MDintern

PLATAFORMA DE INFORMATICA

Médico Interno 2019-2020

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v.1.1

RELEVOS / DISCLAIMERS 

NO es la intención de este portal brindar asesoramiento médico específico, sino brindar a los usuarios información “tal cual”. El usuario (Médico Interno) es responsable de ejercer su juicio clínico, consultar al Médico Attending y consultar otras fuentes de literatura EBM (Evidence Based).

Therapies by Symptom/Sign

Pain (General) 

Panadol 325 or 500 mg x 2 Tabs PO (R/o CLD)

 

Toradol (Ketorolac) 30 mg IV or 60 mg IM

 

(R/o CKI, GI Ulcer, & ASA allergy)

 

Neurontin (Gabapentin) 100 mg PO TID (800 mg Max Daily)

 

Tramadol (Ultram) 25-50 mg PO q 4-6hr PRN

 

Percocet (Oxycodone/Acetaminophen)

 

5 mg/325 mg  x 1 Tab PO q 4-6hr PRN

 

Demerol (Meperidine) 25-50 mg IV q 4-6hr PRN (R/o CKI)

 

Morphine 1-4 mg IV (Max dose 15 mg/day; R/o CKI;

 

Avoid in Hypotension; Antidote is Naloxone)

 

Fentanyl 1 mcg/kg/hr IV or Patch 50 mcg q 72 hr to Chest

 

Tripleta for MSK: Toradol 30 mg IV + Norflex 30-60 mg IV + Solumedrol 1 mg/kg or Decadron 10 mg IV

 

        

 

Headache 

 

Aspirin 325 mg PO x 1-2 Dose

 

Panadol 325 or 500 mg PO x 1-2 Dose

 

Fioricet (Barbital/Acetaminophen/Caffeine)

 

50 mg/325 mg/40 mg x 2 Tabs PO

 

Toradol 30 mg IV        

 

Demerol 25-50 mg IV

 

Tripleta: Toradol 30/60 mg IV/IM + Reglan 10mg +

 

Benadryl 25 mg IV (Migraña)

 

        

 

Muscle Relaxant 

 

Norflex 30-60 mg (max) mg IV

 

Robaxin 500 mg IV

 

Nubain (Nalbuphine) 5-20 mg IV q 4-8 hr PRN

 

 

Neurogenic + Spinal Cord Pain

 

Medrol Dosepak (Methylprednisolone) 40 mg IV

 

 

Allergic Reaction (Meds/Abx/Animal & Insect Bites/Etc.)

 

Benadryl (Diphenhydramine) 25-100 mg IV or PO

 

Solumedrol 1 mg/kg or Decadron 10 mg IV

 

 

Fever Adult Dosing 

 

Acetaminophen 650 mg PO q 4-6 hrs PRN fever (MAX.: 3250 mg/24hrs); If NPO give Rectal q 4-6 hrs PRN fever (MAX: 6 supositories/24 hours)

 

Panadol 325 or 500 mg x 2 Tabs PO

 

Ibuprofen (Motrin) 200-400 mg PO q 4-6 hrs PRN fever

 

 

Fever Pediatric Dosing 

 

Acetaminophen

 

Neonates: 10-15 mg/Kg PO q 6-8 hrs PRN fever (MAX.: 60 mg/Kg/day from all sources)

 

Infants/children: 10-15 mg/Kg PO q 6-8 hrs PRN fever (MAX.: 75 mg/Kg/day; up to 1g/4hrs and 4g/day from all sources)

 

12 y/o and older: 325-650 mg PO q 4-6 hrs PRN fever; Max 1 g/4hrs and 4 g/day from all sources

 

 

Cough 

 

Tessalon (Benzonatate) 100-200 mg PO  q 8hr

 

Guaifenesin (+/- Codeine) 5-10 ml PO q 6hr PRN

 

Orasep Spray 1-2 pumps q 4hr PRN

 

 

Nausea + Vomit 

 

Phenergan (Promethazine) 25-50 mg IV or IM (Anti-Dopa)

 

Zofran (Ondasetron) 4, 8, 16 mg IV  (R/o RF/LFTs)

 

Reglan (Metoclopramide) 5-10 mg IV x 1 Dose

 

Bentyl (Dicyclomine/Antimuscarinic/Antispasmodic)

 

10 mg IM or PO q 6hr

 

Benadryl 25-100 mg IV ( BP)

 

Vistaril (Atarax/Hydroxyzine) 20 mg PO

 

