Neo/Levo

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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?!

Specializes in Critical Care.

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.

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Specializes in Internal medicine/critical care/FP.

I'm sure my supervising physician would send me a disappointing text the next morning if she saw i wrote for neo and levodead in the same bag. lol. sounds like an unneeded complication imo.

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Specializes in Surgery, Trauma, Medicine, Neuro ICU.

Oh. Hail. Naw.

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Specializes in Internal medicine/critical care/FP.

lets start mixing cardiazem and lopressor together. cardiopressor. Hey look, i made a new combo drug. Time to charge 5 times the generic price of it.

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Specializes in Critical care.

I'm hearing echoes from the past...Epi-Cal for immediate post open hearts anyone? Yeah, that wasn't so great of a idea, either.

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Specializes in Critical care.

Sounds dicey - titrating would be based on BP (of course) but I would be very hesitant to hang this without some EBP info and cardiology's input.

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