Professional Documents
Culture Documents
Approved For
Drug
Acetazolamide
(Diamox)
Acetylcysteine
(Acetadote)
Acyclovir
Adenosine
(Adenocard)
ICU
ED
Telemetry
Required
Acute
Care
IVP
X
Infusion
only
Bolus
+
infusion
X
X
IV
Infusion
See
restriction
Concentration
Dilute to
MAX of
100 mg/mL
30 gm/1000
mL
(30 mg/mL)
Diluted to
<5 mg/mL
6 mg/2 mL.
(3mg/ml)
0.5-1 gm/kg/dose (10-20 mLs/kg/dose). Infusion over 3060 minutes. In emergencies, may administer over 15
minutes.
Adult MAX: 600mls/hr
Comments
Albumin 5%
(forhypovolemia,
hypoalbuminemia
5%
(50 mg/mL)
Albumin 25%
25%
(250 mg/mL)
Dilute 500
mcg in
50mls NS
(10 mcg/ml)
Diluted to
< 5 mg/mL
(forhypoproteinemia
w/ generalized edema)
Alprostadil, PGE1
Prostin VR
Pediatric)
Amikacin
(Amikin)
Continuous
infusion
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
Approved For
DrugDrD
Amiodarone
(Cordarone)
Ampicillin
ICU
ED
Telemetry
Required
Acute
Care
IVP
IV
Infusion
Bolus in
code only
No
infusion
Atropine
Azithromycin
(Zithromax)
Aztreonam
(Azactam)
Infusion 450
mg/ 250 mL in
D5W
slow
Dilute to
<30 mg/mL
=(amp 20 mg/
sulb 10 mg)
0.1 mg/mL;
1 mg/mL
MD
available
Comments
Dilute to <20
mg/mL
Bolus diluted to
1.5-3 mg/mLin
D5W
slow
Ampicillin/
Sulbactam
(Unasyn)
Concentration
Dilute to 2
mg/mL
Dilute to
< 20 mg/mL
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
Approved For
Drug
ICU
ED
Telemetry
Required
Concentration
Acute
Care
IVP
IV
Infusion
0.25 mg/mL
Bumetanide
(Bumex)
Caffeine Citrate
(Cafcit)
For apnea
20 mg/mL
citrate salt
(=10 mg/mL
caffeine base)
Caffeine sodium
benzoate
For spinal
headache
Dilute to 0.5
mg/mL
1 gm/
10 mL vial
Calcium Chloride
Slow IVP
Calcium Gluconate
Cefazolin (Kefzol)
Slow IVP
Slow IVP
only.
Comments
IVP In
code only
w/MD
present.
No
infusion.
Slow IVP
in code
w/ MD
present.
Infusion
OK
X
Slow
IVP
1 gm/50 mL
=20 mg/mL
Dilute to
< 20mg/ml
Slow
IVP
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
Approved For
Drug
ICU
ED
Telemetry
Required
Acute
Care
IVP
IV
Infusion
Concentration
Cefepime
(Maxipime)
Dilute to
< 20 mg/mL
Cefotaxime
(Claforan)
Dilute to
< 40 mg/mL
Cefoxitin
(Mefoxin)
Ceftazidime
(Fortaz)
Dilute to
< 40mg/ml
Dilute to
<40 mg/mL
Ceftriaxone
(Rocephin)
Dilute to
< 20 mg/mL
Chlorothiazide
(Diuril)
500 mg vial
diluted with 18
mL SWI for a
final
concentration
of 27.8 mg/mL
IVPover 3-5
Infusionover 30 minutes in dextrose or NS
<6 months: 2-8 mg/kg/day in 2 divided doses up to 20
mg/kg/day
>6 months: 4 mg/kg/day in 1-2 divided doses up to 20
mg/kg/day.
