Adult Standard Drip Rate Charts

Adult standard drip rate charts are available for vasoactive drugs, anticoagulants, and other medications (amiodarone, argatroban, bivalirudin, diltiazem, dopamine, dobutamine, epinephrine, esmolol, fenolodopam, heparin, integrilin, insulin, isoproterenol, labetalol, milrinone, nesiritide, nitroglycerine, nitroprusside, norepinephrine, phenylephrine, procainamide, and propofol). The purpose of the infusion rate dosing tools is to prevent medication errors, standardized concentrations, and assist the nurse in taking care of the patient. 

Selection of standard concentrations was achieved by preparing Excel spreadsheets for the commonly order concentrations of each medication. The charts showed the infusion rate for a wide range of patient weights at normal dosing ranges.  The spreadsheets were presented to the Pharmacy and Therapeutics Committee and standard concentrations were selected that would meet the needs of most patients, including patients in critical care areas and fluid-restricted patients. This process helps minimize waste due to concentration changes and decreases the chance of medication errors by limiting the number of concentrations in daily use. In the event, a patient's needs can not be met by the standard concentration a nonstandard concentration may be ordered.

 

Abciximab

Amiodarone 450 mg/250 ml

Amiodarone 900 mg/500 ml

Angiomax (bivalirudin)

Argatroban Non Cath Lab 250 mg/250 ml Rate Change Based on aPTTHepatic Disease Score Calculator

Argatroban Non Cath Lab 250 mg/500 ml for Patients With Liver Dysfunction Rate Change Based on aPTTHepatic Disease Score Calculator

Bivalirudin

Diltiazem 125 mg/125 ml

Dopamine 800 mg/250 ml

Dobutamine 500 mg /250 ml

Dobutamine 1000 mg/250 ml

Epinephrine 2 mg/250 ml

Esmolol 2.5 grams/250 ml

Fenoldopam 10 mg/250 ml

Heparin 25,000 units/250 ml (units/hour)

Heparin 25,000 units/250ml (units/kg/hour)

Integrilin 0.75 mg/ml

Insulin 100 units/100 ml

Isoproterenol 2 mg/250 ml

Labetalol 500 mg/250 ml

Lidocaine 2 grams/250 ml

Milrinone 20 mg/100 ml

Nesiritide 1.5 mg/250 ml

Nitroglycerine 50 mg/250 ml

Nitroprusside 100 mg/250 ml

Norepinephrine 8 mg/250 ml

Phenylephrine 10 mg/250 ml

Procainamide 4 grams/500 ml

Propofol Infusion 10 mg/ml

ReoPro

 

PkineticDrugDosing

 

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