200mcg/min Epi...New or old dosing?

  1. 0
    I am a paramedic for a rural 911 EMS service. We are a county based service and have a small hospital with an ICU. They stabilize many patients, from sepsis to post cardiac arrest. We transport these patients to other facilities that are at a minimum of an hour away. They have multiple drips, blood, plasma and we mix and start drips in route if needed. I recently transported a post cardiac arrest that was on dobutamine and an epinephrine infusion of 200mcg/min. This is the first epi drip of this dose I have dealt with. Is this an old dosing or new dosing regiment?

    Get the hottest topics every week!

    Subscribe to our free Nursing Insights newsletter.

  2. 8 Comments...

  3. 0
    That doesn't sound correct. Typical rates are 1-4 mcg/min
  4. 0
    Depends on the concentration in the bag. I know in the open heart unit I work in we run our gtts at 0.025-0.05 mcg/kg/min
  5. 0
    Neither old or new but not unheard of.
  6. 0
    It didn't sound right to me. It was a 2mg/5ml concentration running at 30ml/hr. 2mg/500ml at 30ml/hr or 2mg/5ml at 3ml/hr is with in normal dosing range that I am familiar with. I think some one made a big mistake.
  7. 0
    Quote from barrymedic
    It didn't sound right to me. It was a 2mg/5ml concentration running at 30ml/hr. 2mg/500ml at 30ml/hr or 2mg/5ml at 3ml/hr is with in normal dosing range that I am familiar with. I think some one made a big mistake.

    That mix doesn't even make sense. That is extremely concentrated! But regardless of the concentration....yes, I have seen epi gtts running at extreme dosing.
  8. 0
    Quote from barrymedic
    It didn't sound right to me. It was a 2mg/5ml concentration running at 30ml/hr. 2mg/500ml at 30ml/hr or 2mg/5ml at 3ml/hr is with in normal dosing range that I am familiar with. I think some one made a big mistake.
    What? If the syringe is only 5ml and is going at 30 ml/hr you are changing the syringe 6 times an hour something isn't right......
  9. 1
    Quote from Esme12

    What? If the syringe is only 5ml and is going at 30 ml/hr you are changing the syringe 6 times an hour something isn't right......
    You're kidding right? What he meant was that there was 2mg in a 500 bag. If you do the gtt calc you were running 2mcg/min which is normal. To run 200mcg/min you would have to infuse at 3000ml/hr. so you were doing it right some nurse just didn't know what they were doing and told you the wrong dose
    Esme12 likes this.
  10. 1
    I am new and only familiar with epi at 1-4 mcg/min. What was the clinical picture? VS? I'd imagine if there was a dosing error of that magnitude, the patient would show signs. If they were fairly stable with that amount of drug running... could be they needed it?
    Esme12 likes this.


Nursing Jobs in every specialty and state. Visit today and Create Job Alerts, Manage Your Resume, and Apply for Jobs.

A Big Thank You To Our Sponsors
Top