IV Infusions & Critical Care

Critical care medication infusions require precise weight-based dosing and titration to physiologic endpoints. Vasopressor and inotrope calculations for norepinephrine, epinephrine, dopamine, dobutamine, and vasopressin use standardized concentrations and weight-based infusion rates (mcg/kg/min) that are adjusted to achieve target mean arterial pressure (MAP ≥65 mmHg).

Sedation and analgesia in the ICU follows protocols using the Richmond Agitation-Sedation Scale (RASS) to titrate propofol, dexmedetomidine, midazolam, and fentanyl infusions. Daily sedation interruption (SAT) and spontaneous breathing trials (SBT) protocols reduce ventilation days and ICU length of stay.

Intravenous electrolyte repletion protocols for potassium, magnesium, and phosphate use weight-based and renal function-adjusted replacement algorithms, with maximum infusion rates to avoid phlebitis and cardiac complications. Insulin infusion protocols for DKA and HHS follow ADA guidelines with hourly glucose decay rate targets.