Bolus IVP followed by IV infusion

Nurses Medications


  • Specializes in ICU, ED, Compliance.

i am trying to put a list together of drugs that are commonly administered by first giving a bolus dose of the medication via an iv push, followed by a iv infusion of the same drug, for example heparin bolus followed by a heparin infusion? the setting is predominately the emergency department or administration of medication started in the ed prior to patient transfer or admission. all examples welcome! thanks



106 Posts

integrilin, natrecor, cordarone...


54 Posts

Specializes in ICU.

lidocaine.... 1 - 1.5 mg / kg bolus (max of 3 mg / kg bolus dose) followed by drip at 2 - 4 mg / min



261 Posts

Specializes in ICU/CCU, Home Health/Hospice, Cath Lab,.

Diltiazem - usually 10mg bolus then IV rate 5-15mg/hr.

Amiodarone - 300mg over 1 hr then 20mg/kg for 24hrs (although in life-saving measures you can push the 300)

Narcan - 0.1mg - 0.4mg push, then drip (sorry can't remember that dose off the top of my head)


Magnesium - 1-2mg followed by drip (usually BC, although I am unsure if they bolus first)

Practically any narcotics or ativan or versed

Hope this helps



29 Posts

Specializes in CCU/MED-SURG.

digoxin post open heart if not on preop .

Specializes in MICU for 4 years, now PICU for 3 years!.

nexium and octreotide are both given as a bolus first, then a gtt for our fun gi bleeders...


83 Posts

Specializes in ER.

heparin-- we do a bolus then drip in our STEMI pts headed to cath lab

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