ICU持続静脈注射薬
Amiodarone
[bolus]
amiodarone 150mg in 100ml D5W at 618ml/hr iv x 1
[continuous]
amiodarone/D5W 750mg/500ml
Start at 1 mg/min x 6 hours, then 0.5 mg/min
Maximum rate 1.5 mg/min
Diltiazem
diltiazem/NS 100mg/100ml
Loading dose 0.25mg/kg over 2 min
Start at 5 mg/hr
titrate by 5 mg/hr q10 min
Titrate to Goal Ventricular Rate <100
Hold for HR<50 or SBP <90
to a maximum of 15 mg/hr
(Usual range 5 mg/hr to 15 mg/hr)
Dobutamine
dobutamine/D5W 250mg/250ml
Start at 2 mcg/kg/min
titrate by 2 mcg/kg/min every 5 min
Titrate to Goal parameter:
to a maximum of 20 mcg/kg/min
(Usual range 1 mcg/kg/min to 20 mcg/kg/min)
Dopamine
dopamine/D5W 400mg/250ml
Start at 2 mcg/kg/min
Titrate by 1 mcg/kg/min every 5 min
To a Goal MAP > or = 65 mmHg to a maximum of 25 mcg/kg/min
(Usual range 1 mcg/kg/min to 25 mcg/kg/min)
Epinephrine
epinephrine 1mg/NS250ml
Start at 0.01 mcg/kg/min
Titrate by 0.01 mcg/kg/min every 5 min
To a maximum of 1 mcg/kg/min or MAP > 65 mmHg
(Usual range 0.01 mcg/kg/min to 1 mcg/kg/min)
Esmolol
esmolol/NS 2500mg/250ml
Start at 50 mcg/kg/min
titrate by 50 mcg/kg/min q5 min
Titrate to Goal to keep HR <100
Hold for HR <50 or SBP <90
to a maximum of 300 mcg/kg/min
(Usual range 50 mcg/kg/min to 300 mcg/kg/min)
Furosemide
furosemide 1000mg/100ml
Start at 5 mg/hr
titrate by 5 mg/hr q60 min
Titrate to Goal Urine Output 0.5 ml/kg/hr
to a maximum of 40 mg/hr
(Usual range 5 mg/hr to 40 mg/hr)
Isoproterenol
isoproterenol/D5W 1mg/250ml
Start at 0.01 mcg/kg/min
titrate by 0.01 mcg/kg/min every 5 min
Titrate to Goal parameters:
to a maximum of 0.4 mcg/kg/min
(Usual range 0.01mcg/kg/min to 0.4 mcg/kg/min)
Labetalol
labetalol/NS 200mg/200ml
Loading dose 10 mg IV
Start at 2 mg/min
titrate by 1 mg/min every 5 min
Titrate to Goal SBP [ ] mmHg
Hold for HR <50
to a maximum of 8 mg/min
(Usual range 2 mg/min to 8 mg/min)
Lidocaine
lidocaine/D5W 2000mg/250ml
Start at 14 mcg/kg/min
titrate by 7 mcg/kg/min
Titrate to eliminate Ventricular Tachycardia
to a maximum of 57 mcg/kg/min
(Usual range 14 mcg/kg/min to 57 mcg/kg/min)
Milrinone
milrinone/D5W 20mg/100ml
Loading dose 50 mcg/kg over 10 min
Start at 0.375 mcg/kg/min
titrate by 0.05 mcg/kg/min q30 min
Titrate to Goal parameter:
to a maximum of 0.75 mcg/kg/min
(Usual range 0.375 mcg/kg/min to 0.75 mcg/kg/min)
Nicardipine
nicardipine/NS 20mg/200ml
Start at 5 mg/hr
titrate by 2.5 mg/hr every 5 min
Titrate to Goal SBP [ ] mmHg
Hold for HR <50
to a maximum of 15 mg/hr
(Usual range 5 mg/hr to 15 mg/hr)
Nitroglycerin
nitroglycerin/D5W 100mg/250ml
Start at 0.1 mcg/kg/min
titrate by 0.2 mcg/kg/min q3 min
Titrate to eliminate chest pain
Maintain SBP > 100 mmHg
to a maximum of 5 mcg/kg/min
(Usual range 0.1 mcg/kg/min to 5 mcg/kg/min)
Nitroprusside
nitroprusside/NS 100mg/250ml
Start at 0.5 mcg/kg/min
titrate by 0.5 mcg/kg/min every 2 min
Titrate to Goal SBP [ ] mmHg
to a maximum of 10 mcg/kg/min
(Usual range 0.5mcg/kg/min to 10mcg/kg/min)
Norepinephrine
norepinephrine/NS 8mg/250ml
Start at 0.01 mcg/kg/min
Titrate by 0.02 mcg/kg/min every 5 min
To a Goal MAP > or = 65 mmHg to a maximum of 3 mcg/kg/min
(Usual range 0.01 mcg/kg/min to 3 mcg/kg/min)
Phenylephrine
phenylephrine/NS 50mg/250ml
Start at 0.3 mcg/kg/min
Titrate by 0.1 mcg/kg/min every 5 min
To a Goal MAP > or = 65 mmHg to a maximum of 10 mcg/kg/min
(Usual range 0.3 mcg/kg/min to 10 mcg/kg/min)
Procainamide
procaineamide/NS 1000mg/250ml
Start at 1 mg/min;
titrate by 1mg/min q 20 min
Titrate to Goal parameter:
to a maximum of 6mg/min up to 24 hr
(Usual range 1 mg/min to 6 mg/min)
Vasopressin
vasopressin/NS 50units/250ml
Start at 0.01 units/min
Goal MAP > or = 65 mmHg
(Usual range 0.01 units/min to 0.04 units/min)
(米国一施設基準)