G U I D E L I N E S

ADULT IV STANDARD DRIP LIST

These guidelines have been developed in collaboration with the Nursing and Pharmacy Departments and serve as a clinical guide for the restriction of certain medications to specific patient populations, indication, dosing, or defined clinical and/or nursing units and departments. This guideline is not meant to be an exhaustive medication list but indicates those medications where a restricted use or limited dosing is indicated.
Generic Name (Brand Name) Standard Concentration Abciximab (Reopro)
Bolus: undiluted (with 0.22 micron filter) DRIP: 9 mg/250 mL NS or D5W (36 mcg/mL) (with 0.22 micron filter) BOLUS: 0.25 mg/kg (given 10 60 minutes prior to PCI) DRIP: 0.125 mcg/kg/min (max= 10 mcg/min) x 12 hours

Rate of Administration

Second Provider Verification Required

ICU

IMC

Med/ Surg

SDS

ER

PACU

Cath. Lab

Heme/ Onc

MCC/ LDR

DRIP

DRIP

DRIP

DRIP

DRIP

Adenosine (Adenocard)
For acute PSVT: give undiluted Stress test: 60 mg/50 mL NS

PSVT: IVP over 1 2 seconds

*By a Critical Care nurse only STRESS TEST: over 6 minutes BOLUS: over 1 2 minutes IVPB: over 1 3 hours (depending on diagnosis) For declotting catheters Retain in catheter x 2 hours. HIGH ALERT MEDICATION Requires Second provider Verification HIGH ALERT MEDICATION Requires Second provider Verification

IVP

IVP

IVP

IVP

IVP

IVP*

IVP*

Alteplase (Activase, tPA)

Dilute using diluent provided Usual concentration = 1 mg/mL

IVP IVPB

IVP IVPB

IVP IVPB

IVP IVPB

Alteplase (Activase, tPA, Cathflo)

2 mg/2 mL (Volume of alteplase needed should be equal to volume of catheter)

Aminocaproic Acid (Amicar)

<1 Gm in 50 mL D5W / NS >1 Gm in 100 mL D5W / NS >5 Gm in 250 mL D5W / NS

LD: 4 5 grams over 1 hour DRIP: 1 1.25 gram/hour thereafter

IVPB

IVPB

IVPB

IVPB

IVPB

Reference in policy: Medication Administration, rev 05/12

Page2of16

ADULT IV STANDARD DRIP LIST

Generic Name (Brand Name) Standard Concentration Amiodarone (Cordarone)
LD: 150 mg/100 mL D5W DRIP: 900 mg/500mL D5W Conc. = 1.8 mg/mL *For DRIP: must use nonPVC bag

Rate of Administration

Second Provider Verification Required

ICU

IMC

Med/ Surg

SDS

ER

PACU

Cath. Lab

Heme/ Onc

MCC/ LDR

LD: over 10 min DRIP: 1 mg/min x 6 hours, then 0.5 mg/min x 18 hours; or per MD orders 25 mL/hr over 24 hours LD: 0.75 mg/kg given over 10 minutes (AHA guidelines recommends over 10 15 minutes)

BOLUS DRIP

BOLUS DRIP

BOLUS DRIP

BOLUS DRIP

BOLUS DRIP

Amiodarone (CABG)
DRIP: 1080 mg/600 mL D5W

DRIP

Amrinone Lactate
(Inocor) 500 mg/250 mL D5W

IVP Requires Second provider Verification DRIP

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

Antivenin Crotalidae (Snake) (CroFab)

Diluted in 250 mL NS

Start at 25 50 mL/hr over first 10 minutes, if no reaction, infuse remainder over 1 hour

IVPB

IVPB

IVPB

Antivenin Lactrodectus
(Black Widow) Diluted in 50 mL Infuse over 15 minutes IVPB IVPB IVPB

Argatroban
250 mg/250 mL (1 mg/mL) Must follow hospital protocol HIGH ALERT MEDICATION Requires Second provider Verification DRIP DRIP DRIP DRIP DRIP DRIP DRIP

Atracurium (Tracrium)
BOLUS: undiluted DRIP: 200 mg/100 mL (2 mg/mL)