Tigan (Trimethobenzamide) 200 mg IM q 6-8hr

 

 

Heartburn/Gastritis 

 

Pepcid (Famotidine) 20 mg IV/PO q 12hr

 

Protonix (Pantoprazole) 40 mg IV/PO Daily ( Plts)

 

Prilosec (Omeprazole) 20 mg PO Daily

 

Zantac (Ranitidine) 50 mg IV q 6-8hr or 150 mg PO q 12hr  

 

 

Constipation 

 

Colace (Docusate) 100 mg PO x 1

 

Mezcla: Milk of Magnesium 30 ml + Mineral Oil 30 ml

 

+ Lactulose (Cephulac) 30 ml

 

Suppository: Dulcolax (Bisacodyl)

 

Enema: Fleet or Cleansing Mineral Oil 90 ml/300 ml NSS

 

 

Diarrhea 

 

Bismuth Subsalicylate (Pepto) 262 or 525 mg or 30 ml PO

 

Loperamide (Immodium) 4mg PO x 1 Dose

 

(Do not exceed 16mg per day; Causes GI paralysis;

 

R/o Infectious Causes)

 

Questran 1 tab PO x 1 Dose (Decreases Kinetic Motion)

 

Lomotil (Diphenoxylate/Atropine) 2.5 mg 2 tabs PO

 

 

Gastroenteritis/Abdominal Distension/Bloating/Gases 

 

Intestinex (Lactobacillus Acidophilus) 1 Tab PO

 

Mylicon (Simethicone) 40-360 mg or 2 Tab PO

 

Bicitra (Sodium Citrate/Citric Acid)

 

10-30 ml in 6 oz Water PO

 

Flagyl (Metronidazole) 500 mg IV q 12 hr

 

Cipro (Ciprofloxacin) 400 mg IV q 12hr

 

Zosyn (Piperacillin/Tazobactam) 3.375 gm IV q 6hr ( RF)

 

Consider Placing NGT

 

 

Upper GI Bleeding (UGIB) 

 

Fluids NSS Full Drip

 

Protonix Drip 80 mg/100 ml NSS @ 8 ml/hr IV

 

Somatostatin 50 mcg/ 100 ml NSS 30 min

 

+ 950 mcg/500 NSS 23 hrs IV

 

 

Insomnia 

 

Benadryl 25-100 mg IV

 

Vistaril (Hydroxyzine) 20 mg PO

 

Ambien (Zolipidem) 5-10 mg PO QHS

 

Klonopin or Xanax 0.25-2 mg PO QD/QHS ( Pulse)

 

 

Psychosis/Dementia/Disorientation/Agitation/Convulsions 

 

Geodon (Ziprasidone) 20-40 mg IM ( BP/QT Prolongation)

 

Haldol (Haloperidol) 2-10 mg IM

 

Risperdal (Risperidone) 1-2 mg PO

 

Ativan (Lorazepam) 1-2 mg IV (Antidote is Flumazenil)

 

Dilantin (Phenytoin) 800 mg/250 ml NSS 2 hrs

 

Valium (Diazepam) 10 mg IV (Max dose is 30 mg/day)

 

Bomb: Haldol 2-10 mg IM (or Geodon 20-40 mg IM) +

 

Ativan 1-2 mg IV + Benadryl 25 mg IV

 

(Precaution: Monitor Vitals Signs + Restrain Pt as Needed)

 

 

DM & Sliding Scale (Type II  & HHNK) 

 

Insulin/Humulin/Humalog R (Rapid Acting) IV/SC

 

BG Reading:  140-200 2 Units

 

            201-240 4 Units

 

             241-300 7 Units

 

            300 +     10 Units

 

1st get Dextrose level from nurse

 

Give corresponding insulin units IV Push or Now

 

Next write out DM sliding scale

 

Last write out Dextrose checks q 2 hr x 24 hr

 

        

 

Insulin (For DKA & Hyperglycemia) 

 

Bmp/ Cbc/ Abgs/ Acetone/ Ketones/ NSS 2-3 L

 

Insulin Regular 0.1 U/Kg IV Push or Now &

 

Start Drip 100 Units/100 ml NSS 7-8 ml/hr

 

101-150 Dextrose 5% 20 ml/hr

 

151-200 3U

 

200-250 5U

 

251-300 7U

 

301-350 9U

 

351 +   12U

 

 

Hypoglycemia 

 

BGlucose < 60: Dextrose x 1-2 Amp IV Now

 

