4
Infliximab (Remicade) 100 mg to 900 mg in 250 mL NS 4
Insulin 100 Units in 250 mL NS 5
Isoproterenol (Isuprel) 1 mg in 250 mL D5W 5
Labetalol (Trandate) 200 mg in 200 mL NS 5
Lepirudin (Refludan) 100 mg in 250 mL NS 5
Lidocaine 2 g in 500 mL D5W 5
Lorazepam (Ativan) 40 mg in 500 mL D5W 5
Magnesium Sulfate (MgSO4) 5
Midazolam (Versed) 125 mg in 125 mL NS 6
Milrinone (Primacor) 20 mg in 100 mL D5W 6
Nesiritide (Natrecor) 1.5 mg in 250 mL D5W 6
Nicardipine (Cardene) 6
Nitroglycerin 25 mg in 250 mL D5W 6
Nitroprusside (Nipride) 50 mg in 500 mL D5W 6
Norepinephrine (Levophed) 4 mg in 250 mL D5W or NS with Regitine 5 mg/250 mL 6
Octreotide (Sandostatin) 1200 mcg in 250 mL D5W or NS 7
Pantoprazole (Protonix) 40-80 mg in 100 mL D5W or NS 7
Phenylephrine (Neo-Synephrine) 10 mg in 250 mL D5W 7
Potassium Chloride (KCl) 7
Procainamide (Pronestyl) 1 g in 250 mL D5W or NS 7
Propofol (Diprivan) 500 mg/50 mL or 1 g/100 mL Emulsion 7
Reteplase (Retavase) 20-Unit Kit 8
Tenecteplase (TNKase) 8
Tirofiban (Aggrastat) 12.5 mg in 250 mL D5W or NS 8
Vasopressin (Pitressin Synthetic) 250 Units in 250 mL 8
Section II: Intravenous Infusion Drugs 53
Abciximab (ReoPro) 54
Uses 54
Solution Preparation 54
Dose 54
Warnings 54
Adverse Reactions 54
Incompatibility 55
Nursing Considerations 55
Alteplase (Activase) 59
Uses 59
Solution Preparation 59
Dose 59
Warnings 59
Adverse Reactions 60
Incompatibility 60
Compatibility 60
Nursing Considerations 60
Aminophylline (Theophylline) 63
Uses 63
Solution Preparation 63
Dose 63
Warnings 63
Adverse Reactions 64
Incompatibility 64
Compatibility 64
Nursing Considerations 65
Amiodarone (Cordarone) 67
Uses 67
Solution Preparation 67
Dose 67
Warnings 68
Adverse Reactions 68
Incompatibility 69
Compatibility 69
Nursing Considerations 71
Argatroban (Acova) 73
Uses 73
Solution Preparation 73
Doses 73
Warnings 73
Adverse Reactions 74
Incompatibilities 74
Nursing Considerations 74
Atracurium (Tracrium) 77
Uses 77
Solution Preparation 77
Dose 77
Warnings 77
Adverse Reactions 77
Incompatibility 77
Compatibility 78
Nursing Considerations 78
Bivalirudin (Angiomax) 80
Uses 80
Solution Preparation 80
Dose 80
Warnings 82
Adverse Reactions 82
Incompatibility (Including Y-Site) 82
Compatibility 82
Nursing Considerations 82
Cisatracurium (Nimbex) 85
Uses 85
Solution Preparation 85
Dose 85
Warnings 85
Adverse Reactions 85
Incompatibility 85
Compatibility (Via Y-Site Administration) 86
Nursing Considerations 87
Conivaptan (Vaprisol) 89
Uses 89
Solution Preparation 89
Dose 89
Warnings 89
Adverse Reactions 89
Incompatibilities 90
Nursing Considerations 90
Dexmedetomidine (Precedex) 92
Uses 92
Solution Preparation 92
Dose 92
Warnings 92
Adverse Reactions 92
Incompatibility 93
Compatibility 93
Nursing Considerations 93
Diltiazem (Cardizem) 95
Uses 95
Solution Preparation 95
Dose 95
Warnings 95
Adverse Reactions 96
Incompatibility 96
Compatibility 96
Nursing Considerations 97
Dobutamine (Dobutrex) 99
Uses 99
Solution Preparation 99
Dose 99
Warnings 99
Adverse Reactions 100
Incompatibility 100
Compatibility 100
Nursing Considerations 101
Dopamine (Intropin) 107
Uses 107
Solution Preparation 107
Dose 107
Warnings 107
Adverse Reactions 107
Incompatibility 108
Compatibility 108
Nursing Considerations 109
Drotrecogin Alfa (Xigris) 115
Uses 115
Solution Preparation 115
Dose 115
Contraindications 115
Warnings 116
Adverse Reactions 116
Incompatibility 116
Nursing Considerations 116
Epinephrine (Adrenalin) Injection 123
Uses 123
Solution Preparation 123
Dose 123
