Neo/Levo

I've never heard of that! Sounds like one turbo-charged inotrope! Seriously though, it doesn't sound safe to be dosing them both in the same bag. I can't really think of a good rationale for it.

Yeah, I'm not a fan. Our cardiologists in particular seem to like it. When I see it running, I'm just like, "Greaaaattt…"

I've never heard of this either... I'm curious to hear the rationale for it. If volume is the concern, why not just concentrate the bags and infuse/titrate independently?

how do you even setup your pumps for that?

I have never heard of this either, and I would be very hesitant to administer and manage this gtt.

Uhhh, thats like alpha overload. If a doc wanted to give that, he can come to the unit and titrate it himself. No F-ing way.

I haven't heard or seen this either. Have you called and verified with pharmacy? They would be a good resource on this.

never heard of that... hopefully its a trend that doesnt' catch on!

That's incredibly stupid. If you really insisted that the patients hemodynamics dictated both drips with overlapping mechanisms of action then why wouldn't you infuse both separately so you could tailor the ratio based on changes in the patients condition and hemodynamic state? There's simply no benefit to mixing them together.

Have you discussed this with the physicians that are ordering this combination? While I agree with the previous posters that this is unusual, there might be a valid explanation.

If you do get an explanation come back and let us know.

When I'm running Levo and Neo, the goal is usually to titrate one of them off first (typically Levo).. so I'd be curious what your institution's PhD/MDs say on this too.