0.25mg/kg (Max dose: 25mg) IV bolus x1. Start drip at 5mg/hr. Consider addition 30mg PO IR Diltiazem q6 hours or home dose to reduce need for drip. Drip can be titrated to 15mg/hr, with re-bolus of 0.25mg/kg with each increase. IV to PO diltiazem: Oral dose = (IV drip rate [in mg/hr] x 3 3) x10 Steps to covert from diltiazem IV to PO 1.
protocol. If pt in DKA, please titrate. IVF's, not insulin drip Amiodarone IVP, Drip. Lidocaine Drip. Diltiazem (Cardizem) IVP, Drip. Lovenox
System Protocols NITROGLYCERIN AND HEPARIN DRIP INTERFACILITY PROTOCOLS Date: April 2024 Last Revised Date: MCA Name: HEMS, Inc. (WW/DR) MCA Board PageApproval Date: MCA Implementation Date: MDHHS Approval Date: Section 8.15 (S4) 1of5 Nitroglycerin and Heparin Drip Interfacility Protocols EMS Protocol
IV Bolus: 20 mg over at least 2 minutes. Max concentration: 5 mg/mL. Bolus Amiodarone IVP, Drip. Lidocaine Drip. Diltiazem (Cardizem) IVP, Drip. Lovenox
Rate of Infusion: Not faster than 10 mEq / hr. Serum Potassium Level Amiodarone IVP, Drip. Lidocaine Drip. Diltiazem (Cardizem) IVP, Drip. Lovenox
Protocol Definitions Criteria. Above criteria are If rate is not controlled and SBP 100 mm Hg consider Diltiazem drip (start at 10 mg/hr IV
IV Bolus: 20 mg over at least 2 minutes. Max concentration: 5 mg/mL. Bolus Amiodarone IVP, Drip. Lidocaine Drip. Diltiazem (Cardizem) IVP, Drip. Lovenox
0.25mg/kg (Max dose: 25mg) IV bolus x1. Start drip at 5mg/hr. Consider addition 30mg PO IR Diltiazem q6 hours or home dose to reduce need for drip. Drip can be titrated to 15mg/hr, with re-bolus of 0.25mg/kg with each increase. IV to PO diltiazem: Oral dose = (IV drip rate [in mg/hr] x 3 3) x10 Steps to covert from diltiazem IV to PO 1.
Amiodarone IVP, Drip. Lidocaine Drip. Diltiazem (Cardizem) IVP, Drip. Lovenox SQ. Dobutamine Drip. Magnesium IVP, Drip. Dopamine Drip. Nitroprusside (Nitropress)
Comments
So now she has to go Russia? You aren't building suspense, you are dragging it out.
Ahhhfuckingmazing.
xoxo
KD