BOLUS: over 30 60 seconds Monitor using Train-of-Four (TOF)

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

Reference in policy: Medication Administration, rev 05/12

Page3of16

ADULT IV STANDARD DRIP LIST

Generic Name (Brand Name) Standard Concentration Bivalirudin
(Angiomax) 250 mg / 50 mL NS Final concentration = 5 mg/mL BOLUS: 0.75 mg/kg Drip: 1.75 mg/kg/hr

Rate of Administration

Second Provider Verification Required

ICU

IMC

Med/ Surg

SDS

ER

PACU

Cath. Lab

Heme/ Onc

MCC/ LDR

BOLUS DRIP

Calcium CHLORIDE
May be given undiluted Drip: 1 gm/100 mL

Usual Rate: 1 gm/hour Max rate: 100 mg/minute

HIGH ALERT MEDICATION Requires Second provider Verification

IVPB

IVPB

IVPB

IVPB

Calcium GLUCONATE
May be given undiluted Usual dilution in 50 100 mL Max rate: 200 mg/minute HIGH ALERT MEDICATION Requires Second provider Verification IVPB IVPB IVPB IVPB IVPB IVPB IVPB IVPB IVPB

Cisatracurium (Nimbex) 100 mg / 50 mL (undiluted) Dantrolene (Dantrium)

Reconstitute each 20 mg vial with 60 mL sterile water for injection, without bacteriostatic agent (do not further dilute)

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

Prophylactic dose: 2.5 mg/kg, Infuse over 1 hour Emergent/followup dose: 1 mg/kg, Slow IVP over 2-3 minutes Max rate= 15 mg/kg/hr

IVP IVPB

IVP IVPB

IVP IVPB

Deferoxamine (Desferal)
Must be diluted prior to infusion (no standard concentration)

DRIP IVPB

DRIP IVPB

DRIP IVPB

DRIP IVPB

DRIP IVPB

Reference in policy: Medication Administration, rev 05/12

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ADULT IV STANDARD DRIP LIST

Generic Name (Brand Name) Standard Concentration Desmopressin (DDAVP)
Diabetes Insipidus: undiluted Hemophilia: dilute dose in 50 mL NS Max concentration = 0.5 mcg/mL

Rate of Administration

Second Provider Verification Required

ICU

IMC

Med/ Surg

SDS

ER

PACU

Cath. Lab

Heme/ Onc

MCC/ LDR

IVP Diabetes insipidus: IVP over 1 minute Hemophilia/Von Willebrands disease: IVPB over 15 30 minutes IVPB

IVPB

IVPB

IVP IVPB

IVP IVPB

IVPB

IVPB

With telemetry

With telemetry

With telemetry

Dexmedetomidine (Precedex) 400 mcg in 100 mL NS

(Loading dose and Drip) (Concentration = 4 mcg/mL)

LD: Over 10 minutes DRIP: 0.2 mcg/kg/hr up to a maximum of 1.4 mcg/kg/hr should not exceed 72 hours duration

IVPB DRIP

IVPB DRIP

Digoxin (Lanoxin)
May be given undiluted

Slow IVP over 5 minutes Not to exceed 1 mg/24 hours

HIGH ALERT MEDICATION Requires Second provider Verification

IVP

IVP

IVP

IVP

IVP

IVP

IVP

IVP

IVP

Digoxin Immune Fab (Digibind, DigiFab)

Dilute to 1 mg/mL concentration *Digibind: must use 0.22micron filter (no standard concentration)

Infuse over 30 minutes

IVPB

IVPB

IVPB

IVPB

IVPB

IVPB

IVPB

Reference in policy: Medication Administration, rev 05/12

Page5of16

ADULT IV STANDARD DRIP LIST

Generic Name (Brand Name) Standard Concentration Diltiazem (Cardizem)
Bolus: given undiluted DRIP: 125 mg/100 mL D5W (total volume of 125 mL = 1 mg/mL BOLUS: 0.25 mg/kg over 2 minutes (2nd bolus may be given after 15 minutes if needed up to 0.35 mg/kg) DRIP: 5-15 mg/hr Max: 15 mg/hr

Rate of Administration

Second Provider Verification Required

ICU

IMC

Med/ Surg

SDS

ER

PACU

Cath. Lab

Heme/ Onc

MCC/ LDR

BOLUS DRIP

BOLUS DRIP

BOLUS DRIP

BOLUS DRIP

BOLUS DRIP

Dobutamine (Dobutrex)
250 mg/250 mL = 1 mg/mL 500 mg/250 mL (double conc.)

