An anesthesiologist is a person, standing at the interface of medical and surgical specialties. He may cease to be an expert outside his field; but still possess a bird’s eye view of most specialties. So I would like to label him as a 'layman' among the various specialists, who can save lives. This blog contains, easy to read snippets of info from his world i.e. Anesthesiology
Wednesday, March 7, 2012
Sunday, March 4, 2012
EASY DRUG CALCULATION IN 50 ML SYRINGE PUMP
If you load 3mg/kg of DOPAMINE / DOBUTAMINE / GTN / MILRINONE in a 50 ml syringe, then infusion @ 1 ml/hr of any of these drug will result in delivery of 1 μg/kg/min of the same
If you load 0.3 mg/kg of ADRENALINE / NOR ADRENALINE / ISOPRENALINE in a 50 ml syringe then infusion @ 1 ml/hr of any of these drug will result in delivery of 0.1 μg/kg/min of the same
If you load 3units/kg of VASOPRESSIN in a 50 ml syringe, then infusion @ 1 ml/hr of any of these drug will result in delivery of 0.001 units/kg/min of the same
e.g. If your patient weighs 60 kg, and you want to start Dopamine @ 5μg/kg/min; you load 3x60=180mg of Dopamine and dilute it to 50 ml in a 50ml syringe. Now if u start the infusion @1ml/hr, it will deliver 1μg/kg/min of Dopamine. We want it to run @ 5μg/kg/min. So keep it at 5ml/hr.
If you load 0.3 mg/kg of ADRENALINE / NOR ADRENALINE / ISOPRENALINE in a 50 ml syringe then infusion @ 1 ml/hr of any of these drug will result in delivery of 0.1 μg/kg/min of the same
If you load 3units/kg of VASOPRESSIN in a 50 ml syringe, then infusion @ 1 ml/hr of any of these drug will result in delivery of 0.001 units/kg/min of the same
e.g. If your patient weighs 60 kg, and you want to start Dopamine @ 5μg/kg/min; you load 3x60=180mg of Dopamine and dilute it to 50 ml in a 50ml syringe. Now if u start the infusion @1ml/hr, it will deliver 1μg/kg/min of Dopamine. We want it to run @ 5μg/kg/min. So keep it at 5ml/hr.
μg/kg/min to mL/hr and vice versa
• rate (mL/hr) = desired rate (in μg/kg/min) x 60 x wt (kg)
drug concentration (μg/mL)
eg Dopamine @ 5 μg/kg/min in a 40 kg patient using Dopamine 400 μg/mL
rate (mL/hr) = 5 x 60 x 40 / 400 = 30 mL/hr
-->To convert mL/hr to μg/kg/min:
• rate (μg/kg/min) = infusion rate (mL/hr) x drug concentration (μg/mL)
60 x wt (kg)
eg Dopamine @ 30 mL/hr in a 40 kg patient using Dopamine 400 μg/mL
• rate (μg/kg/min) = 30 x 400 / 60 x 40 = 5 μg/kg/min
Subscribe to:
Posts (Atom)