Medications: Difference between revisions
From Bay Area Structural Heart Wiki
IC/IA Epi |
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*Dilute with 10ml of Normal Saline<hr /> | *Dilute with 10ml of Normal Saline<hr /> | ||
== '''IV Neosynephrine (Phenylephrine)''' == | |||
*Concentration: 100mcg/ml | *Concentration: 100mcg/ml | ||
*10mg/ml vial | *10mg/ml vial | ||
| Line 53: | Line 52: | ||
== '''<small>IC/IA Epinephrine</small>''' == | == '''<small>IC/IA Epinephrine</small>''' == | ||
* Concentration: 10mcg / ml | * Concentration: 10mcg / ml | ||
* 1mg/ml vial | * 1mg/ml vial | ||
Revision as of 15:12, 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 Syring
- 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