Continuous infusion only Range: 2 20 mcg/kg/min Max:: 20 mcg/kg/min Continuous infusion only Max: 20 mcg/kg/min

DRIP Requires Second provider Verification DRIP Requires Second provider Verification IVP

DRIP

DRIP
Maintenance dose @ 1 5 mcg/kg/min with telemetry

DRIP

DRIP

DRIP

DRIP

DRIP
Maintenance dose @ 1 5 mcg/kg/min with telemetry

DRIP
Maintenance dose @ 1 5 mcg/kg/min with telemetry

Dopamine (Intropin)
400 mg/250 mL = 1.6 mg/mL 800 mg/250 mL = 3.2 mg/mL (double concentration)

DRIP
Maintenance dose @ 1 5 mcg/kg/min with telemetry

DRIP
Maintenance dose @ 1 5 mcg/kg/min with telemetry

DRIP

DRIP

DRIP

DRIP
Maintenance dose @ 1 5 mcg/kg/min with telemetry

DRIP
Maintenance dose @ 1 5 mcg/kg/min with telemetry

Edrophonium (Tensilon)
May be given undiluted

IVP: over 30 45 seconds

IVP

IVP

Enalaprilat (Vasotec)
May be given undiluted

Slow IVP over 5 minutes

IVP

IVP

IVP

IVP

IVP

IVP

IVP

IVP

IVP

Ephedrine
May be given undiluted

Maximum rate = 10 mg/min Continuous infusion 1 10 mcg/min Requires Second provider Verification

IVP IM

IVP IM

IVP IM

Epinephrine (Adrenaline)
Usual dilution: 8 mg/250 mL (32 mcg/mL)

DRIP

DRIP

DRIP

DRIP

Reference in policy: Medication Administration, rev 05/12

Page6of16

ADULT IV STANDARD DRIP LIST

Generic Name (Brand Name) Standard Concentration Eptifibatide
(Integrelin) Pre-made vials/bottles: BOLUS: 2 mg/mL (10 mL vial) DRIP: 7 mg/100 mL (0.75 mg/mL) BOLUS: over 1-2 minutes ACS: 180 mcg/kg (max 22.6 mg) bolus then 2 mcg/kg/min (Max = 15 mg/hr) until CABG or x 72 hours PCI: 135 mcg/kg (max 22.6 mg) bolus then 2 mcg/kg/min (Max =15 mg/hr) until DC or x 18 24 hours BOLUS BOLUS: 500 mcg/kg over 1 minute DRIP: 50 200 mcg/kg/min Max: 200 mcg/kg/min Do NOT give as bolus dose, must be given as an infusion. Rate: 0.03 1.6 mcg/kg/min (Max = 1.6 mcg/kg/min) Not to exceed 48 hours DRIP DRIP DRIP DRIP DRIP Requires Second provider Verification DRIP BOLUS DRIP BOLUS DRIP BOLUS DRIP

Rate of Administration

Second Provider Verification Required

ICU

IMC

Med/ Surg

SDS

ER

PACU

Cath. Lab

Heme/ Onc

MCC/ LDR

BOLUS DRIP

BOLUS DRIP

BOLUS DRIP

BOLUS DRIP

BOLUS DRIP

DRIP rate = 1 mcg/kg/min for Serum Creatinine between 2-4 (Max =7.5 mg/hr)

Esmolol (Brevibloc)
Bolus: use 10 mg/mL vial only DRIP: Dilute dose to 10 mg/mL NS or D5W

Fenoldopam (Corlopam)
10 mg/250 mL NS or D5W (40 mcg/mL)

Reference in policy: Medication Administration, rev 05/12

Page7of16

ADULT IV STANDARD DRIP LIST

Generic Name (Brand Name) Standard Concentration Fentanyl (Sublimaze)
IVP: may dilute to 5 mL with NS DRIP: 1000 mcg/100 mL IVP: over 3 5 minutes DRIP: rate per orders usual range 50 100 mcg/hr, but doses may be much higher Max rate = 150 mg/min Maximum dose for IVP = 500 mg No filter needed.

