FORMULAS

ABG
(FiO2 x 713) pCO2
0.8
II PaO2
I
III Target FiO2 + pCO2
II
0.8
713
x100
FiO2: RA = 0.21
NP = Lpm x 4 + 20
FM = Lpm x 10 10
RB = Lpm x 10
VR = 100%
AB = 80
CPAP = Lpm x 4 + 20
Delta H
[H+] = 24 x pCO2
HCO3
H = [H+] 40
pCO2 - 40
HCO3 DEFICIT
[Wt (kg) x 0.4] x [Desired - Actual]

HYPERNATREMIA

Na Deficit = 10/12 x TBW

Water Deficit =
[Actual Na-140] x TBW
140

TBW = wt (kg) x 0.6

HYPONATREMIA

Desired HCO3:
Normal = 20
CRF = 15
Give only of the computed deficit
1 amp = 44 meqs NaHCO3

FM: 5-6 = 40%

6-7 = 50%
7-8 = 60%
TP: 6 = 40%
7 = 70%
8 = 80%
9 = 90%
10 = 100%
Target FiO2:
< 60 = 80
> 60 = 80 age above 60
COPDier = 60

Example: wt = 40 kg
Na Deficit = (10) (40) (0.6)
= 240 meqs
using PNSS 1L, 240 meqs
154 meqs/L
1.6 L
1600 mL/24H = 67 cc/hr

Half-correction: 1/3 D5W

2/3 PNSS

CREATININE CLEARANCE
(140-Age) (wt in kg) X 0.85 (F)
1
(M)
Crea (mg/dL) x 72

Expected PF = Age x 5

<0.3 Chronic RF
0.30.7 Acute on top of
Chronic
>0.7 Acute RF, INTUBATE

TBW = wt (kg) x 0.6 (male)

0.5 (female)

Normal
Impairment
CRI
CRF
ESRD
Stage
1
2
3
4
5

80-120
50-80
20-50
5-20
<5

Description

GFR
(mL/min/1.73m2)

Kidney Damage w/ Normal or inc GFR

Kidney Damage w/ mild dec GFR
Moderate dec GFR
Severe dec GFR
Kidney Failure
<

BUN:CREA
BUN:Crea Ratio = BUN x 2.8
Crea
88.4

90
60-90
30-59
15-29
15 or dialysis

Normal
Pre-renal
Renal
Both

247.26
> 15
< 15
15-25

24H Creatinine Clearance (mL/min)

CrCl = Urine Cr (mg/dL) x Volume (mL)
Plasma Cr (mg/dL) x Time (min)
Conversion Factors:
BUN (mg/dL) x 0.357 = __ mmol/L

Crea (mg/dL) x 88.4

= __ mmol/L

Anion Gap
Na - (Cl + HCO3)
Normal = 12 4 meqs

Elevated AG:
Ketoacidosis
Lactic Acidosis
RF (GFR < 20-30)
Methanol & Ethylene
Intoxication

(Calcium x 4) + 0.8 x (4-Albumin)

4

IBW = [height (in) x 2.54 150] 10% (if female)

[2 (Corrected Na + K)] + RBS (mmol/L)

Example:
Total Cal Reqt. = 2000 kcal/day
60% CHO = 2000 x 0.60 = 1200/4 = 300 g
20% CHON = 2000 x 0.20 = 400/4 = 100 g
20% Fats = 2000 x 0.20 = 400/9 = 45 g

Corrected Na = Actual Na + 1.6 [RBS (mg/dL) 100]

100

Normal 280-300 mOsm/L

DKA
300-320
HHS
330-380

Hemolysis
Hypoproliferative Anemia or Maturation Disorder

Diabetic Diet
Ideal Body Weight (IBW) x 35 cal/kg = Total cal/day

Serum Osmolality (mOsm/L)

RBS (mmol/L) x 18 = ___ mg/dL

Reticulocyte count x [Hgb x 15]

2
or
Reticulocyte count x [Hct abn] x
[Hct N]
> 2.5
< 2.0

Corrected Ca (mg/dL)