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
Comments
Approved For
Drug
ICU
ED
Ciprofloxacin
(Cipro)
Cisatricurium
(Nimbex)
Telemetry
Required
Acute
Care
IVP
X
X
IV
Infusion
X
Dilute to
< 2 mg/mL
40 mg/100 mL
200mg/500ml
MAX: 200
mg/100 mL
Clindamycin
Concentration
Dilute to
< 18 mg/mL
Cyclosporine
(Sandimmune)
Dilute in D5W
to
< 2.5 mg/mL
D10W
100 mg/mL
D25W
250 mg/ML
(Cleocin)
2.5GM/10ML
SYRINGE
D50W
500 mg/mL
25gm/50ml
syringe
Comments
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
Drug
Approved For
ICU
ED
Dexamethasone
(Decadron)
Dexmedetomidine
(Precedex)
Diazepam (Valium)
Digoxin (Lanoxin)
Telemetry
Required
Concenration
Acute
Care
IV
P
IV
Infusion
4 mg/mL
200 mcg/50 mL
(4mcg/ml)
5 mg/mL
Moderate
sedation
service
+
moderate
sedation
RN
MD administration for
loading doses
only.
X
Maintenance
doses
Digoxin Immune
Fab
(DigiFAB)
Dilute to 1-10
mg/mL with NS
Diltiazem
(Cardizem)
Diphenhydramine
(Benadryl)
Dilute to <50
mg/mL
Comments
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
Drug
Approved For
Acute
Care
Concentration
IV
P
ICU
ED
Telemetry
Required
Dobutamine
Dopamine
Doxycycline
(Vibramycin)
Droperidol
(Inapsine)
Enalaprilat
(Vasotec)
Enoxaparin
(Lovenox)
IV
Infusion
2.5 mg/mL
In pts w/
cardiac history
<10 kg 250 mg
/250 mls
> 10kg500 mg
/250 mls
MAX: 1000
mg/250 mL
<10 kg 200 mg
/250 mL
>10kg 400 mg
/250 mL
MAX: 800 mg/
250 mL
Dilute to <=1
mg/mL
MAX: 2.5
mg/mL
SC
100 mg/mL
For doses <10
mg, a special
dilution
of 20mg/ml will
be prepared by
pharmacy
MD
available
S
C
Comments
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
Drug
Approved For
Concen
tration
Acute
Care
IV
P
IV
Infusion
ICU
ED
Telemetry
Required
Epinephrine
(Adrenalin)
Ertapenem (Invanz)
Erythropoetin
(EPO, Procrit)
Esmolol (Brevibloc)
Esomeprazole
(Nexium)
Etomidate
SC, IVP
For
anaphylaxis,
CPR
Per moderate
sedation
protocol
Moderate
sedation
service
+ sedation
RN
<10 mg/mLfor
IVP
20 mg/mL drip
< 4mg/ml
2mg/ml
20 and 40mg
vials
Comments
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
Drug
Approved For
ICU
ED
Famotidine
(Pepcid)
Fentanyl(Sublimaze
)
Telemetry
Required
Concen
tration
Acute
Care
IV
P
IV
Infusion
Dilute to
>=4mg/ml
Filgastim
(G-CSF, Neupogen)
Fluconazole
(Diflucan
Flumazenil
(Romazicon)
S
C
10 mg/mL vial
STD infusion
10mg/250NS
(40mcg/ml)
MAX Infusion
10 mg/100 mL NS
(100 mcg/mL)
Dilute with D5W
only to a
concentration greater
than or
=15 mcg/mL (ie//300
mcg/
20-50 mLs).
Dilute to <2
mg/mL
X
X
50 mcg/mL IVP
2000 mcg/100 mL
MAX:
2000 mcg/40 mL
5000 mcg/ 100 mL
Epidural
OK
Fenoldopam
(Corlopam)
Comments
Moderate
sedation
service
Only
0.1 mg/mL
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
Drug
Approved For
ICU
ED
Telemetry
Required
Concen
tration
Acute
Care
IV
P
IV
Infusion
X
Folic Acid
(Folvite)
Fosphenytoin
(Cerebyx)
Note:preferred over
Furosemide (Lasix)
Gentamicin
0.1 mg/mL
25 mg PE/mL
10 mg/mL
100 mg/100 mL
Dilute to
2 mg/mL
40mg/ml for IM
use
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
Comments
10
Drug
Approved For
ICU
ED
Insulin Regular
(NovolinR)
Telemetry
Required
Concentration
Acute
Care
IVP
IV
Infusion
< 50kg: 25
units/50
mlsMAX:
100 units/
100 mL
May give
undiluted, or
as an infusion
of <
2mg/ml
20mg/ml,
50mg/ml
Infusion 200
mg/100 mL
NS
500mg/250ml
In Code
Iron Sucrose
(Venofer)
Ketamine
(Ketalar)
Ketorolac (Toradol)
Labetalol
(Normodyne,
Trandate)
for
moderate
sedation,
MD
present
X
See
comments
X
Critical
care areas
only
X
MD
available
15 mg/mL
30 mg/mL
X
Critical
care areas
only
5 mg/mL
500 mg/250
mL
900 mg/250
mL
Comments
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
11
Approved For
ICU
ED
Telemetry
Required
Concentration
Acute
Care
IVP
IV
Infusion
IVP Dilute
to
5 mg/mL.