Warnings 123
Adverse Reactions 124
Incompatibility 124
Compatibility 124
Nursing Considerations 124
Eptifibatide (Integrilin) 128
Uses 128
Solution Preparation 128
Dose 128
Warnings 128
Adverse Reactions 129
Incompatibility 129
Compatibility 129
Nursing Considerations 129
Esmolol (Brevibloc) 133
Uses 133
Solution Preparation 133
Dose 133
Warnings 133
Adverse Reactions 133
Incompatibility 133
Compatibility 134
Nursing Considerations 134
Fenoldopam (Corlopam) 136
Uses 136
Solution Preparation 136
Dose 136
Warnings 136
Adverse Reactions 136
Drug Interactions 137
Incompatibility 137
Compatibility 137
Nursing Considerations 137
Haloperidol (Haldol) 139
Uses 139
Solution Preparation 139
Dose 139
Warnings 139
Adverse Reactions 139
Incompatibility 139
Compatibility 140
Nursing Considerations 140
Heparin 139
Uses 141
Solution Preparation 141
Dose 141
Warnings 141
Adverse Reactions 142
Incompatibility 142
Compatibility 142
Nursing Considerations 143
Ibutilide (Corvert) 148
Uses 148
Solution Preparation 148
Dose 148
Warnings 148
Adverse Reactions 148
Incompatibility/Interactions 149
Nursing Considerations 149
Immune Globulin Intravenous: (Carimune, Gamimune, Gammagard, Gammar-P, Gamunex, Iveegam, Octagam, Panglobulin, Polygam, Sandoglobulin,...) 150
Uses 150
Solution Preparation 150
Dose 150
Warnings 150
Adverse Reactions 150
Incompatibility 151
Compatibility 151
Nursing Considerations 151
Inamrinone (Inocor) 154
Uses 154
Solution Preparation 154
Dose 154
Warnings 154
Adverse Reactions 155
Incompatibility 155
Compatibility 155
Nursing Considerations 156
Infliximab (Remicade) 161
Uses 161
Solution Preparation 161
Dose 161
Contraindications 161
Warnings 161
Adverse Reactions 162
Incompatibility 162
Nursing Considerations 162
Insulin Drip 161
Uses 165
Solution Preparation 165
Dose 165
Warnings 165
Adverse Reactions 165
Incompatibility 165
Compatibility 165
Nursing Considerations 166
Isoproterenol (Isuprel) 168
Uses 168
Solution Preparation 168
Dose 168
Warnings 168
Adverse Reactions 169
Incompatibility 169
Compatibility 169
Nursing Considerations 170
Labetalol (Trandate) 173
Uses 173
Solution Preparation 173
Dose 173
Warnings 173
Adverse Reactions 174
Incompatibility 174
Compatibility 174
Nursing Considerations 175
Lepirudin (Refludan) 177
Uses 177
Solution Preparation 177
Dose 177
Warnings 177
Adverse Reactions 177
Incompatibility 178
Compatibility 178
Nursing Considerations 178
Lidocaine (Xylocaine) 181
Uses 181
Solution Preparation 181
Dose 181
Warnings 181
Adverse Reactions 182
Incompatibility 182
Compatibility 182
Nursing Considerations 183
Lorazepam (Ativan) 185
Uses 185
Solution Preparation 185
Dose 185
Warnings 185
Adverse Reactions 185
Incompatibility 186
Compatibility 186
Nursing Considerations 187
Magnesium Sulfate (MgSO4) 189
Use 189
Preparation 189
Dose 189
Warnings 189
Adverse Reactions (Related To Excessive Magnesium Levels) 189
Incompatibility 190
Compatibility 190
Nursing Considerations 191
Midazolam (Versed) 193
Uses 193
Solution Preparation 193
Dose 193
Warnings 193
Adverse Reactions 193
Incompatibility 193
Compatibility 194
Nursing Considerations 194
Milrinone (Primacor) 196
Uses 196
Solution Preparation 196
Dose 196
Warnings 196
Adverse Reactions 197
Incompatibility 197
Compatibility 197
Nursing Considerations 198
Nesiritide (Natrecor) 201
Uses 201
Solution Preparation 201
Dose 201
Warnings 201
Adverse Reactions 202
Incompatibility 202
Compatible Solutions 202
Nursing Considerations 202
Nicardipine (Cardene) 204
Uses 204
