Push-dose vasopressors

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Thu, 06/06/2019 - 11:25
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Katie Johnson
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Joined: 10/06/2017 - 09:34
Push-dose vasopressors

We are reviewing our policy/practice regarding push-dose vasopressors in OR, ED, ICU areas. Hoping to get some input on how others are doing (or not doing) this safely.

1. Which vasopressors (if any) are permitted via IV push/bolus at your institution
2. Which indications/criteria is it used/allowed for (peri-procedural hypotension, or other?)
3. Is administration via vial/syringe, bolus from bag via smart pump, or both depending on the specific vasopressor and/or indication
4. If yes to bolus from bag, which vasopressors are given this way and could you share examples of specific dose/rate limits in your pump library

Even incomplete answers would be helpful if you don't know all the details of the practice. Also any guideline, protocol, or smart pump library examples anyone could share would be great!

Thanks in advance,
Katie Johnson

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