Levophed or Neosynephrine pushes?

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Specializes in Critical Care- Medical ICU.

Anyone have any experience giving a Levophed or Neo push? I have heard of (but haven't seen) these meds being given as a push in both code and non code situations.

In my experience, say we have a pt becoming severely hypotensive and we are waiting for a bag of whatever pressor to be mixed, I have been asked to give either .5 of epi or 40 of Vaso push(esp in a code on the floor where we might not even have an IV pump in the room yet), but never anything else.

As far as in a code situation, I've heard of giving a push of one of these if the pt is refractory to all the ACLS stuff. Never seen it done in my unit, because by that time we would probably already have those going as drips.

I am going to look for literature on it, but I was just wondering if anyone has ever had any personal experiences with this practice?

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Specializes in ER/ICU/STICU.
Anyone have any experience giving a Levophed or Neo push? I have heard of (but haven't seen) these meds being given as a push in both code and non code situations.

In my experience, say we have a pt becoming severely hypotensive and we are waiting for a bag of whatever pressor to be mixed, I have been asked to give either .5 of epi or 40 of Vaso push(esp in a code on the floor where we might not even have an IV pump in the room yet), but never anything else.

As far as in a code situation, I've heard of giving a push of one of these if the pt is refractory to all the ACLS stuff. Never seen it done in my unit, because by that time we would probably already have those going as drips.

I am going to look for literature on it, but I was just wondering if anyone has ever had any personal experiences with this practice?

Anesthesia gives neo IV push all the time.

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Anesthesia gives "sticks" of phenylepherine, usually for sedation hypotension.

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Specializes in Neuro ICU and Med Surg.

In my previous ICU position (I am now Rapid response) the intensivest occasionally pushed Neo for precipitously dropping BP while we got the drip going. Occasionally Anesthesia would push it too.

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