Common ICU Infusions

  • STARTING doses (sedation in intubated patients)
    Always pay attention to units.
    Different hospitals use different concentration systems.
  •  
  • Analgesia:
  • Fentanyl: 25 mcg/hr
  • Hydromorphone 0.5-1 mg/hr
  • Morphine: 2 mg/hr
  •  
  • Sedation:
  • Propofol: 5-10 mcg/kg/min
  • Midazolam: 1 mg/hr
  • Lorazepam: 0.5 mg/hr
  • Dexmedetomidine: 0.2 mcg/kg/hr
  •  
  • Pressors:
  • Norepinephrine: 0.05 mcg/kg/min (5 mcg/min)
  • Dopamine: 5 mcg/kg/min
  • Phenylephrine: 0.5 mcg/kg/min (50 mcg/min)
  • Vasopressin: 0.04 units/min (1 unit/hr)
  • Epinephrine: 0.1 mcg/kg/min (0.5-1 mcg/min)
  •  
  • Antihypertensives:
  • Esmolol: 50 mcg/kg/min
  • Labetalol: 1 mg/min
  • Nitroglycerine: 0.25 mcg/kg/min
  • Nitroprusside: 0.1 mcg/kg/min
  • Nicardipine: 5 mg/hr
  • Fenoldopam: 0.1 mcg/kg/min
  •  
  • Antiarrhythmics:
  • Amiodarone: 150mg loading dose, followed by 1 mg/min x 6 hr,followed by 0.5 mg/min x 18 hr
  • Diltiazem: 10-25mg, followed by 5-15 mg/hr
  •  
  • Inotropes:
  • Dobutamine: 1 mcg/kg/min
  • Milrinone: 0.25 mcg/kg/min
  •  
  • Diuretics:
  • Furosemide: start at 2 mg/hr, titrate to volume goal
  • Bumetanide: 0.25 mg/hr
  •  
  • GI:
  • Pantoprazole: 80mg loading dose, followed by 8 mg/hr
  • Octreotide: 25 mcg/hr
  •  
  • Endocrine:
  • Insulin (regular): 1 unit/hr (goal BG 80-150)