Push Dose Pressors - Mixing Instructions.



EPINEPHRINE

Has alpha and beta 1/2 effects so it is an inopressor

Do not give cardiac arrest doses (1 mg) to patients with a pulse

Mixing Instructions:

 • Take a 10 ml syringe with 9 ml of normal saline

 • Into this syringe, draw up I ml of epinephrine from the cardiac amp (Cardiac amp contains Epinephrine 100 mcg/ml)

• Now you have 10 mls of Epinephrine 10 mcg/ml



Onset-1 minute

Duration-5-10 minutes

Dose-0.5-2 ml every 2-5 minutes (5-20 mcg)



PHENYLEPHRINE

It is pure alpha, so no intrinsic inotropy, and no increase in heart rate, but increases in coronary perfusion can improve cardiac output.

Mixing Instructions:

 • Take a 3 ml syringe and draw up 1 ml of phenylephrine from the vial (vial contains phenylephrine 10 mg/ml)

 • Inject this into a 100 ml bag of NS

 • Now you have 100 mls of phenylephrine 100 mcg/ml

 • Draw up some into a syringe; each ml in the syringe is mcg/ ml

Onset-1 minute

Duration- 10-20 minutes

Dose-0.5-2 ml every 2-5 minutes (50-200 mcg)



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