Neo/Levo

Specialties CCU

Published

Specializes in Cardiovascular ICU.

Out of curiosity, do any other hospitals make Neo/Levo combination drips rather than having two separate? Some of our docs are big on that at my facility, but I feel like it makes it confusing for titrating. I know our max on Levo is 20 mcg and our Neo is 300, so if they're together, what the heck would the max be?!

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Specializes in ICU.

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.

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Specializes in Cardiovascular ICU.

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

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Specializes in ICU.

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?

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how do you even setup your pumps for that?

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Specializes in critical care, trauma, neurosurgery..

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

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Specializes in Critical Care.

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.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

I haven't heard of this either. Nor can I find literature on it.

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

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Specializes in MICU.

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

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Specializes in CVICU.

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.

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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.

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