Post resuscitation gtts

[2rntish]

Do you have a standard concentration for your post code drips?? We are in the middle JCAHO and one of our hospitals got a ding for the old Broselow tape and rule of 6...

Is there a reason we can't use a premix dopamine gtt at 1600mcg/ml (800mg/500ml)?

Is it the volume that might be wasted and that is the reason pharmacy wants to mix a 800mcg/ml infusion in a 250ml bag (200mg/250ml)??

It seems like this could cause more confusion...

Thanks for any comments...

[misschelei]

I think the point is to avoid calculation errors. Standard Concentration for Peds Dope drips is 800mcg/ml (200mg/250ml). Double concentrations should really only be used for kids with fluid restrictions. But every hospital does things differently.

[originalred]

I think the point is to avoid calculation errors. Standard Concentration for Peds Dope drips is 800mcg/ml (200mg/250ml). Double concentrations should really only be used for kids with fluid restrictions. But every hospital does things differently.

Thanks misschelei,

Just to clarify for me....Our standard "premix" dopamine is 1600mcg/ml. Is there more potential for error by using 2 different concentrations for peds vs adults...in your opinion?? We are a small hospital (150 beds) and our pedi nurses also take care of adults...Pros and cons...

[misschelei]

JACHO is obsessed with eliminating med errors so they give thier suggestions. But each hospitals do things differently. There's nothing wrong with using the 1600mcg/ml. Just check and recheck you calc. Most picu's have 2 nurses verify drips like then when are initially hung.