Medication drip doses (peds)

Medication Drip Doses (Peds)

Drug	Standard Concentration	Mac Concentration (C-line)	Max Concentration (PIV)	Usual Dosage Range	Usual Starting Dose	Usual Titration Increments^
Dobutamine	2.4 mg/ml	6mg/ml	Not recommended	5-20 mcg/kg/min	5-10 mcg/kg/min	5 mcg/kg/min
Epinephrine	0.12 mg/ml	1mg/ml	Not recommended	0.01-2 mcg/kg/min	0.1mcg/kg/min	0.1 mcg/kg/min
Esmolol	20 mg/ml	20 mg/ml	20 mg/ml	50-500 mcg/kg/min	50 mcg/kg/min	50 mcg/kg/min
Fentanyl	50 mcg/ml	50 mcg/ml	50 mcg/ml	1-10 mcg/kg/hr	1-2 mcg/kg/hr	1 mcg/kg/hr
Furosemide	1 mg/ml	5 mg/ml	5 mg/ml	0.1-0.4 mg/kg/hr	0.1 mg/kg/hr	0.1 mg/kg/hr
Heparin	100 units/ml	100 units/ml	100 units/ml	See Guideline	See Guideline	See Guideline
Hydromorphone	1 mg/ml	2 mg/ml	2 mg/ml	0.02-0.2 mg/kg/hr	0.02 mg/kg/hr	0.01-0.02 mg/kg/hr
Insulin	1 unit/ml	1 unit/ml	1 unit/ml	Depends on indication	Depends on indication	Depends on indication
Ketamine	5 mg/ml	10 mg/ml	5 mg/ml	1-8 mg/kg/hr	1-2 mg/kg/hr	1 mg/kg/hr
Magnesium sulfate	50 mg/ml	50 mg/ml	50 mg/ml	10-20 mg/kg/hr	10 mg/kg/hr (Max 1,000 mg/hr)	2.5-5 mg/kg/hr
Midazolam	1 mg/ml	5 mg/ml	5 mg/ml	0.05-1 mg/kg/hr	0.1 mg/kg/hr	0.1 mg/kg/hr
Morphine	1 mg/ml	5 mg/ml	5 mg/ml	0.1-1 mg/kg/hr	0.1 mg/kg/hr	0.1 mg/kg/hr
Naloxone	4 mcg/ml	4 mcg/ml	4 mcg/ml	Determined prior dosing	Determined prior dosing	Determined prior dosing
Nicardipine	0.1 mg/ml	1 mg/ml	0.1 mg/ml	0.5-4 mcg/kg/min	0.5-1 mcg/kg/min	0.5-1 mcg/kg/min
Nitroglycerin	0.24 mg/ml	0.4 mg/ml	0.24 mg/ml	0.25-5 mcg/kg/min	0.25 mcg/kg/min	0.25 mcg/kg/min
Nitroprusside	0.24 mg/ml	1mg/ml	0.24 mg/ml	0.5-5 mcg/kg/min	0.5-1 mcg/kg/min	0.5-1 mcg/kg/min
Norepinephrine	0.12 mg/ml	0.12 mg/ml	Not recommended	0.1-1 mcg/kg/min	0.1 mcg/kg/min	0.1 mcg/kg/min
Propofol	10 mg/ml	10 mg/ml	10 mg/ml	25-200 mcg/kg/min	25-50 mcg/kg/min	25-50 mcg/kg/min
Vecuronium	1 mg/ml	1 mg/ml	1 mg/ml	0.1-0.3 mg/kg/hr	0.1 mg/kg/hr	0.05 mg/kg/hr

References

Cincinnati Children's Hospital, "The Pocket" 2010-2011.