Solution Preparation 204
Dose 204
Warnings 204
Adverse Reactions 205
Compatible Solutions 205
Compatibility 205
Incompatibility 206
Nursing Considerations 206
Nitroglycerin 208
Uses 208
Solution Preparation 208
Dose 208
Warnings 208
Adverse Reactions 209
Incompatibility 209
Compatibility (Via Y Site) 209
Nursing Considerations 209
Nitroprusside (Nipride) 212
Uses 212
Solution Preparation 212
Dose 212
Warnings 212
Adverse Reactions 213
Incompatibility 213
Compatibility 213
Nursing Considerations 213
Norepinephrine (Levophed) 224
Uses 224
Solution Preparation 224
Dose 224
Warnings 224
Adverse Reactions 225
Incompatibility 225
Compatibility 226
Nursing Considerations 226
Octreotide (Sandostatin) 232
Uses 232
Solution Preparation 232
Dose 232
Warnings 232
Adverse Reactions 232
Incompatibility 232
Compatibility 232
Nursing Considerations 232
Pantoprazole (Protonix) 234
Uses 234
Solution Preparation 234
Dose 234
Warnings 234
Adverse Reactions 235
Incompatibility 235
Compatibility 235
Nursing Considerations 235
Phenylephrine (Neo-Synephrine) 237
Uses 237
Solution Preparation 237
Dose 237
Warnings 237
Adverse Reactions 237
Incompatibility 238
Compatibility 238
Nursing Considerations 238
Potassium Chloride (KCl) 240
Use 240
Preparation 240
Dose 240
Warnings 240
Adverse Reactions 241
Incompatibility 241
Compatibility 241
Nursing Considerations 244
Procainamide (Pronestyl) 245
Uses 245
Solution Preparation 245
Dose 245
Warnings 245
Adverse Reactions 246
Incompatibility 246
Compatibility 246
Nursing Considerations 246
Propofol (Diprivan) 249
Uses 249
Solution Preparation 249
Dose 249
Warnings 249
Adverse Reactions 249
Incompatibility 249
Compatibility 250
Nursing Considerations 251
Reteplase (Retavase) 253
Uses 253
Solution Preparation 253
Dose 253
Warnings 253
Adverse Reactions 253
Incompatibility 254
Compatibility 254
Nursing Considerations 254
Tenecteplase (TNKase) 255
Uses 255
Solution Preparation 255
Dose 255
Warnings 255
Adverse Reactions 255
Incompatibility 256
Compatibility 256
Nursing Considerations 256
Tirofiban HCl (Aggrastat) 258
Uses 258
Solution Preparation 258
Dose 258
Warnings 258
Adverse Reactions 259
Incompatibility 259
Compatibility 259
Nursing Considerations 259
Vasopressin (Pitressin) 262
Uses 262
Solution Preparation 262
Dose 262
Warnings 262
Adverse Reactions 263
Incompatibility 263
Nursing Considerations 263
Section III: ACLS Guidelines for Adult Emergency Cardiac Care Algorithms 267
Pulseless Ventricular Tachycardia (VT)/Ventricular Fibrillation (VF) 268
Asystole 271
Pulseless Electrical Activity (PEA) 274
Pulseless Electrical Activity (PEA): Clinical Signs and Treatment 277
Symptomatic Bradycardia 283
Narrow QRS Tachycardia 286
Atrial Fibrillation/Atrial Flutter Algorithm 291
Wolff-Parkinson-White (WPW) Syndrome Algorithm 296
Sustained Monomorphic Ventricular Tachycardia 300
Polymorphic Ventricular Tachycardia 304
Wide QRS Tachycardia of Unknown Origin 309
Initial Assessment and General Treatment of the Patient with anAcute Coronary Syndrome (ACS) 313
Management of ST-Segment Elevation Myocardial Infarction (MI) 316
Management of Unstable Angina/Non–ST-Segment Elevation MyocardialInfarction (MI) 319
Management of Patient with a Suspected Acute Coronary Syndrome andNondiagnostic or Normal ECG 321
Management of Acute Pulmonary Edema 322
Management of Hypotension/Shock: Suspected Pump Problem 326
Management of Hypotension/Shock: Suspected Volume Problem 330
Management of Hypotension/Shock: Suspected Rate Problem 332
Index 334