Rate of Administration

Second Provider Verification Required

ICU

IMC

Med/ Surg

SDS

ER

PACU

Cath. Lab

Heme/ Onc

MCC/ LDR

IVP DRIP PCA

IVP PCA

IVP PCA

IVP

IVP DRIP PCA

IVP DRIP PCA

IVP DRIP PCA

IVP PCA

IV PCA

Fosphenytoin (Cerebryx)
May be given diluted or undiluted

IVP IVPB

IVP IVPB

IVP IVPB

IVP IVPB

IVP IVPB

IVP IVPB

IVP IVPB

IVP IVPB

IVP IVPB

Heparin
BOLUS: undiluted DRIP: 25,00 units/250 mL (100 units/mL)

BOLUS: over > 1 minute rate per protocol

HIGH ALERT MEDICATION Requires Second provider Verification

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

Hydralazine (Apresoline)
IVP: undiluted

Over at least 1 minute

IVP

IVP

IVP

IVP

IVP

IVP

IVP

IVP

IVP

Ibutilide (Corvert)
1 mg in 50 mL NS or D5W

Infuse over 10 minutes May repeat x 1 as ordered Titrate HIGH ALERT MEDICATION Requires Second provider Verification

IVPB

IVPB

IVPB

IVPB

IVPB

Insulin Regular
100 units/100 mL (Drip)

DRIP

DRIP

DRIP

DRIP Only for L&D and Maternal Child Status Patients

Reference in policy: Medication Administration, rev 05/12

Page8of16

ADULT IV STANDARD DRIP LIST

Generic Name (Brand Name) Standard Concentration Isoproterenol (Isuprel)
LD: dilute 0.2 mg in 10 mL DRIP: 1 mg/250 mL D5W (1 mg/250 mL = 4 mcg/ mL) LD: over 1 minute DRIP: 1 10 mcg/min Start @ 1 mcg/min BOLUS: give each 20 mg over > 2 minutes DRIP: Initial 2 mg/min, Usually 2 6 mg/min LD: over 3 minutes DRIP: 1 4 mg/min IVP DRIP IVP DRIP

Rate of Administration

Second Provider Verification Required

Requires Second provider Verification

ICU

IMC

Med/ Surg

SDS

ER

PACU

Cath. Lab

Heme/ Onc

MCC/ LDR

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

Labetalol (Normodyne, Trandate)

BOLUS: Undiluted DRIP: 200 mg in 160 mL (1 mg/mL) Total volume = 200 mL

IVP DRIP

IVP

IVP With telemetry

IVP With tele.

IVP DRIP

IVP DRIP

IVP DRIP

IVP With telemetry

IVP With telemetry

Lidocaine (Xylocaine)
BOLUS: undiluted DRIP: 2 gm/500 mL (4 mg/mL)

IVP

IVP DRIP

IVP DRIP

IVP DRIP

Lorazepam (Ativan)
IVP: dilute with equal volume of NS, D5W, or SW DRIP: in D5W only 20 mg/100 mL (0.2 mg/mL) 40 mg/100 mL (0.4 mg/mL)

IVP: max rate = 2 mg/min (Stable at room temperature for 12 hours in plastic bag and for 24 hours in glass bottle) Infuse over 30 minutes per gram

IVP DRIP

IVP DRIP Only for Category III

IVP DRIP Only for Category III

IVP

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP Only for Category III

IVP

Magnesium Sulfate
1 2 mg Dose diluted in 50 - 100 mL D5W or NS

IVPB

IVPB

IVPB

IVPB

IVPB

IVPB

IVPB

IVPB

IVPB

Magnesium Sulfate
(MCC & ED ONLY) 4 Gm/100 mL (loading dose) 20 Gm/500 mL (Drip)

