mixing CCL meds

Specialties CCU

Published

Specializes in Cardiac, Surgical.

Please give me a rundown of drips you mix in the CCL esp. when the patient is decompensating. What are your typical concentrations and rate or does? Levo, Neo, Dopa etc.

Thank you for your insight.

Up Vote Up Vote ×
Specializes in ICU.

Not sure what CCL stands for, but in my ICU the only pressor we mix frequently is levo at 8mg/1000ml. Dobutamine and dopamine are usually packaged and preloaded in our pyxis for emergent situations. We can mix vasopressin too, although I usually wait for the pharmacy to send it up since we don't really titrate that anyways. Neo is another med that we wait for pharmacy to send since Levo is usually our first line pressor. We can pull epi from the crash cart if it's really emergent and mix it at 1mg/250ml. Anything bigger has to be sent from the pharmacy.

Up Vote Up Vote ×
Specializes in Cardiac, Surgical.

Thank you for the info on Levo and Epi. It is my understanding that the pressors and inotropes must be mixed when needed in the cath lab, and I am trying to get a general idea of the concentrations.

Up Vote Up Vote ×
Specializes in ICU.

Ahh cath lab haha. I'm sure they will have a protocol.

Up Vote Up Vote ×

Dopamine & Dobutamine come premixed now. Levophed is 8mg/250 ml or 8mg/500mg depends on volume status. Epinephrine is 8mg/250ml. Vasopressin is mixed by pharmacy.

Titrate to desired effect.

Up Vote Up Vote ×
Specializes in Cardiac, Surgical.

Exactly what I was looking for, thanks.

Up Vote Up Vote ×
+ Add a Comment