Medications: Difference between revisions
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== Cangrelor == | == Cangrelor == | ||
[[File:Cangrelor.jpg|thumb]] | |||
Cangrelor 50mg / 250ml NS Concentration: 200mcg/ml | Cangrelor 50mg / 250ml NS Concentration: 200mcg/ml | ||
For IV Bolus and Infusion | For IV Bolus and Infusion | ||
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#Patients larger than 100kg will require a minimum of 2 bags. | #Patients larger than 100kg will require a minimum of 2 bags. | ||
== '''IC Nicardipine (Cardene)''' == | == '''<small>IC Nicardipine (Cardene)</small>''' == | ||
#Concentration: 100mcg/ml | #Concentration: 100mcg/ml | ||
#Premixed Drip | #Premixed Drip | ||
| Line 47: | Line 48: | ||
#Dilute with 10ml of Normal Saline<hr /> | #Dilute with 10ml of Normal Saline<hr /> | ||
== '''IV Neosynephrine (Phenylephrine)''' == | == '''<small>IV Neosynephrine (Phenylephrine)</small>''' == | ||
Concentration: 100mcg/ml | |||
# Concentration: 100mcg/ml | |||
# 10mg/ml vial | |||
# Add 1ml to 100ml Normal Saline | |||
== '''<small>IC/IA Epinephrine</small>''' == | == '''<small>IC/IA Epinephrine</small>''' == | ||
# Concentration: 10mcg / ml | |||
# 1mg/ml vial | |||
# Add 1ml to 100 ml Normal saline<hr /> | |||
== '''IA & IC Verapamil''' == | == '''<small>IA & IC Verapamil</small>''' == | ||
* 5mg/2ml Vial | * 5mg/2ml Vial | ||
Latest revision as of 15:36, 15 October 2025
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)
Bivalrudin
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 Syringe
- Dilute with 10ml of Normal Saline
IV Neosynephrine (Phenylephrine)
- Concentration: 100mcg/ml
- 10mg/ml vial
- Add 1ml to 100ml Normal Saline
IC/IA Epinephrine
- Concentration: 10mcg / ml
- 1mg/ml vial
- Add 1ml to 100 ml Normal saline
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
