IV Pump Directions Simple Delivery: •Select Line A or B at main delivery screen •Enter RATE using keypad •Use the SELECT button to highlight the VTBI or DURATION field •Enter value (mls, minutes or hours) •Press START to begin infusion If Programming LINE B: •Select LINE B at main delivery screen •Choose PIGGYBACK (LINE B infusing and LINE A on standby until Line B VTBI complete. LINE A will then restart automatically) or CONCURRENT (LINE A and B infusing at same time) using CHANGE MODE •Enter RATE using key pad •Use the SELECT button to highlight the VTBI or DURATION field •Press START to begin infusion Back Priming to Clear Air: •Stop infusion on all lines •Connect and hold BACKPRIME button until air is cleared from cassette into the secondary container •Restart the infusion Here are the BIG 3 formulas for calculating IV drips To calculate an IV drip rate based on the volume of fluid to be infused over time. Volume to be infused in cc X Drop factor of IV set Drops per minute = Time in minutes To calculate an IV drip rate for a medication that is administered based on a specified dosage to be infused per minute Drops per minute = Dosage per minute to be administered X Drop factor (60) Concentration of medication per ml Hint: Make sure the unit measurement of the concentration and the dosage are the same.(e.g. both in milligrams) To calculate an IV drip rate for a medication that is administered based on a specified dosage per kilogram of body weight per minute Drops per minute = Desired dosage per minute X Weight in Kg X Drop factor of IV set Concentration of medication per ml Hint: Make sure the unit measurement of the concentration and the dosage are the same.(e.g. both in milligrams) Convert pounds to kilograms: Divide pounds by 2.2 1 gram = 1000 milligrams 1 milligram = 1000 micrograms Amiodarone (Adult) Supply: 150mg/3ml (1 vial) Dose Rate V-Fib/Pulseless V-Tach 300 mg Mix 300 mg in 20-30 mls NS then IV push * May repeat once of 150 mg in 5 mins* Stable V-Tach 150 mg (loading dose) * may be repeated every 10-15 min from Med Control. (max dose 2.2 g/24 hrs Maintenance Infusion: 100 mg (2 mls) * only if transport time > 30 min* Mix 150 mg in 100 ml minibag of D5W (or NS); infuse via pump @ 600 mls/hr (over 10min) Mix 150 mg in 100 ml minibag of D5W (or NS); infuse via pump @ 60 mls/hr 1) Select LINE A at main delivery screen 2) Enter RATE using keypad 3) Use the SELECT button to highlight the VTBI and enter the value: 100 mls & start Amiodarone (Pediatric) Supply: 150mg/3ml (1 vial) Dose V-Fib/Plseless V-Tach 5 mg/kg Stable V-Tach Loading Dose: 5 mg/kg Rate Mix weight appropriate dose in 20-30 mls D5W or NS; IV or IO push * No repeats Mix weight appropriate dose in 100 ml minibag of D5W (or NS); infuse via pump @ 300 mls/hr (over 20 min) Maintenance Infusion: *None 1) Select LINE A at main delivery screen 2) Enter RATE using keypad 3) Use the SELECT button to highlight the VTBI and enter the value: 100 mls 4) Press START to begin infusion Benadryl (Diphenhydramine) Supply: 50 mg/1ml vial Dose 1 mg/kg to a max dose of 50 mg * IV, IM or IO * Rate Mix weight based dose in 100 ml minibag of D5W (or NS); infuse via pump @ 600 mls/hr (over 10 min) 1) Select LINE A art main delivery screen 2) Enter specified RATE using keypad (400 ml/hr) 3) Use SELECT button to highlight the VTBI and enter the specified value (100 mls) 4) Press START to begin infusion Ceftriaxone (Rocephin) Supply:1 g/ vial (Reconstitute with 10 mls of NS) Dose Rate Adult: 2g ( IV or IO) 1) Mix 10 mls of NS into each vial 2) Roll vial to mix thoroughly 3) Withdraw the solution from the vial into a 20-30 ml syringe. 