medication dilution

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Sheet1Additional information may be found in the LPCH Housestaff ManuelIV BOLUSIV INTERMITTENTDRUGDOSE*Medline Compatibility#DILUTION **RATEDILUTION**RATENURSING CONSIDERATIONSAcetazolamide1-5 mg/kg/doseD5W, NS100mg/mlgive over 3-5 minn/an/aAcyclovir5-20mg/kg/dose 250-500mg/m2/doseD5W, NSn/aNo IV push5mg/ml; do not further diluteover 60 min.hydrate adequatelyAdenosine100mcg/kg/dose max 12mg/dosen/aUndilutedRapid IVP over 1-2 secondsn/an/acentral line preferredAlbumin0.25-1gm/kg/doseNSn/aNo IV push5% or 25%usual over 1-2 hr. rate depends on patient's conditionif 12.5% abumin is ordered; dilute 25% 1:1 with NS;Allopurinolper oncology protocolD5W, NSn/ano IV push6 mg/ml15-20 minutesshort stabilityAmikacin5-7.5mg/kg/doseD5W, NSn/ano IV pushmax 5mg/mlover 30 minutesadminister penicillins and cephalosporins 1 hour before or after amikacinAminocaproic AcidLoad; 100-mg/kg/doseD5W, NS20mg/mlavoid rapid infusion20mg/ml33 mg/kg/hourhypotension, bradycardia, arrhythmias with rapid infusionAmiodaroneBolus: 5 mg/kg/doseD5W, NSPIV: max 2 mg/ml; Central: 6mg/mlover 10-15 minutesn/a5-15 mcg/kg./minhypotension, bradycardia, phlebitisAminophyllineLoad: 4-6mg/kg/dose 12-24mg/kg/dayD5W, NSmax 25mg/mlover 15-30 min; max