BGlucose > 60 (or IF NPO): D5W @ 30 ml/hr IV

 

Don’t Forget to Check Dextrose in 2 hr Then q 4-8 hr x 24 hr

 

 

Chest Pain  

 

EKG + CXR + Cardiac Enzymes

 

Aspirin 325 mg PO (81 mg PO next day)

 

NTG SL 0.4 mg q 4 x 3 Doses

 

Morphine 2-4 mg IV or Demerol or Muscle Relaxant

 

Tridil Drip 50 mg/250 ml NS @ 3-6 ml/hr IV

 

Enoxaparin 70 mg SQ BID

 

Brillinta (Anti-Plts) 180 mg PO q Daily (90 mg PO next day)

 

Plavix 75-300 mg PO q Daily

 

 

CHF 

 

O2 via NC/Venturi Mask/Non Rebreather/BiPap/Intubate

 

Lasix (Furosemide) 40-80 mg IV (Monitor BP)

 

Bumex (Bumetanide) 1-2 mg IV

 

Bumex Drip 10 mg/100 NSS 5-6 ml/hr

 

Coreg (Carvedilol-CHF/COPD) 3.125-25 mg PO BID

 

Lopressor 2.5-5 mg IV q8 hr or 50 mg PO q 6hr

 

Primacor (Milrinone)- Stage III CHF

 

50 mcg/kg IV push over 10 min

 

Digoxin  0.125-0.25 mg PO/IV Daily (R/o RF)

 

 

Hypertension 

 

Vasotec (Enalapril) 1.25-2.5 mg IV (ACEI)

 

Lopressor (Metoprolol) 2.5-5 mg IV (LD is 15 mg) {avoid in asthmatics}

 

Labetalol 10 mg IV (slow) or 50-400 mg PO BID

 

Labetalol Drip 100 mg/100 ml 2 ml/hr (Potent)

 

Antidote is Glucagon

 

Nicardipime (Cardene) 5 mg/hr slow or 20-40 mg PO

 

Procardia XL (Nifodipine) 30 mg PO Daily

 

Losartan (Cozaar) 25-100 mg PO x 1-2 Doses (ARB)

 

Norvasc (Amlodipine) 5-10 mg PO Daily

 

 

Tachycardia (PSVT) 

 

Adenosine 6 mg IV push (1st Dose wait 2 min);

 

12 mg IV push (2nd Dose wait 2 min);

 

12 mg IV push (3rd Dose)  Or

 

Cardizem (Diltiazem) 15-30 mg IV Push 0.25mg/kg over 2 minutes, may repeat after 15 min

 

Last Line: DC Cardioversion

 

 

A-Fibb 

 

Cardizem (Diltiazem) 15-30 mg IV Push 0.25mg/kg over 2 minutes, may repeat after 15 min

 

Cardizem Drip 100 mg/100 ml NS @ 5-7 ml/hr

 

Note: 600 mg/day is Max; Can Cause CHF

 

Antidote is Calcium Gluconate

 

Lopressor 2.5-5 mg IV bolus over 2 min, may repeat every 5 minutes x   3

 

 

Anaphylaxis 

 

Epinephrine 0.3-0.5 ml IM or sq of 1:1,000 dilution q/5-20 min

 

Airway Management:  O2 supplementation, consider intubation

 

Fluid resuscitation with Crystaloid

 

 

V-Tachy (Non-sustained) 

 

Lopressor 5 mg IV + Lopressor 25 mg PO q 8hr

 

 

V-Tachy (Sustained) 

 

1st (Rapid) Amiodarone 150 mg IV over 10 min (15 mg/min)

 

Then add 3 ml (150 mg) Amiodarone to 100 ml D5W IV

 

Infuse 100 ml over 10 min

 

2nd (Slow) Amiodarone 360 mg IV over 6 hrs (1 mg/min)

 

Then add 18 ml (900 mg) Amiodarone) to 500 ml D5W IV

 

(Concentration = 1.8 mg/ml)

 

Maintenance Infusion: Amiodarone 540 mg IV over 18 hrs

 

(Rate = 0.5 mg/min)  

 

 

Cardiogenic Shock 

 

Intropin 400/250ml NSS @ 20 ml/hr Drip or

 

800/250 ml @10ml/hr

 

Dobutamine 2-20 mcg/kg/min

 

Milrinone 50 mcg/kg IVP over 10 min, then 0.5 mcg/kg/min

 

 

Septic Shock 

 

