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Push Dose Pressors - #PHARMFAX

Writer: Mark Nguyen, PharmD, BCEMPMark Nguyen, PharmD, BCEMP

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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