4) Inject the full solution into your IV line over 3 minutes Peds: 50-75 mg/kg 1) Mix 10 mls of NS into each vial 2) Roll vial to mix thoroughly 3) Draw each 10 mls of solution out of the vial into a 20-30 ml syringe 4) Inject the appropriate weight based dose into your IV line over 3 minutes * DOPAMINE AND CEFTRIAXONE ARE NOT COMPATIBLE * Dopamine Supply:400 mg/250 ml Weight-KG 40 45 50 55 60 65 70 75 80 90 100 15 23 30 38 45 53 60 75 17 25 34 42 51 59 68 84 19 28 38 47 56 66 75 94 21 31 41 52 62 72 83 103 23 34 45 56 68 79 90 113 24 37 50 61 73 85 98 122 26 39 53 66 79 92 105 131 28 42 56 70 84 98 113 141 30 45 60 75 90 105 120 158 34 51 68 84 102 118 135 169 38 56 75 94 113 131 150 188 Dosage (mcg/kg/min) 10 15 20 25 30 35 40 50 Epinephrine Supply:1 mg/1 ml (1:1000) Mix 1 mg (1:1000) into 500 mls NS Concentration = 2 mcg/ml Dosage (mcg/min) Rate (ml/hr) 1 2 3 4 5 6 7 8 9 10 30 60 90 120 150 180 210 240 270 300 1) Select LINE A art main delivery screen 2) Enter specified RATE using keypad (X ml/hr) 3) Use SELECT button to highlight the VTBI and enter the specified value (500 mls) 4) Press START to begin Heparin Mix 25000 units into 500 ml compatible solution Concentration = 50 units/ml Dosage (units/hr) Rate (ml/hr) Dosage (units/hr) Rate (ml/hr) Dosage (units/hr) Rate (ml/hr) 500 550 600 650 700 750 800 850 900 950 1000 1050 1100 1150 10 11 12 13 14 15 16 17 18 19 20 21 22 23 1200 1250 1300 1350 1400 1450 1500 1550 1600 1650 1700 1750 1800 1850 24 25 26 27 28 29 30 31 32 33 34 35 36 37 1900 1950 2000 2050 2100 2150 2200 2250 2300 2350 2400 2450 2500 38 39 40 41 42 43 44 45 46 47 48 49 50 1) Select LINE A art main delivery screen 2) Enter specified RATE using keypad (X ml/hr) 3) Use SELECT button to highlight the VTBI and enter the specified value (500 mls) & start Nitroglycerine Mix 50 mg into 500 ml compatible solution Concentration = 100 mcg/ml Dosage mcg/min Rate (ml/hr) Dosage (mcg/min) Rate (ml/hr) 5 10 15 20 25 30 35 40 45 50 55 60 3 6 9 12 15 18 21 24 27 30 33 36 65 70 75 80 85 90 95 100 125 150 175 200 39 42 45 48 51 54 57 60 75 90 105 120 1) Select LINE A art main delivery screen 2) Enter specified RATE using keypad (X ml/hr) 3) Use SELECT button to highlight the VTBI and enter the specified value (500 mls) & start Solumedrol (Methylprednisone) Supply: 125 mg/vial (Reconstitute with 2 mls of NS) Dose Rate 1 mg/kg to a max of 125 mg IV or IO Mix weight based dose in 100 ml minibag of D5W (or NS); infuse via pump @ 400 mls/hr (over 15 min) 1) Select LINE A art main delivery screen 2) Enter specified RATE using keypad (400 ml/hr) 3) Use SELECT button to highlight the VTBI and enter the specified value (100 mls) 4) Press START to begin infusion Sodium Bicarbonate Supply:50 mEq/50 ml Mix 50 mEq into 500 mls NS Concentration = 0.1 mEq/ 1 ml Patient Weight (kg) Loading Infusion (3.5 ml/kg X 1 HR) Maintenance Infusion (1.18 ml/kg/hr X 6 HR) < 50 kg 50-59 kg 60-69 kg 70-79 kg 80-89 kg 90-99 kg 100-110 kg > 110 kg 160 ml/hr 190 ml/hr 225 ml/hr 260 ml/hr 300 ml/hr 330 ml/hr 370 ml/hr 400 ml/hr 55 ml/hr 65 ml/hr 75 ml/hr 90 ml/hr 100 ml/hr 110 ml/hr 125 ml/hr 135 ml/hr 1) Select LINE A art main delivery screen 2) Enter specified RATE using keypad (X ml/hr) 3) Use SELECT button to highlight the VTBI and enter the specified value (500 mls) 4) Press START to begin infusion * Titration (not required to stop the pump) - Select the LINE A/B and enter the desired RATE adjustment then START again