Infusion:
100 mg/250
mL
Lepirudin (Refludan)
Levetiracetam
Keppra
Dilute to <
15mg/ml
w/NS
Levofloxacin
(Levaquin)
Dilute to 5
mg/mL
Levothyroxine
(Synthroid)
May dilute
w/NS to 40
mcg/mL
(5 mLs/200
mcg)
Lidocaine
X
Code
only
20 mg/mL
IVP
2 grams/250
mL
Linezolid (Zyvox)
2 mg/mL
Comments
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
12
Approved For
ICU
ED
Lorazepam (Ativan)
Telemetry
Required
Concentration
Acute
Care
IVP
IV
Infusion
X
ICU only
IVP: May be
diluted to 1
mg/mL w/ NS
MAX 4 mg/mL
Infusion
50 mg/50 mL
250 mg/250 mL
Magnesium Sulfate
Mannitol (Osmitrol)
Low
dose
Meperidine
(Demerol)
50 grams /250
mLs (20%)
Dilute to <
10 mg/mL
Dilute to 20
mg/mL
slow
Meropenem
(Merrem)
PEDI STD:
1 GM/25 mLS
(40 mg/mL)
ADULT:
1 gram/50 mL
2 grams/50 mLs
12.5 grams/ 50
mL (25%)
Comments
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
13
Approved For
ICU
ED
Methadone
(Dolophine)
Telemetry
Required
Acute
Care
Concentration
IVP
IV
Infusion
Methylprednisoloneso
dium succinate
(Solu-Medrol)
10 mg/mL
Dilute w/ NS
to volume
needed to
infuse over 15
minutes
Dilute with
D5W to <
10 mg/mL
40 mg, 125
mg,
500 mg & 1
g vial
<1.8
mg/
kg
Metoclopramide
(Reglan)
Metronidazole
(Flagyl )
Midazolam
(Versed)
5 mg/mL
5 mg/mL
<50kg:
50mg/100ml
MAX:
100 mg/100
mL
1 mg/mL,
5 mg/mL
Low
dose
X
X
Per
monitored
sedation
protocol
for
moderate
sedation,
MD
present
Comments
Methyldopa
(Aldomet)
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
14
Approved For
ICU
ED
Telemetry
Required
Milrinone lactate
(Primacor)
Morphine Sulfate
Acute
Care
Concentration
IVP
IV
Infusion
1 mg/mL 10
mLs
Infusion:
20 mg/100
mL
2, 4, 10
mg/ml
PCA 1, 5
mg/mL
INF: 1mg/ml
100 or 250ml
MAX: 500
mg/ 100 mL
20 mg/mL
1-1.5 gm/
50 mLs
1.6-2
gm/100 mLs
10 mg/mL
20 mg/mL
Nalbuphine (Nubain)
X
slow
X
slow
Comments
slow
Nafcillin
(Nafcil)
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
15
Drug
Approved For
ICU
ED
Naloxone (Narcan)
Telemetry
Required
Concent
ration
Acute
Care
IVP
IV
X
0.4 mg/
mL
Infusion:
4 mg/100
mLs NS
(0.04 mg
=40 mcg/
mL)
X
Comments
Infusion
IVP dilution:
< 40 kg 0.1
mg in
9.75 mLs NS
=(0.01mg/mL)
> 40 kg 0.4 mg
in
9 mLs NS=
(0.04mg/mL)
Neostigmine
(Prostigmin)
0.5 mg/ml
slow
1 mg/mL
Nicardipine
(Cardene)
Standard/Periph
eral- Add 25
mg to 250 mLs
NS (0.1mg/mL)
MAX/Central:
Add 100 mg to
60 mLs NS (1
mg/mL)
Nitroglycerin
100 mg/250
mLs
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
16
Approved For
Acute
Care
Concentrati
on
IVP
ICU
ED
Telemetry
Required
Nitroprusside
(Nipride)
IV
Infusio
n
X
Norepinephrine
(Levophed)
Comments
100 mg/
250 mL
<10 kg 8
mg/250
mL
10-50 kg +
MAX
16 mg/250 mL
Octreotide Acetate
(Somatostatin)
Note: not to be
confused with
Sandostatin LAR
Depot IM injection
>50 kg4
mg/250
mL
50, 100, 500
mcg vial for
SC/IV admin
Standard
infusion:
500 mcg in 100
mLs
NS/D5W (5
mcg/mL)
REFRIGERAT
ED
Ondansetron
(Zofran)
2 mg/mL
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
17
Approved For
ICU
ED
Pamidronate
(Aredia)
Pentobarbital
(Nembutal)
Phenobarbital
(Luminal)
Phenylephrine
(Neo-synephrine)
Telemetry
Required
Acute
Care
Concentr
ation
IVP
Continuous
Infusion
Or per
moderate
sedation
protocol
for
moderate
sedation,
MD
present
slow
Prepared by
pharmacy.
