Epinephrine(Bosmin)【1mg/ml/amp】

l Cardiac arrest: 1pc iv q3-5min

l Bronchodilator: 0.2-0.5mg SC, repeated q20’ to q4hr prn, upto1mg/DS

l Anaphylactic reaction: 0.2-0.5mg SC or IM, repeated q15-20’ prn, up to 1mg/DS

Rocuronium(Esmeron)【50mg/5ml/amp】

Atropine【1mg/ml/amp】

l Bradycardia: 0.5mg iv q5’ up to total dose of 3mg ◎Asystole: 1mg q5’

Adenosine 【6mg/2ml/vial】

Rapid IV push 6mg stat, then 12mg(after 1-2’), and repeat prn(12mg)

Contraindication: preexisting 2nd and 3rd AV block without pacemaker

Amiodarone 【150mg/3ml/amp】【200mg/tab】

Indication: ventricular arrhythmia, SVT associated with WPW

Preparation: 6amp in D5W(only) 500ml run 1mg/min(33cc/hr) x 6hrs then 16.6cc/hr x 18hrs

Lidocaine【100mg/2% 2ml/amp】

Loading :1-1.5mg/kg, Q3-5 min 追加至 total 3mg/kg

Maintenance: 2-4mg/min；Preparation: 20Amp in NS/D5W 500cc run 30cc/hour

Calcium gluconate 10%, 10ml/amp, 1amp contains 4.5meq Ca2+

MgSO4, 10%, 20ml/amp, 1amp contain 16meq Mg2+(2g/amp)

Bolus use: 1-2g in D5W 100ml iv push 1-2min；

Loading dose: 1-2g in D5W(50-100ml) iv drip for 15-60min；
Maintenance dose: 2-20mg/min (3amp in NS 1000cc run 24cc/hr (4.2mg/min) for 3-7d)

Dobutamine【250mg/5ml/amp】

Dose: 2-20μg/kg/min(7ml/hr-72ml/hr)

Preparation: 2amp(500mg) in D5W 500ml

500mg × 1000ug ÷ 500cc ÷ ? kg ÷ 60min × 流速(cc/hr) ＝ ? μg/kg/min

Dopamine【200mg/5ml/amp】

l Dopaminergic effect: 2-5μg/kg/min(9-22.5ml/hr)

l βadrenergic effect: 5-10μg/kg/min(22.5-45ml/hr)

l αadrenergic effect: 10-20μg/kg/min(45-90ml/hr)

Preparation: 2amp(400mg) in D5W/NS 500ml

400mg × 1000ug ÷ 500cc ÷ ? kg ÷ 60min × 流速(cc/hr) ＝ ? μg/kg/min

Norepinephrine(Levophed)【4mg/4cc/vial】

Initial dose: 0.5-1μg/min(1.625-3.75ml/hr)

Maintenance dose: 2-12μg/min(7.5-45ml/hr), largest 30μg/min(112.5ml/hr)

Preparation: 2amp(8mg)in D5W 500ml

Digoxin【0.5mg/2ml/amp】【0.25mg/tab】

Loading: 0.25-0.5mg po or iv initially, followed by 0.25mg q6h to a total dose of 1-1.5mg

Maintenance: 0.125-0.375mg/d

Verapamil(Isoptin)【5mg/2ml/amp】

IV: initial 5-10mg(1-2amp) given slowly >2’, then 10mg(150μg/kg) 30’ later；
PO: initial 40mg tid

Heparin 【25000u/5ml/vial】

Loading dose: 5000u iv push stat (80 U/kg bolus)

Maintenance dose: 20000u in D5W 500ml run 20ml/hr(800u/hr) keep aPTT 1.5-2.0X

Protamine【50mg/5ml/amp】

Reverse of heparin with protamine: 1mg protamine = 100u heparin；slow iv (3-5min)

Enoxaparin【60ug/vial】：1.0mg/kg SC st & Q12h × 2~8 days (ACS) or 7~10 days (DVT)

Aggrastat (Tirofiban)【12.5mg/50ml/vial】

Primary PTCA：1 bt in N/S or D5W 200 c.c.，12-13 c.c. run 3 mins

then 11-12 c.c./hr X 36 hrs
 NSTEMI：1 bt in N/S or D5W 200 c.c.，30 c.c/hr. run 30 mins then 7-8 c.c./hr X 48 hrs

Nitroglycerine(NTG)【(50mg/100ml/vial) 】(玻璃瓶) 1cc ＝8.3ug/min

Mean dose: 10-400μg/min；run 2c.c./hr Q10 min↑1-2cc/hour

till symptom relief or hypotension

Nitroprusside(Nipride)【50mg/amp】(需避光) (本院缺藥)

Mean dose: 10-400μg/min

Preparation: 2amp(100mg) in D5W(only) 500ml，run 6cc/hour(10μg/min)

Q10 min↑6cc/hour

100mg × 1000ug ÷ 500cc ÷ ? kg ÷ 60min × 流速(cc/hr) ＝ ? μg/kg/min

Antidote: Sodium nitrate and thiosulfate

Isoproterenol(Isuprel)【0.2mg/ml/amp】

l For atropine refractory bradycardia or QT prolong

Preparation: 5amp(1mg) in D5W 500ml；Dose: 1-10μg/min iv drip(30-300ml/hr)

rapid intubation：0.6~1.2mg/kg (1/2~1pc)