Reticulocyte Index

OTF Feeding
Weight (kg) x 35 kcal = ___ kcal/day
x 60% CHO/4
x 20% CHON/4
x20% Fats/9

Urine Osmolality
Specific Gravity 1 x 40,000

D5W

Gluc 50g/L

Mean Arterial Pressure (MAP; mmHg)

Systolic BP + 2Diastolic BP
3
Body Mass Index (BMI)
weight (kg)
height (m)2

Normal
Underweight
Overweight
Obese

<18.5
18.5-24.9
25-29.9
>30

D10W

Gluc 100g/L

kcal/scoop
Nutren = 35
Isocal = 83
Ensure = 42-43
Glucerna = 36-37

IV Fluids
PNSS
D5LR
Na
154
Cl
154

Na
130
Cl
109
K
4
Ca
3
HCO3
28

D5NM
Na
40
Cl
40
K
13

D5NMK
Gluc
50
Na
40
Cl
40
K
30

D5IMB
Na5
Cl
22
K
20
Mg
3
Acetate
23
PO4
3

DRIPS

Actrapid Sliding Scale

CA Drip

Clonidine Drip

Clonidine 2 amps (150 mg/amp) + Apresoline

2 amps (20 mg/amp) in 500cc PNSS or D5W x
___ gtts/min

Clonidine 2 amps in 500cc

PNSS

Titrate by increments of __ gtts to maintain

BP ___ mm Hg (up to 60 gtts/min)
Apresoline Drip
Apresoline 2 amps (20 mg/amp) in PNSS
250cc
Max: 400 mg/day

Systolic BP
<160
160-180
180-200
>200

Dose
(gtts/min)
close
20
25
30

Aminophylline Drip
Aminophylline 4 amps in
500cc D5W x ___ gtts/min
LD: 5-6 mg/kg BW
MD: 0.2-0.5 mL/hr

Actrapid Drip
20 u Actrapid + 100cc PNSS
HGT
< 160
160-199
200-249
250-299
300-349
350-399
400-499
500

Actrapid
close
3 cc/hr
8
10
15
20
25
30 & refer

< 200
200-249
250-299
300-349
350-399
400-449
450-499
> 500

close
15
20
25
30
35
40
45 & refer

Actrapid Drip for GDM

10 u Actrapid + 100cc
PNSS
HGT
< 120
121-140
141-160
161-180
181-220
221-240
241-260
261-280
281-300
> 300

Actrapid
close
6 cc/hr
8
10
14
16
18
20
22
refer

CBG
<160
161-200
201-249
250-299
300-349
350-399
400-449
450-499
500

Coverage
no coverage
3 units
5
7
9
11
13
14
15 & refer

Burinex Drip
Burinex 3 amps in 54cc PNSS
x 10 cc/hr
Calcium Gluconate Drip
Calcium Gluconate 4 amps (10mg/amp) in
500cc D5W x 24hr

Bricanyl Drip
Bricanyl 5 amps in 500cc D5W
x 24H
Increase to 30-40 cc/hr
Bricanyl 2.5 mg/tab TID

CBG
200
201-250
251-300
301-350
351-400
401-450
451-500
>500

Coverage
no coverage
3 units
5
7
8
9
11
12 & refer

Calcium-Glucose Drip
Ca gluconate 4 amps in 500cc
D5W x 24hr
see to it that the patient has
no beta-blocker

Cordarone Drip
Cordarone 4 amps + 500cc
PNSS x 60 cc/hr x 1st 6
hours
Subsequently 25 cc/hr
Cordarone 150 mg IV now
Cordarone 4 amps + 500cc
D5W x 24H
Cordarone 4 amps + 500cc
D5W x 25 gtts/min x 6H,
then 12 cc/hr

Diazepam Drip
Diazepam 10 mg/100cc D5W
Diazepam 20 mg/100cc D5W
Initial: 50-100 mg IV
Max: 60 mg/day
Diazepam 50 mg in 100cc PNSS x 6 cc/hr to titrate to control seizure, hold for
BP < 90/60 mm Hg
Dormicum Drip
Dormicum 3 amps (1.5 mg/amp) + 500cc PNSS x 2 mg/hr

