New to CVSICU...cardiac gtts

I am a new grad who started about 7 months ago on a cardio vascular transplant unit. My advice would be to get to know the drips you use most often and know how long it takes them to work.

For instance, if you're nervous about titrating Vasopressin, then you could bump up the drip fast because of the low blood pressure. But then your systolic pressure will be in the 200's and will continue to climb.

So in short my advice is find the drips you use most often, and know how fast they work.

We never titrate vasopressin....

We don't titrate vasopressin either. It's either at 0.04 units/ min or off.

On. My..

Ok my point is still the same.

And on my unit we can titrate Vasopressin from .03 to 3.

3? How is that possible? Y not use a different pressor?

Titrating gtts comes with experience. It helps to learn the range for each gtt. Based on the drug range, it gives you an idea how to titrate. So if the range is small like 0-20, change the gtt by small increments, but if the range is larger like 0-300, then you might want to change the gtt by larger increments. It is also based on your facility's policy, but mostly based on patient's response to the change in drug dose. FYI: Vasopressin 0.1-0.4 for bp and max of 2 for bleeding at our facility.

I personally have never gone up that high. If we were up that high Im sure the pt would be on plenty other drips.

Really I was just using this as an example of titrating....