Medications: Difference between revisions
From Bay Area Structural Heart Wiki
No edit summary |
No edit summary |
||
| (8 intermediate revisions by 3 users not shown) | |||
| Line 1: | Line 1: | ||
=== FFR Adenosine === | ===FFR Adenosine=== | ||
====IC administration==== | |||
*Concentration: 10mcg/ml | |||
*6mg/2ml Vial | |||
* 6mg/2ml Vial | *Add 1.7ml from vial to 500ml NS | ||
* 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) | |||
<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)'''=== | |||
*Concentration: 100mcg/ml | |||
*Premixed Drip | |||
*10ml from drip to 20ml Syring | |||
*Dilute with 10ml of Normal Saline | |||
<br /> | |||
<hr /> | |||
==='''IV Neosynephrine (Phenylephrine)'''=== | |||
*Concentration: 100mcg/ml | |||
*10mg/ml Vial | |||
*Add 1ml to 100ml N.S. | |||
<br /> | |||
<hr /> | |||
=== '''IA & IC Verapamil''' === | |||
* 5mg/2ml Vial | |||
{| class="wikitable" | |||
|'''RADIAL IA:''' | |||
| colspan="8" |Scrub pulls 0.8 ml (1 mg dose) in a 20 ml sterile radial cocktail syringe = '''200 mcg IA''' | |||
|- | |||
|'''IC:''' | |||
| 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''' === | |||
* 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 | |||
<br /> | |||
<hr /> | |||
=== '''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 | |||
<br /> | |||
[[Category:Setups]] | [[Category:Setups]] | ||
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