Loading dose given over 20 30 minutes Usual max drip rate is 3 Gm/hour

HIGH ALERT MEDICATION Requires Second provider Verification

DRIP

DRIP

DRIP

DRIP Loading Dose only for L&D and Maternal Child Status Patients

Reference in policy: Medication Administration, rev 05/12

Page9of16

ADULT IV STANDARD DRIP LIST

Generic Name (Brand Name) Standard Concentration Mannitol (Osmitrol)
No further dilution needed Must use 5-micron filter to draw-up from vial for concentrations of greater than or equal to 20% Use 0.22-micron filter during IVPB infusion Test dose: over 3 5 minutes Oliguria: 90 minutes Reduction of intracranial pressure: over 30 60 minutes Central line required unless emergent

Rate of Administration

Second Provider Verification Required

ICU

IMC

Med/ Surg

SDS

ER

PACU

Cath. Lab

Heme/ Onc

MCC/ LDR

IVP IVPB

IVP IVPB

IVP IVPB

IVP IVPB

IVP IVPB

IVP IVPB

IVP IVPB

IVP IVPB

IVP IVPB

Metoprolol (Lopressor)
May be given undiluted

IVP: over 1 minute Usual dose: 5 mg every 2 5 minutes Maximum of 3 doses IVP: over 2 3 minutes IM: 0.05-0.15 mg/kg; Maximum total dose: 10 mg

IVP

IVP

IVP With telemetry

IVP With tele.

IVP

IVP

IVP

IVP With telemetry

IVP With telemetry

Midazolam (Versed)
DRIP: 100 mg/100 mL

IVP DRIP IM

IVP IM DRIP Only for Category III

IVP IM DRIP Only for Category III

IVP IM

IVP DRIP IM

IVP DRIP IM

IVP DRIP IM

IVP IM DRIP Only for Category III

IVP IM

Milrinone
(Primacor) LD: undiluted or diluted 1 mg/mL NS DRIP: 200 mcg/mL (D5W) 20 mg/100 mL Total volume = 100 mL

LD: over 10 minutes DRIP: 0.375 0.75 mcg/kg/min Max: 1.13 mg/kg/24 hours (including boluses)

Requires Second provider Verification

BOLUS DRIP

BOLUS DRIP

BOLUS DRIP

BOLUS DRIP

Morphine
IVP: undiluted or dilute with 3 5 mL of NS or SW DRIP: 250 mg/250 mL DRIP: 50 mg/50 mL IVP: over 3 5 minutes IVP DRIP IVP PCA IVP PCA IVP PCA IVP DRIP IVP DRIP IVP PCA IVP DRIP IVP PCA

Reference in policy: Medication Administration, rev 05/12

Page10of16

ADULT IV STANDARD DRIP LIST

Generic Name (Brand Name) Standard Concentration Naloxone (Narcan)
IVP: undiluted DRIP: 4 mcg/mL (1 mg/250 mL NS or D5W)

Rate of Administration

Second Provider Verification Required

ICU

IMC

Med/ Surg

SDS

ER

PACU

Cath. Lab

Heme/ Onc

MCC/ LDR

IVP: over 30 seconds DRIP: 0.4 mg/hour

IVP DRIP

IVP DRIP

IVP DRIP

IVP

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

Nesiritide (Natrecor)
1.5 mg in 250 mL = 6 mcg/mL ***Must be initiated in ICU or IMC. Once patient is stable, nesiritide may be administered in any floor***

Bolus dose must be drawn from infusion bag (not from vial) and given over 60 seconds Initial rate: 0.01 mcg/kg/min

BOLUS Requires Second provider Verification DRIP

BOLUS DRIP DRIP

BOLUS DRIP

BOLUS DRIP

BOLUS DRIP

BOLUS DRIP

Nicardipine (Cardene)
0.2 mg/mL 50 mg/250 mL NS total volume of 250 mL

**Continuous infusion only** Rate: start at 5 mg/hr, increase by 2.5 mg/hr every 15 minutes to a maximum of 15 mg/hr

DRIP

DRIP

DRIP

DRIP

DRIP

Nitroglycerin (Tridil)
50 mg/250 mL (200 mcg/mL)

DRIP Rate: 5 - 200 mcg/min If rate > 100 mcg/min, consider 2nd antihypertensive agent Requires Second provider Verification