Levophed (Norepi) 8-12 mcg IV Push (Wt depending) +

 

Levophed Drip 8 mg/250ml NSS @ 10ml/hr IV

 

 

Bradycardia 

 

Atropine 1-2 mg (PEA/Muscle Paralysis)

 

Transcutaneous Pacing

 

 

Hypotension 

 

Fluid Challenge 0.9% NSS 250, 500, or 1000 ml IV Bolus/FD

 

Albumin 12.5-25 gm IV or as Drip

 

D/c Antihypertensive Meds

 

 

Coagulopathy 

 

Vitamin K 10 mg/50 ml NSS 10 min. q Daily

 

FFP 1 Unit only for Coag def (1U q 4-5 hr for DIC, TTP, etc.)

 

 

DVT Prophylaxis 

 

Lovenox (LMWH) 40mg sq daily

 

 

DVT Treatment 

 

1 mg/kg SC q 12h or 1.5 mg/kg daily

 

(0.5 mg/kg or 30 mg in RF) do not exceed 100 mg

 

 

Thrombophlebitis/Pulmonary Embolism (PE)

 

Heparin 5000 U IV Push or Now +

 

Heparin Drip 24000 U/1000 ml NSS 1hr

 

 

Transfusion 

 

1 Pint pRBCs Type O- Blood Now

 

Then Type Blood & Crossmatch (Screen IF Pending)

 

 

 

Respiratory Distress (SOB) 

 

O2 @ 2-5 L/min via Nasal Canula (NC)

 

Venturi Mask FiO2 @ 50%  

 

Non-Rebreather Mask (High O2 Concentration)

 

Albuterol 0.83% Face Mask (Asthma)

 

Atrovent (Ipratropium) 0.02% Face Mask (COPD)

 

FFT: Albuterol (Xopenex if Tachycardic) 2.5 mg/3 ml q 4-8 hr

 

FFT: Pulmicort (Budesonide) 0.5 mcg q 4-8 hr

 

FFT: Atrovent 500 mcg/2.5 ml (+/- Albuterol) q 4-8 hr

 

Solumedrol 1 mg/kg  IV q Daily or 80 mg IV q 8 hr

 

Magnesium Sulfate 1-2 gm 100 ml NSS 30 min (Relax SM)

 

Singulair (Montelukast) 10 mg PO q Daily/QHS

 

Advair (Fluticasone) 250 mg x 2 Puffs q Daily

 

Striverdi (Olodaterol) 2.5 mcg pumps BID (Expensive)

 

Bipap- Parameters (Ex): FiO2 40-100%; PEEP 5 cm H20;

 

RR 14-16 breaths/min; IPAP 10; EPAP 5; Tidal Volume 450 ml

 

MV- Parameters: Mode CMV; FIO2: 100% PEEP: 5;

 

Vt 6-8ml/kg (450 ml); RR 12-14

 

TV 6 ml/kg ; RR 14 bm; FiO2 100%; PEEP 5cm H2O

 

 

SEIZURE - Status Epilepticus:

 

Less than 5 min: Lorazepam 0.1mg/kg IV at 2 mg/min (Successive 2-4mg IV pushes) or Midazolam 0.2 mg/kg IM (Up to 10mg IM)

 

Less than 10 min: Phenytoin 10-15mg/kg IV bolus, then 100 mg IV drip q/8 hrs

 

30-60 min: General anesthesia with Midazolam, Phenobarbital, or Propofol

 

 

Sedation/Intubation 

 

Versed (Midazolam) 5-20 mg IV Push

 

Drip 50 mg/50 NSS 5-10 ml

 

Diprivan (Propofol) 10-20 mg IV Push (R/o Egg/Soy Allergy)

 

Tube Size: Male 8- 8.5; Female 7- 7.5 (Adjust Depending on Pt)

 

 

Pneumonia 

 

Levaquin 750 mg IV q Daily (500 mg RF)

 

Zosyn (Piperacillin/Tazobactam) 3.375 g IV q 6hr

 

(2.25 mg RF/ Increase in Pseudomonas Infection)

 

Rocephin (Ceftriaxone) 1-2 gm IV q Daily

 

Fortaz (Ceftazidime) 2 gm IV q 8 hr (Tx. Pseudomonas)

 

Zithromax (Azithromycin) 500 mg IV q Daily

 

Invanz (Ertapenem) 1 gm IV q Daily (Tx. Klebsiella)

 

