Medications

FFR Adenosine

IC administration

• Concentration: 10mcg/ml

• 6mg/2ml Vial
• Add 1.7ml from vial to 500ml NS

IV Administration

• Concentration: 90mg/90ml (1mg/ml)
• 90mg/30ml Vial
• From 100ml NS Bag, Remove and waste 40ml from the bag
• Add full Adenosine Vial (30ml) to 60ml NS remaining
• IV administration rate - 140mcg/kg/min, (A. Beyer - 160mcg/kg/min)

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Cangrelor

Cangrelor 50mg / 250ml NS Concentration: 200mcg/ml For IV Bolus and Infusion

Supplies

• 1 Cangrelor 50mg vial
• 1 10ml Sterile Water for Injection(SWFI)
• 1 250ml Normal Saline bag
• Alcohol Swabs
• Syringe
• IV tubing

Preparation

1. Using aseptic technique, clean the ports of the IV bag and stoppers of cangrelor and SWFI with sterile alcohol swabs
2. Withdraw 5ml of SWFI and gently inject into cangrelor vial to reconstitute
3. Swirl gently until dissolved and foam subsides _(should be _clear and colorless to pale yell ow). Avoid vigorous mixing. Swirl until clear
4. Immediately after reconstitution, withdraw entire contents of one vial of cangrelor (50mg in 5ml) and add to one bag of 250ml NS. Mix bag thoroughly.
5. Label IV bag with 'Medication Added' label and complete all blank fields.
6. Resultant concentration of solution for infusion: 200 mcg/ml.
7. Immediate use only.
8. Patients larger than 100kg will require a minimum of 2 bags.

IC Nicardipine (Cardene)

• Concentration: 100mcg/ml
• Premixed Drip
• 10ml from drip to 20ml Syring
• Dilute with 10ml of Normal Saline

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IV Neosynephrine (Phenylephrine)

• Concentration: 100mcg/ml
• 10mg/ml Vial
• Add 1ml to 100ml N.S.

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IA & IC Verapamil

• 5mg/2ml Vial

RADIAL IA:	Scrub pulls 0.8 ml (1 mg dose) in a 20 ml sterile radial cocktail syringe = 200 mcg IA
IC:	Scrub pulls 0.4 ml (0.5 mg dose) add to yellow syringe. Add 10 ml Heparinized Saline = 100 mcg/ml

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IC ROTABLATOR

• Rotaglide 20 ml vial
• Add 20 mg into 1000 ml of Normal Saline on pressurized bag
• Give 108 inch non-vented fluid delivery set to scrub

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IC DIAMONDBACK CSI

• Viperslide 100 ml bag or Rotaglide 20 ml vial
• Add 20 ml of either solution to 1000 ml of Normal Saline
• Hang the bag onto the hook attached to the CSI Device