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Push Dose Pressors - #PHARMFAX

Hypotension in the Emergency Department is associated with increased inpatient mortality.

 

Hypotension in the Emergency Department is associated with increased inpatient mortality. Push dose vasopressors are a great tool to have in your drug bank to maintain hemodynamics in an acutely decompensating patient. This is only a bandaid so make sure you have a solution cookin’. Adrenergic agonism increases SVR and CO.

Compound according to your hospital policy, but you should be familiar with how to procure a final concentration of EPI 10 mcg/mL and PE 100 mcg/mL. Dosing range is 5 - 20 mcg PRN for EPI and 50 - 200 mcg PRN for PE. Human errors account for a majority of ADR. An easy way to induce an MI or ICH is to slam a full syringe into a patient whos not coding... Don’t do that. Safety first; use closed loop communication, label syringes, and designate an adult to manage that syringe. The PHARMFAX are still running hot, share this with a friend.


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Not medical advice. Educational purposes only. No relationships to report. I hope you learned something new.

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