Epinephrine Drip
Epinephrine 5 amps (5 mg) + 500cc D5W to run for 6 cc/hr

Glucose-Insulin-HCO3 Drip
D5W 150cc + D50W 1 vial + NaHCO3 1 amp +
Actrapid 8 units to run for 6 or 8 or 12 hrs

Dobutamine Drip
Dobutamine 250 mg/amp + D5W 250cc x ___
gtts/min
(max rate: 60 gtts/min)

Dopamine Drip
Dopamine 2 amps (400 mg)
+ 250cc D5W
(max: 10-20 mg/kg/min)

Repeat K post-drip

Rate drip:
Drip mcg x kg BW
16.6

Renal Vasocons: 0-5

mg/kg/min
Inotropic: 5-10 mg/kg/min
Vasoconstriction: > 10
mg/kg/min

For patients w/ CHF:

Dobutamine 2 amps (500 mg) +
D5W 250 cc
(max rate: 30 gtts/min)

Fraxiparine Drip
Fraxiparine 2 amps in 1 L D5W or D5NSS
88 U/kg BW or 0.1 cc/kg x 24H
Fraxiparine
85 cc/kg or 0.1 cc/10 kg
Furosemide Drip
(Dr. Caro)
In a soluset: Furosemide 3 amps + 54cc PNSS
x 10cc/hr
Or
D5W 250cc + Furosemide 250mg/amp x 5-30
gtts/min
Conc: 1 mg/mL
Or
PLR 500cc + 18 amps Furosemide x 18-20
gtts/min

Rate (gtts/min):
mg/kg/min x BW
13.3 or 26.6
Furosemide Drip
Furosemide 3 amps + 54cc
PNSS in a soluset x 10 cc/hr
Furosemide 80 mg in 80cc
PNSS via soluset x 10 cc/hr

Glucose
HGT < 60 D50W 1 amp
HGT < 40 D50W 2 amps
Target FBS 60-90, RBS 80-120

Heparin Drip
D5W 250cc + Heparin 10,000 units x 10-20
gtts/min via infusion pump
Conc.: 50 U/mL
Drip of 500-1000 U ~ 10-20 gtts/min
OR
In a soluset, Heparin 4cc in 36cc D5W
(Heparin 1000 IU/cc)
OR
Heparin 5000 U IV initially, then 4000 U in
36cc PNSS via soluset x 1000 U/hr
LD: 3000-5000 U slow IV

Furosemide-Albumin Drip
25% Albumin 50cc +
Furosemide 20mg to run for
4hrs

LD = 80 U/kg
MD = 18 U/kg
APTT detn q6h
APTT 1.5-2x the baseline

Albumin 50cc + PNSS 950cc

+ Furosemide 100mg x 24hrs

In a soluset, 50cc D50W +

Actrapid 8-10 units x 1hr x 3
cycles
CBG monitoring qHourly while
on drip
Repeat K 1 hr after the last
cycle
Heparin for Flushing
> 500 U Heparin in 100 mL
PNSS
Hepamerz Drip
< 4 amps in 500cc D5W x
12hrs BID
IVIG
LD: 2 g/kg given in 5-6hrs in
3-5 days
MD: 400 mg/kg or 0.4g/kg
Insulin Drip
PNSS 250cc + Humulin R 50
u
Conc.: 0.2 U/mL
Drip of 5-50 gtts/min ~ 110 u Humulin

Albumin 100cc + Furosemide

40mg to run for 4-6hrs
Dr. Caro:
Furosemide 60mg + PNSS
54cc x 10cc/hr
SD: Plasbumin 25% 100cc to
run for
6 hrs

Glucose-Insulin Drip
(Hyperkalemia 6)

Isoket Drip
Isoket 10mg/amp (1amp) + PNSS 90cc x 10
gtts/min (1 mg/hr)
Miacalcic Drip
Miacalcic 2 amps (200 IU) + D5W 250 cc x
15H

NaHCO3 Drip
NaHCO3 2 amps (50cc/amp)
in D5W x 24H
or
NaHCO3 3 amps in 100cc
D5W x 24H

