Documentation
How do you know what to start your titratable drip at?
The starting dose is written in your order.
This medication requires monitoring of triglycerides, and the IV tubing must be changed every 12 hours due to lipid content.
Diprivan (Propofol)
This drip requires a 0.22 micronfilter for infusion.
Amiodarone
This medication is typically ordered for arrhythmias, tachycardia, or hypertension.
Diltiazem (Cardizem)
The parameter used to titrate pressors
MAP
How often can you titrate your critical care drips?
Read your order instructions for titration parameters.
A medication that can be used for sedation/anxiety on nonvented patients.
Dexmedetomidine (Precedex)
This medication is a first line IV push code drug but can also be used as a drip to assist with increasing heart rate and blood pressure.
Epinephrine
This medication can be used for hypertension and/or chest pain.
Nitroglycerin
True or false, titration effects are immediate.
False, this is why you should follow your orders for titration timing.
What is RASS and what is it used for?
Richmond Agitation Sedation Scale, used to identify if patient is at the appropriate sedation level.
Long term use causes buildup in the body as this medication is metabolized in the liver and excreted by the kidneys.
Midazolam (Versed)
Something you should always do at handoff of care with critical care drips.
Rate/Dose verify your medications.
Complete a line reconciliation.
A drip that is an antihypertensive and calcium channel blocker
Nicardipine (Cardene)
What drip must be initiated in conjunction with another catecholamine?
Vasopressin
When should you utilize a block charting significant event note?
When rapid titrations were completed and usual titration documentation is not feasible.
This opiate is a controlled substance used in conjunction with sedation for ventilated patients.
Fentanyl
A dissociative anesthetic that works by blocking NMDA receptors, reducing pain perception and opioid tolerance.
Ketamine
Pure alpha-1 agonist which induces peripheral arterial vasoconstriction.
Phenylphrine (Neosynephrine)
This medication has positive chronotropic and inotropic effects on the myocardium.
Dopamine
When titrating levophed, how often should you document a BP and/or MAP?
Rocuronium can be used as a continuous drip. Its efficacy is tested using what device?
TOF-train of four
Used to treat acute but potentially reversible heart failure due to its inotropic action which helps with cardiac output.
Dobutamine (Dobutrex)
With prolonged treatment and high doses of this medication, cyanide toxicity may occur.
Nitropruside (Nipride)
First line pressor following fluid boluses for hypotension
Norepinephrine (Levophed)