lbs
kgs
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1
Set Dosage:
Set Concentration:
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{{drugname}}
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{{#each loaddose}}{{range}} {{route}} {{/each}}
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CRI
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Dosage
2
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{{#if noLoadingDose}}CRI Dose{{else}} Loading and CRI Doses {{/if}}
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Loading Dose
CRI Dose
3
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From
4
Add
{{drugname}} To
1
Ketamine
Loading and CRI Doses
Concentration: 100 mg/ml
Ketamine
Loading
0.25-0.5 mg/kg IV
Dosage
Loading Dose
Ketamine
CRI
0.12-1.2mg/kg/hr
Dosage
CRI Dose
2
Remove
From
3
Add
To
Fluids
1
Use Regular Insulin - 100
Units/ml
Set Fluid Volume at 250ml, 0.9%
NaCl
2
Set Insulin CRI Dose
Insulin
CRI
Dose
Dosage
3
Calculated Insulin Volume
Units
Volume
4
Add
Regular Insulin To
5
Remove 50
mls of fluid from the
through the IV tubing and discard it to allow saturation of the insulin
binding sites on the
plastic tubing. *The time the CRI will last takes this 50 ml into
account.
6
Monitoring
| Q1-2 hour BG | Dextrose | CRI Rate |
|---|---|---|
| > 250mg/dl (13.8mmol/L) | 0.9% NaCI | 10ml/hr |
| 200-250mg/dl (11.1-13.8mmol/L) | + 2.5% Dextrose | 7ml/hr |
| 150-200mg/dl (8.3-11.1mmol/L) | + 2.5% Dextrose | 5ml/hr |
| 100-150mg/dl (5.5-8.3mmol/L) | + 5% Dextrose | 5ml/hr |
| < 100mg/dl (5.5mmol/L) | + 5% Dextrose | Stop Insulin CRI |
7
Dextrose Calculator
Dextrose 2.5%
Dextrose 50% --> 2.5%
Current
Fluid Volume:
Dextrose 50%
Add mls
Fluid Volume:
To mls
Dextrose 5%
Dextrose 50% --> 5%
Dextrose 50%
Add mls
Fluid Volume:
To mls
8
Potassium Supplementation
| Serum K* (mEq/L)
Max rate* (ml/kg/hr)
|
KCL (2 mEq/ml) To Add To
Fluid Volume* (set above)
|
|---|---|
| K+
< 2mEq/L 6 mL/kg/hr
|
Add
KCL
|
| K+ = 2.1-2.5mEq/L
8 mL/kg/hr
|
Add
KCL
|
| K+ =2.6-3.0mEq/L
12 mL/kg/hr
|
Add
KCL
|
| K+ = 3.1-3.5mEq/L
18 mL/kg/hr
|
Add
KCL
|
| K+ = 3.6-5.0mEq/L
25 mL/kg/hr
|
Add
KCL
|
Do not add KCl to fluids used
for rapid infusion.
*Do not exceed 0.5 mEq/kg/hr. DiBartola
SP. Fluid Therapy
in Small
Animal Practice. 3rd ed. Philadelphia (PA): WB Saunders.
1
Drug Name and Concentration
Name
Concentration
2
Set Loading and CRI Dose
Set
Drug Loading
Dose
mg/kg
Dosage
Set
Drug CRI
Dose
mg/kg/hr
Dosage
3
Calculated Drug Doses
Loading Dose
CRI Dose
4
Remove
From
5
Add
Drug To