Mannitol: Difference between revisions

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==Adult Dosing==
==Adult Dosing==
[http://www.medicinenet.com/mannitol-injectable/article.htm 0.25-2 G/kg given every 6 to 8 hours]
===Elevated intracranial pressure===
 
*0.25-2 G/kg given every 6 to 8 hours<ref>http://www.medicinenet.com/mannitol-injectable/article.htm</ref>
Main ED indication is for lowering ICP with signs of impending herniation or severely deteriorating mental status in context of known trauma or intracranial lesion exerting mass effect.
**Should be given as a one time bolus (may be inferior to Hypertonic Saline)<ref>http://www.cochrane.org/CD001049/INJ_mannitol-for-acute-traumatic-brain-injury</ref>
 
[http://www.cochrane.org/CD001049/INJ_mannitol-for-acute-traumatic-brain-injury Recent cochrane review showed that Mannitol should be given as more likely a one time bolus, and may be inferior to Hypertonic Saline]


==Pediatric Dosing==
==Pediatric Dosing==

Revision as of 14:45, 21 March 2015

General

Adult Dosing

Elevated intracranial pressure

  • 0.25-2 G/kg given every 6 to 8 hours[1]
    • Should be given as a one time bolus (may be inferior to Hypertonic Saline)[2]

Pediatric Dosing

For Cerebral Edema: 0.25-1 g/kg IV initially; maintenance dose of 0.25-0.5 g/kg IV q4-6hr

Special Populations

  • Pregnancy Rating: C
  • Lactation:
  • Renal Dosing
    • Adult
    • Pediatric
  • Hepatic Dosing
    • Adult
    • Pediatric

Contraindications

  • Allergy to class/drug

Adverse Reactions

Serious

Common

Pharmacology

  • Half-life:
  • Metabolism:
  • Excretion:
  • Mechanism of Action:

See Also

Sources