Medications: Difference between revisions
From Bay Area Structural Heart Wiki
No edit summary |
No edit summary |
||
| (One intermediate revision by one other user not shown) | |||
| Line 17: | Line 17: | ||
<hr /> | <hr /> | ||
===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==== | |||
#Using aseptic technique, clean the ports of the IV bag and stoppers of cangrelor and SWFI with sterile alcohol swabs | |||
#Withdraw 5ml of SWFI and gently inject into cangrelor vial to reconstitute | |||
#Swirl gently until dissolved and foam subsides _(should be _clear and colorless to pale yell ow). Avoid vigorous mixing. Swirl until clear | |||
#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. | |||
#Label IV bag with 'Medication Added' label and complete all blank fields. | |||
#Resultant concentration of solution for infusion: 200 mcg/ml. | |||
#Immediate use only. | |||
#Patients larger than 100kg will require a minimum of 2 bags. | |||
</HR> | |||
==='''IC Nicardipine (Cardene)'''=== | ==='''IC Nicardipine (Cardene)'''=== | ||
| Line 44: | Line 69: | ||
|'''RADIAL IA:''' | |'''RADIAL IA:''' | ||
| colspan="8" |Scrub pulls 0.8 ml (1 mg dose) in a 20 ml sterile radial cocktail syringe = '''200 mcg IA''' | | colspan="8" |Scrub pulls 0.8 ml (1 mg dose) in a 20 ml sterile radial cocktail syringe = '''200 mcg IA''' | ||
|- | |- | ||
|'''IC:''' | |'''IC:''' | ||
| colspan="10" |Scrub pulls 0.4 ml (0.5 mg dose) add to yellow syringe. Add 10 ml Heparinized Saline = '''100 mcg/ml''' | | colspan="10" |Scrub pulls 0.4 ml (0.5 mg dose) add to yellow syringe. Add 10 ml Heparinized Saline = '''100 mcg/ml''' | ||
|} | |} | ||
<br /> | |||
<hr /> | |||
=== '''IC ROTABLATOR''' === | === '''IC ROTABLATOR''' === | ||
| Line 58: | Line 82: | ||
* Give 108 inch non-vented fluid delivery set to scrub | * Give 108 inch non-vented fluid delivery set to scrub | ||
<br /> | |||
<hr /> | |||
=== '''IC DIAMONDBACK CSI''' === | === '''IC DIAMONDBACK CSI''' === | ||
Latest revision as of 21:25, 27 April 2021
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)
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
- Using aseptic technique, clean the ports of the IV bag and stoppers of cangrelor and SWFI with sterile alcohol swabs
- Withdraw 5ml of SWFI and gently inject into cangrelor vial to reconstitute
- Swirl gently until dissolved and foam subsides _(should be _clear and colorless to pale yell ow). Avoid vigorous mixing. Swirl until clear
- 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.
- Label IV bag with 'Medication Added' label and complete all blank fields.
- Resultant concentration of solution for infusion: 200 mcg/ml.
- Immediate use only.
- 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
IV Neosynephrine (Phenylephrine)
- Concentration: 100mcg/ml
- 10mg/ml Vial
- Add 1ml to 100ml N.S.
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 | |||||||||
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
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