Volume
varies by
dose.
50 mg/mL
Sedation:
Children >618 mths: 1-3 mg/kg
Children >18 mths: 2 mg/kg, then 1-2 mg/kg every 5-10
minsuntil adequate sedation
MAX: 100 mg/dose
*IVP: slowly (<1 mg/kg/min up to 50 mg/min) Used
only with conscious sedation monitoring or in ICU/ER.
IV: Over 10-30 minutes. May be further diluted to no
less than 5 mg/mL with NS. Do not use unless solution is
clear.
Pentobarbital Coma:
Load: 15-35 mg/kg over 1-2 hrs
Infusion: 1-5 mg/kg/hr viadedicated central line
preferred. MAX: 10 mg/kg/hr
Anticonvulsant:
Load: 15-18 mg/kg at 1-2 mg/kg/minute (MAX 60
mg/minute).
Maintenance:
IV: < 1 mg/kg/min up to 30 mg/minute
Infants: 5 mg/kg/day in 1-2 doses
1-5 yrs: 6-8 mg/kg/day in 1-2 doses
5-12 yrs: 4-6 mg/kg/day in 1-2 doses
>12 yrs: 1-3 mg/kg/day in 1-2 doses
Hypotension/Shock:
Usual 0.1-0.5 mcg/kg/min; titrate to desired effect
Infusion:
2500 mg/
50 mls
(50 mg/ml)
IV
Infusion
X
ICU/
ER
only
65 mg/mL
130mg/ml
(for<10 kg)
5 mg/250
mL
(10-+kg)
10 mg/250
mL
MAX
CONCENTR
ATION
60 mg/250
mL
Comments
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
18
Approved For
ICU
ED
Phenytoin sodium
(Dilantin)
Note:Fosphenytoin should
Telemetry
Required
Acute
Care
X
Concent
ration
IVP
IV
Infusion
X
Phosphate as
Sodium Phosphate
Potassium Phosphate
Each mMPhos=
1..47 meq K+
1 meq K+ = 0.68mM Phos
Phytonadione (Vitamin
K, Mephyton)
Piperacillin/Tazobactm
(Zosyn)
Potassium Chloride
SC/IM
only
X
For IV doses
exceeding
0.3meq/kg/hr
up to
10meq/hr
X
(ICU/
OR/ER
only)
50 mg/mL
(mustdilute to 1-5
mg/mL in
NS)
Acute Seizures
Load: 15-20 mg/kg in a single or divided doses
MAXinfusion rate:
Neonates: 0.5 mg/kg/min
Children: 1-3 mg/kg/min not to exceed 50 mg/min
All IV doses
prepared by
pharmacy.
Volume
depends on
dose and
whether via
central or
peripheral
adminis
tration.