DRIP Up to 50 mcg/min

DRIP

DRIP

DRIP

Reference in policy: Medication Administration, rev 05/12

Page11of16

ADULT IV STANDARD DRIP LIST

Generic Name (Brand Name) Standard Concentration Nitroprusside (Nipride)
50 mg/250 mL (200 mcg/mL) Protect bag from light Initial rate: 0.3 mcg/kg/min Max rate: 10 mcg/kg/min Monitor for severe hypotension. (Arterial line strongly recommended)

Rate of Administration

Second Provider Verification Required

Requires Second provider Verification

ICU

IMC

Med/ Surg

SDS

ER

PACU

Cath. Lab

Heme/ Onc

MCC/ LDR

DRIP

DRIP

DRIP

DRIP

Norepinephrine (Levophed)
Standard strength = 8 mg/250 mL (32 mcg/mL) Double strength = 16 mg/250 mL (64 mcg/mL)

Usual start: 0.5 1 mcg/min DRIP: 0.5 30 mcg/min

DRIP Requires Second provider Verification IVP IVPB DRIP IVP IVPB DRIP IVP IVPB DRIP IVP IVPB DRIP

DRIP

DRIP

DRIP

Octreotide (Sandostatin)
May be given undiluted or diluted with 50 250 mL NS or D5W

IVP: over 3 minutes IVPB: over 15-30 minutes DRIP: dose over 24 hours IV infusion only

IVP IVPB DRIP

IVP IVPB DRIP

IVP IVPB DRIP

IVP IVPB DRIP

IVP IVPB DRIP

Oxytocin (Pitocin)
30 units/500 mL NS

HIGH ALERT MEDICATION Requires Second provider Verification

DRIP

DRIP

DRIP

Pancuronium (Pavulon)
50 mg/250 mL (200 mcg/mL)

IVP: over 60 90 seconds Monitor with Trainof-Fours

HIGH ALERT MEDICATION Requires Second provider Verification

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

Reference in policy: Medication Administration, rev 05/12

Page12of16

ADULT IV STANDARD DRIP LIST

Generic Name (Brand Name) Standard Concentration Phenylephrine (Neo-Synephrine)
IVP: dilute to 1 mg/mL DRIP: Standard= 10 mg/ 250 mL (40 mcg/mL) Double= 20 mg/ 250 mL (80 mcg/mL) 50 mg / 250 mL (200 mcg/mL) ***Central Line ONLY IVP: over 1 minute (Over 20 30 seconds for PSVT) DRIP: start at 50 180 mcg/min Titrate to usual rate of 40 60 mcg/min Requires Second provider Verification

Rate of Administration

Second Provider Verification Required

ICU

IMC

Med/ Surg

SDS

ER

PACU

Cath. Lab

Heme/ Onc

MCC/ LDR

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

Phenytoin (Dilantin)
IVP: undiluted Doses greater than 500 mg: use syringe pump, undiluted drug Doses greater than 500 mg: use fosphenytoin

IVP: max rate = 50 mg/min Slower rate is recommended Central Line This medication is a vesicant use with filter needle Max rate = 10 mEq/hr If no telemetry Max rate = 20 mEq/hr with telemetry **This medication is a Vesicant Infuse over 1 6 hours (rate based on K+ content, max = 10 mEq K+/hr) **This medication is a vesicant HIGH ALERT MEDICATION Requires Second provider Verification

IVP

IVP

IVP

IVP

IVP

IVP

IVP

IVP

IVP

Potassium CHLORIDE
Peripheral: max conc.= 0.2 mEq/mL(20 mEq/100 mL) Central: max conc. = 0.4 mEq/mL(40 mEq/100 mL)

IVPB
May infuse faster than 20 mEq/hr ONLY with MD order

IVPB

IVPB

IVPB

IVPB
May infuse faster than 20 mEq/hr ONLY with MD order and patient on telemetry

IVPB

IVPB

IVPB

IVPB

Potassium PHOSPHATE
Dilution based on mEq of potassium contained in order (conc. similar to potassium chloride above)

IVPB

IVPB

IVPB

IVPB

IVPB

IVPB

IVPB

IVPB

IVPB

Reference in policy: Medication Administration, rev 05/12

Page13of16

ADULT IV STANDARD DRIP LIST

Generic Name (Brand Name) Standard Concentration Procainamide (Pronestyl)
IV: dilute each 100 mg in 5 10 mL D5W DRIP: 2 Gm/250 mL = 8 mg/mL

