pulmonary edema : IHD , bilateral basal lung crepitation , sob
if bp >160/90
o2
diuretics = lasix iv 2-3 amp
angesid
foley catheter
capoten tab 25mg
*GTN 1amp in 200cc (7-10 drop per min)
*dopamine-dobutamine 2amp in 500ml (15 drop per min) to increase blood pressure
dka
two lines
first line :
1L N/S in 30min , then
1L NS in 1 hour , then 1L in 2hr , the 1L NS in 4hour
second line :
if there infusion pump , 0.15unit/kg iv direct , then 50 unit +50N/S (6 unit each hr)
*when RBG 250-270 = 3unit per hour
(if there no infusion pump , 50unit insulin in 500N/S each 10cc 1unit /kg ex: 70kg , 70unit per hour , 70*15drop=1650/60min = 7drop per min
*when RBG 200-250mg/dl = dextrose 50% or glucose water , if still dehydrated add 500L N/S
if NA low , give Glucose/Saline 0.45%
KCL : 1amp 10cc =20mg
5cc in 500N/S after pass urine , ECG to monitor T wave if flat or inverted
chart
time , RBS , insulin given , S.K , s.KSL , uop , condition
*plus , paracetamol if fever , plasil if vomiting , AB if infection
metoprolol , how to give
amp =5mg =5cc
bolus 1cc every 1min (drugs of choice in chronic af )
dopamine
2amp in 500cc N/S or G/S
septic shock = 15-20drop/min
cardiac dose = 10drop/min
renal dose=5-7drop/min
noradrenaline
1amp in 500cc N/S
bolus 4cc iv bolus
maintenance 7drop/min/24hr
HTN
1-capoten 50mg
2-labetalol 20cc/100mg
1cc=5mg ,max dose 300mg
3doses iv bolus
first dose 20mg/4cc , after 20min , 40mg=8cc, after 20cc , 40-80mg =8-16cc
3-hydralazine (apresoline) amp
diluted in G/S
amp/20mg=1cc+9cc N/S bolus iv