10 mg/mL
1 mg/mL
60 mg
piperacillin
and7.5 mg
tazobactam/
mL
2.25 g/50 ml
3.375 g/50
mL
4.5 g/50 mL
Pedi: 0.4
mEq/mL-25
mL vials for
central bolus
doses (10
mEq)
20 mEq/50
ml bags
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
Comments
19
Drug
Approved For
ICU
ED
Prochlorperazine
(Compazine)
Promethazine
(Phenergan)
Propofol
(Diprivan)
Telemetry
Required
Acute
Care
IVP
IV
Infusion
Concen
tration
X
Moderate
sedation
service
+
moderate
sedation
RN
5 mg/mL
25 mg/mL
10 mg/mL
200 mg/20
mLs
500 mg/50
mLs
1000 mg/100
mLs
Do not dilute
to less than 2
mg/mL with
D5W (even
via y-site)
due to
emulsion
instability.
Comments
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
20
Drug
Approved For
ICU
ED
Telemetry
Required
Propranolol
(Inderal)
Protamine Sulfate
Acute
Care
IVP
IV
Infusion
X
1 mg/mL
May dilute
each MG in
10-50 mLs
NS
Rasburicase
(Elitek)
Rho(D) Immune
Globulin (WinRho)
Rocuronium
Concen
tration
10
mg/mL*
* After vial
reconstitutio
n with
5 mLSWI.
May be
further
diluted with
NS or D5W.
1.5 mg/mL
Requires
oncology
attending
approval.
Prepared by
chemo
pharmacy in
10-50 mLs
NS.
Approx 230240
units/mL, as
0.5, 1.3, 2.2,
4.4, 13 mL
vials
Does not
require
further
dilution.
1 mg/mL
Comments
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
21
Drug
Approved For
ICU
ED
Sodium Bicarbonate
Sodium Chloride 3%
(hypertonic)
0.513meq Na+/ml
Sodium Chloride
23.4%(hypertonic)
4 meq Na+/ml
Succinylcholine
X
X
Sulfamethoxazole and
Trimethoprim
(Bactrim, Septra)
Telemetry
Required
Concen
tration
Acute
Care
IVP
IV
Infusion
X
Preferred
Emergency
intubation
only
5 mEq/10
mL(4.2%)
(=0.5
mEq/mL)*
*Preferred
in infants
and small
children
50 mEq/50
mL(8.4%)
(=1
mEq/mL)
Concentrated
electrolyte
Symptomatic IsovolemicHyponatremia:
uptp4mls/kg/dose over 15 minutes. (equivalent to ~ 1215mls/kg NS).
HypovolemicHyponatremia:Use NS fluid bolus
ICP Management: 1-4 mls/kg undiluted over 15 minutes
May not be
stored at
bedside or in
pyxis.
Available for
STAT
Call
pharmacy.
20 mg/mL
Does not
require
futher
dilution.
REFRIGER
ATE
16 mg/mL
TMP
80 mg/mL
SMZ
Note:dosin
g based on
TMP
component
Comments
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
22
Drug
Approved For
ICU
ED
Telemetry
Required
Terbutaline
(Brethine)
Tobramycin (Nebcin)
Tromethamine
(THAM)
Vancomycin
(Vancocin,
Vancoled)
Acute
Care
Concentration
Comments
IVP
IV
Infusion
1 mg/mLvials
Infusion: 20
mg/100 mLs
NS (200
mcg/mL)
Prepared by
pharmacy
unless
emergent.
Dilute to
< 5 mg/mL
18 gm/500
mLs
(0.3
mM/mL)
1 mEq=1
mm=
120 mg per
3.3 mLs
Dilute to <5
mg/mL
Central: <
10mg/ml per
request if fluid
restricted
NOTE: This is not a comprehensive medication list. For items not listed, review standard medication resources or consult the pharmacist.
Version 9/28/2008 Barb Maas Pharm. D.
23
Approved For
ICU
ED
Telemetry
Required
Acute
Care
Concen
tration
IVP
IV
Infusion
Vasopressin
Vecuronium
(Norcuron)
Verapamil (Isoptin,
Calan)
Voriconazole
(VFend)
References
Comments
IVP: 1-2.5
mg/mL
Infusion:
50 mg/100 mL
D5W
Diluted by
pharmacy to
0.5-5 mg/mL
Add formedication
future: Cosyntropin,
lopressor,
gancyclovir, immune globulin, sodium 24
NOTE: This is not a comprehensive medication list. For items not listed, review standard
resources oralteplase,
consult the
pharmacist.
chloride 3%, etomidate
Version 9/28/2008 Barb Maas Pharm. D.