Nicardipine Drip
- 5mg/10ml
- Nicardipine 10mg in 90cc PNSS or D5W in a soluset to run for 10cc/hr, titrate
by increments of 5 gtts/min to maintain BP at ____ mmHg
- Max of 150 cc/hr at 15mg/hr (0.5 mk/BW), give initial bolus of 2mg IVTT,
titrate to BP ___
Lidocaine Drip
-give 50 as blous, then start drip as follows:
1 g in 250cc D5W at 15cc/hr (1mg/h)
increase by increments of 15

Action: 30mins
Peak: 2hrs
Complications:
- rebound increase in ICP
- IV volume expansion
pulmonary edema
CHF
- DHN
- Hypernatremia

Levophed 2 amps (2 mg/mL/amp) in D5W 250cc x 10 gtts/min

Levophed 4 amps in D5W 500cc x ___ gtts/min
Pantoloc Drip
- maintain GI acidity to stabilize clot
- Pantoloc 80mg IV bolus then 5 amps in PNSS 1L x 24H for 3 days

LD: 1mg/H
Conc: 4mg/cc
Drip: 1-4mg/min
Mannitol (prep 20%)
Dose: Amt given (cc)x0.2/kBW
LD: 1-2 g/kg
MD: 0.5-1 g/kg

Noradrenaline (Levophed) Drip

- 2mg Noradrenaline/2ml amp
- D5W 250cc + Levophed 1amp x 15-60 gtts/min
- conc: 8mcg Noradrenaline/ml
- drip of 2-8 mcg Noradrenaline ~ 15-60 gtts/min

Mannitol-Furosemide Drip:
Mannitol 250cc + Furo 100mg
x 10 gtts/min
OR
Mannitol 36cc + Furo 240mg
(24mL) x 6H
MgSO4 Drip
D5W 250cc + MgSO4 2g x
20 cc/H
Conc: 250mg/mL x 10 amps
(2.5 g/amp)

Morphine Drip
MoSO4 10 mg/amp (1 amp) + PNSS 60cc in a soluset x 10 gtts/min

Octreotide (Sandostatin) Drip

- prep: 0.5 mg/mL
- 0.2 mg/mL IV bolus, give for 1 min, then start drip as ff: 4 amps +
remaining 0.03 mg in 500cc PNSS x 24H
Sandostatin Drip
- sandostatin 0.5mg/amp 0.2mL now then drip as ff: 0.8mL in D5W 500cc x
8H
- ff by 2 amps sandostatin 0.5mg/amp + D5W or D5NSS 1L x 24H
Solumedrol Drip
Solumedrol 2g + D5W 500cc x 20 gtts/min
Somatostatin Drip
Somatostatin 250mcg IV bolus then 2amps (3mg/amp) + PNSS 1L x 24H for 5
days w/o interruption
Streptokinase Drip
Streptokinase 1.5M units + D5W 90cc x
100cc/H (1H running rate) via soluset

MoSO4 1 amp (16mg/amp) + PNSS 50cc x 6 gtts/min (2mg/H)

Give prior: Benadryl 50mg ivtt

Solucortef 250mg ivtt

PRN: 1-3mg MoSO4 SQ

APTT monitoring q6H

Nimotop Drip
Nimotop vial + D5W 500cc x 24H
Nootropil Drip
Nootropil 12g in 60cc x 24H

Terbutaline (Bicanyl) Drip

D5W 250cc + Bricanyl 5amps
x 10-30 gtts/min
Thiamine Drip:
50-100mg IV (for 40-50 y.o.)

Toradol Drip
Toradol 30mg + PNSS 80cc via soluset x 8H
Toradol 100mg + PNSS 80cc x 10cc/H
Tramadol Drip
Tramadol 100mg + PNSS 80cc x 10 gtts/min
Trental Drip
Trental 4amps in PNSS 500cc x 24H
Zantac Drip
Zantac 5amps in D5W 500cc x 16H
Zithromax Drip
Zithromax 500mg in 90cc IVF via soluset to run for 5H