Primaxin (Imipenem/Cilastatin) 500 mg IV q 6hr

 

Avalox (Moxifloxacin) 400 mg IV Daily x 7-14 days

 

Cleocin (Clindamicin) 1.2-2.7 gm IV Daily

 

Cefepime 2 gm IV q 12hr (Tx. Neutropenic Fever)

 

Mefoxin (Cefoxitin) 2 gm IV q 6hr

 

Diflucan (Fluconazole) 100 mg IV (RF 50% next dose)

 

 

Influenza 

 

Tamilflu (Oseltamivir) 75 mg BID PO x 5 days

 

 

Potassium Overload (Hyperkalemia) 

 

EKG Stat

 

Calcium Gluconate 10% 5-30 ml IV (5 min)

 

Bicarbonate 1-2 amps IV (44-88 mEq)

 

(15-30 min)

 

Insulin 5-10 U IV + glucose 50% (15-60 min)

 

Albuterol 10-20 mg in 4ml NSS (15-30 min)

 

Loop Diuretic 40 mg IV (0.5-2 hrs); Avoid in RF

 

Kayexalate 15-60 gms PO (1-3 hrs)

 

Hemo or Peritoneal dialysis (1-8 hrs)        

 

 

Potassium Replacement (Hypokalemia) 

 

K+ 3.5-4.5 (Normal)

 

If levels are 3.0-3.3 give Oral Therapy (KCL PO)

 

ORAL:

 

If levels are <3.0 give 20-40 mEq KCL over 2-4 hours

 

(Ex: 20 mEq KCL/100 ml NSS @ 120 ml/hr ( 2hr)

 

or 40 mEq KCL/250 ml NSS@ 60 ml/hr ( 4hr)

 

Note: 0.1 mg/dl = 10mEq

 

*70-80 mEq/day is Max

 

*Add Maglox (Mg++) 1-2 gm Daily

 

 

Metabolic Acidosis (pH < 7.0) 

 

Bicarbonate 2 Amps IV

 

 

Hyponatremia 

 

Water Restriction

 

 

Hypercalcemia 

 

NSS + Loop Diuretic

 

Aredia (Pamidronate) 60-90 mg IV x 1 Dose

 

 

Hyperphosphatemia 

 

Phoslo (Calcium Acetate) 2 Tabs PO

 

 

Chronic Liver Disease/Hypokalemia 

 

Aldactone (Spironalactone) 25 mg PO q Daily

 

Albumin 12.5-25 gm/50 ml IV NSS q Daily

 

Lactulose 30-45 ml PO q 6-8 hr

 

 

Acute Alcohol Withdrawal/Anxiety/Gastric Irritability 

 

Librium (Chlordiazepoxide) 5-10 mg PO q 6-8h

 

Banana Bag IVFs (Thiamine, FA, MV, & Mag Sulfate)

 

 

Delirium Tremens 

 

Diazepam (Xanax) 10-15mg IV q/10-15min or Lorazepam (2-4mg IV q/15-20 min)

 

Replete: Thiamine, K, Mg, PO4

 

Avoid Haloperidol and Beta Blockers

 

 

Clinimix (TPN) 

 

4.25% 35 ml/hr for 24 hr

 

 

Cellulitis 

 

Ancef (Cefazolin) 1 g IV q 8hr

 

Cleocin (Clindamycin) 400-900 mg IV q 6hr

 

Unasyn 3 gm IV q 6hr

 

Vancomycin (MRSA) 1 gm IV q 12hr

 

Zyvox (Linezolid) 600 mg IV q 12hr (Tx. VRE; Plts)

 

 

Skin (Minor Infections/Out Pt Therapy) 

 

Hydrocortisone Topical Cream (Calamine Lotion)

 

0.1%-2.5% q 8-12hr/PRN

 

Clomitrazole Cream (Anti-fungal) 1% BID/PRN

 

Duricef (Cefadroxil) 500 mg PO q 12hr

 

Septra DS 1-2 Tabs PO q 12-24 hr

 

 

Leg Swelling NOS 

 

CBC + BMP + U/a

 

Lasix 20-40 mg IV x 1 Dose

 

Consider Leg Compression Stockings

 

 

Venous Stasis Ulcer 

 

Apply Santyl Cream over affected areas

 

Consider Wound Care Consult

 

 

Difficulty Urinating 

 

Self-Intermittent Catheterization x 1 or PRN

 

Foley Catheterization

 

Avoid Benadryl

 

 

Dizziness/Vertigo/Meniere’s Disease 

 

