Dosage Calculations

Titrating Vasoactive Meds

Titrating Vasoactive Meds

Calculating and adjusting infusions like dopamine, norepinephrine, or dobutamine to reach hemodynamic goals.

Dosage Calculation

  • Often ordered in mcg/kg/min.
  • Use the formula: (Desired dose x Weight x 60 min) / Concentration (mcg/mL) = Flow Rate (mL/hr).
  • Requires an infusion pump with current, accurate patient weight.

Clinical Monitoring

  • Titrate only to the specific blood pressure or cardiac output goals.
  • Assess IV site for extravasation; many are vesicants.
  • Check for signs of end-organ perfusion improvement (urine output, mental status).

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