Rate of Administration

Second Provider Verification Required

Requires Second provider Verification

ICU

IMC

Med/ Surg

SDS

ER

PACU

Cath. Lab

Heme/ Onc

MCC/ LDR

IVP: Max rate = 50 mg/min

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

Propofol (Diprivan)
1000 mg/100 mL (10 mg/ml)

No bolus doses Monitor with Ramsey scale 5 40 mcg/kg/min (consider BIS monitor for higher rates)

DRIP

DRIP Category III only

DRIP Category III only

DRIP

DRIP

DRIP

DRIP Category III only

Propranolol (Inderal)
IVP: undiluted or diluted Infusion: Not recommended

IVP: max = 1 mg/min

IVP IVPB

IVP IVPB

IVP IVPB

IVP IVPB

IVP IVPB

Rituximab (Rituxan)

50 mg/hr 400 mg/hr Increase by 50 mg/hr every half hour to max rate of 400 mg/hr

DRIP

DRIP

DRIP

Sodium Bicarbonate (NaHCO3)

undiluted or diluted

Max rate = 50 mEq/hr or per MD order Flush line before and after

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

IVP DRIP

Reference in policy: Medication Administration, rev 05/12

Page14of16

ADULT IV STANDARD DRIP LIST

Generic Name (Brand Name) Standard Concentration Sodium Chloride 3% in 500 mL bag
Max rate = 100 mL/hr Max Rate for Treatment of Hyponatremia = 50 mL/ hr Drip: Central line required if rate is greater than 50 mL/hour unless emergent

Rate of Administration

Second Provider Verification Required

ICU

IMC

Med/ Surg

SDS

ER

PACU

Cath. Lab

Heme/ Onc

MCC/ LDR

DRIP HIGH ALERT MEDICATION Requires Second provider Verification

DRIP For Primary Stroke Center orders only Max rate of 25 mL/hour

DRIP

Sodium Chloride 23.4% (For use ONLY for the treatment of elevated ICP during intracerebral hemorrhage)

30 mL IV over 15 minutes Drip: Central line required if rate is greater than 50 mL/hour unless emergent

HIGH ALERT MEDICATION Requires Second provider Verification

DRIP

DRIP

Succinylcholine (Anectine)
May be given undiluted

IVP: over 30 seconds Check serum K+ level 1st (may cause hyperkalemia) Sepsis Protocol: 0.04 units/min or 2.4 mL/hr

HIGH ALERT MEDICATION Requires Second provider Verification Requires Second provider Verification

IVP

IVP

IVP

IVP

Vasopressin (Pitressin)
100 unit/100 mL (1 unit/mL)

DRIP

DRIP

DRIP

DRIP

Vasopressin (Pitressin)
10 units/100 mL (0.01 unit/mL)

GI hemorrhage

DRIP

DRIP

DRIP GI Lab

DRIP

DRIP

DRIP

Reference in policy: Medication Administration, rev 05/12

Page15of16

ADULT IV STANDARD DRIP LIST

Generic Name (Brand Name) Standard Concentration Vecuronium (Norcuron)
IVP: dilute each 10 mg with 5 mL Sterile Water DRIP: Standard= 10 mg/100 mL (100 mcg/mL) Double= 20 mg/100 mL (200 mcg/mL) IV BOLUS over 30 60 seconds Monitor with Trainof-Fours

Rate of Administration

Second Provider Verification Required

ICU

IMC

Med/ Surg

SDS

ER

PACU

Cath. Lab

Heme/ Onc

MCC/ LDR

IVP HIGH ALERT MEDICATION Requires Second provider Verification DRIP

IVP DRIP

IVP DRIP

IVP DRIP

Verapamil (Isoptin)
IVP given undiluted

IVP: over 2 3 minutes Usual dose: 5 10 mg Maximum: 20 mg total dose

IVP

IVP

IVP With telemetry

IVP With tele.

IVP

IVP

IVP

IVP With telemetry

IVP With telemetry

Reference in policy: Medication Administration, rev 05/12

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