Antivert (Meclizine) 25 mg PO q 4-6hr PRN

 

Dramamine (Dimenhydrinate) 50-100 mg PO q 4-6hr

 

 

Maintenance Fluid 

 

D5W to Run at 60-125 ml/hr

 

D10W: D5W in 1000 ml NSS + 50 gm Dextrose

 

 

Pediatric Fever/Dehydration/Diarrhea 

 

CBC + BMP + U/A + CXR

 

IVFs 0.9% NSS: 0-10 kg: 4 ml/kg/hr; 10-20 kg: 2 ml/kg/hr;

 

>20 kg: 1 ml/kg/hr

 

Panadol 15 mg/kg PO or Rectal Suppository

 

Pedialyte PO

 

 

Obstetrics (HTN in Pregnancy) 

 

Aldomet (Methyldopa) 250-1000 mg IV q 6-8hr

 

Labetalol 50-400 mg PO BID

 

 

Steroid Equivalents (IV) 

 

Medrol (Methylprednisolone) 4 mg

 

Prednisone 5 mg

 

Solucortef (Hydrocortisone) 20 mg

 

Decadron (Dexamethasone) 1 mg

 

 

Thrombocytopenia ( Plts)

 

Decadron 40 mg IV q Daily

 

 

Acute Adrenal Crisis 

 

Solucortef 100 mg IV Bolus

 

Decadron 1-6 mg/kg IV Bolus or 40 mg IV q 2-6hr

 

 

Hypothyroidism 

 

Levothyroxine 1-2.25 mcg/kg/d

 

 

Pretibial Myxedema 

 

Levothyroxine 200-500 mcg IV x 1 Dose

 

Hydrocortisone 100 mg IV Bolus

 

 

Bleeding Skin/Abscess/Etc. 

 

Apply Surgicell (Hemostasis/Hemoplug) + Gauze + Tape

 

 

Subarachnoid Hemorrhage 

 

Nimotop (Nimodipine) 60 mg PO q 4hr x 21 days

 

 

Cerebral Edema 

 

Osmitrol (Mannitol) 0.5-1 gm/kg q 8 hr x 3 in 250 ml NSS

 

 

OPT Diabetes Type I 

 

Insulin 70/30 U (N/R)

 

45 U SubQ AM + 40 U SubQ PM

 

85 U Total Daily x 30 days = 2550 U = 3 Vials (1000 U/Vial)

 

 

OPT Diabetes Type II 

 

Metformin 500-100 mg Daily or BID

 

(Avoid in CT Studies & RF; Increased Lactic Acid)

 

Januvia or Onglyza (DPP4 Inhibitor) 100 mg PO Daily

 

Humalog 10U SC Daily with Meals

 

Lantus (Basal Insulin) SC 10 mg QHS

 

 

Depression 

 

Prozac (Fluoxetine) 10-20 mg PO Daily

 

 

Cold Sore 

 

Abreva Stick Apply Topically over affected area as needed

 

 

Drips: 

 

-Protonix 80 mg IV bolus, then 80mg/100ml 0.9%ns to run at 10ml/hr

 

-Sandostatin 50 mcg IV bolus, then 1,200/250ml 0.9%ns to run at 25 mcg (11ml/hr)

 

-Intropin 800/250ml 0.9%ns to run at 10-20 mcg/kg/min (max dose 50 mcg/kg/min, may not be beneficial after 20 mcg/kg/min)

 

-Versed 50mg/50ml 0.9%ns to run at 3ml/hr (maintain MAP >65)

 

-Lasix 200mg/100ml 0.9%ns to run at 5 ml/hr

 

-Insulin: 100 units of insulin R in 100ml 0.9% to run at 5 ml/hr

 

- Levophed 8mg/250ml 0.9%ns to run at 4mcg/min (8ml/hr) max dose: 30ml/hr (20mcg/min)

 

- Cardizem 0.25mg/kg IV bolus, then 125/125ml 0.9%ns to run at 5-15 ml/hr

 

-Dilantin 10-15mg/kg IV bolus, then 100mg IV drip q/8hrs

 

- Propofol 50/50 to run at 5ml/hr

 

-Bicarbonate 3 amps (150ml) in 1,000ml D5W to run at 50-200 ml/hr

• Editores de contenido : Dr. Eythan Morenú & Natysha Villarrubia •

Una Iniciativa Colaborativo de los Médicos Internos del Hospital Perea  |  2019-2020

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