UP Health System - Marquette
Pharmacy and Therapeutics Committee
Medication Guideline
Intravenous Admixture Preparation – Standard Solutions (adult population)
Generic Name
(Trade Name)
Acetylcysteine
(Acetadote)
(ACETADOTE)
Aminocaproic Acid
(Amicar)
(AMICARGTT)
Amiodarone
(Cordarone)
(CORD90IV)
Argatroban
(ARGATROBAN)
Bivalirudin
(ANGIOMAX)
Bumetanide
(Bumex)
(BUME25IV)
Dexmedetomidine
(Precedex)
Diltiazem
(Cardizem)
(CARD12IV)
Dobutamine
(Dobutrex)
(DOBU50IV)
Dopamine
(Intropin)
(DOPA40IV)
Epinephrine
(Adrenalin)
(EPIN1IV)
Esmolol
(Brevibloc)
(BREV25IV)
Fentanyl
(FENTIV)
Furosemide
(Lasix)
(LASI10IV)
Glucagon
(GLUC1IV)
Heparin
(HEPA25IV)
Quantity
Diluent
Total
Volume*
1000 ml*
Final
Concentration
30 mg/ml
30,000 mg
(200mg/ml-150 ml)
D5W
(850 ml)
15 gm
(0.25 gm/ml-60 ml)
D5W or NS
(190 ml)
250*
60 mg/ml
900 mg
(50mg/ml-18 ml)
D5W
(482 ml)
500 ml*
1.8 mg/ml
250 mg
(100 mg/ml-2.5 ml)
250 mg
250*
1 mg/ml
50 ml
5 mg/ml
12.5 mg
(0.25 mg/ml-50 ml)
D5W or NS
(247.5 ml)
NS
(50 ml)
D5W or NS
(12.5 ml)
62.5 ml*
200 mcg
(100 mcg/ml-2 ml)
125 mg
(5 mg/ml-25 ml)
NS
(48 ml)
D5W or NS
(100 ml)
500 mg
(12.5 mg/ml-40 ml)
Special Instructions
Usual Dose
Maximum Dose
(if specified)
30 gm
150 mg over 10 min; 360 mg
over 6 hrs; 540 mg over 18 hrs;
0.5 mg/min after 1st 24 hrs
2400 mg/24 hrs
0.2 mg/ml
1-2 mg/hr
4 mg/hr
50 ml*
4 mcg/ml
125 ml*
1 mg/ml
1 mcg/kg over 10 min, 0.2-0.7
mcg/kg/hr
5-10 mg/hr
15 mg/hr for < 24 hrs
D5W or NS
(210 ml)
250 ml*
2 mg/ml
2.5-20 mcg/kg/min
40 mcg/kg/min
400 mg
(80 mg/ml-5 ml)
D5W or NS
or premix
250 ml
1.6 mg/ml
2-20 mcg/kg/min
50 mcg/kg/min
1 mg
(1 mg/ml-1 ml)
D5W or NS
(249 ml)
250 ml*
4 mcg/ml
1-2 mcg/min
10 mcg/min
2.5 gm
(250 mg/ml-10 ml)
D5W or NS
(240 ml)
or premix
D5W or NS
(230 ml)
D5W or NS
(90 ml)
250 ml*
10 mg/ml
50-200 mcg/kg/min
300 mcg/kg/min
250 ml*
4 mcg/ml
0.7-10 mcg/kg/hr
100 ml*
1 mg/ml
D5W or NS
(100 ml)
D5W
(497.5 ml)
or premix
100 ml*
0.1 mg/ml
3-5 mg/hr
500ml*
50 Units/ml
10-30 units/kg/hour
1000 mcg
(50 mcg/ml-20 ml)
100 mg
(10 mg/ml-10 ml)
10 mg
(1 mg vial – 10 vials)
25,000 units
(10,000 Units/ml-2.5 ml)
Document created: 07/12.
Revised: 08/16.
Cross Reference: None.
Braun bag except
bolus
Protect from light
Protect from light
0.1-0.2 mg/kg/hr
0.4 mg/kg/hr
UP Health System - Marquette
Marquette, MI 49855
This is a confidential professional/peer review and quality assessment document of Marquette General Health System of Marquette, MI. It is protected from disclosure pursuant to the provisions of
MCL 333.20175, MCL 333.21513, MCL 21515, MCL 331.531, MCL 331.533, MCL 330.1143a, and other state and federal laws. Unauthorized disclosure or duplication is absolutely prohibited.
UP Health System - Marquette
Pharmacy and Therapeutics Committee
Medication Guideline
Intravenous Admixture Preparation – Standard Solutions (adult population)
Generic Name
(Trade Name)
Insulin Regular
(INSU10IV)
Quantity
Diluent
Total
Volume*
100 ml*
Final
Concentration
1 unit/ml
Special Instructions
Usual Dose
Maximum Dose
(if specified)
100 units
(100 units/ml-1 ml)
NS
(99 ml)
Labetalol
(Normodyne)
(NORM25IV)
Lidocaine
(LIDO2IV)
250 mg
(5mg/ml-50 ml)
D5W or NS
(200 ml)
250*
1 mg/ml
1-3 mg/min
2 gm
D5W premix
500 ml
4 mg/ml
1-4 mg/min
Lorazepam
(Ativan)
(ATIV10IV)
Magnesium Sulfate
(MAG)
100 mg
(2 mg/ml-50 ml)
NS
(50 ml)
100 ml*
1 mg/ml
40 gm
(500 mg/ml-80 ml)
1000 ml
40 mg/ml
Midazolam
(Versed)
(VERS10IV)
Milrinone
(Primacor)
(PRIM50IV)
Morphine
(MORP50IV)
100 mg
(5 mg/ml-20 ml)
Sterile Water for
Injection
(1000 ml)
D5W or NS
(80 ml)
100 ml*
1 mg/ml
0.02-0.2 mg/kg/hr
40 mg
(1 mg/ml-40 ml)
D5W or NS
(210 ml)
250 ml*
200 mcg/ml
0.375-0.75 mcg/kg/min
50 mg
(15 mg/ml-3.33 ml)
D5W or NS
(246.67 ml)
250 ml*
0.2 mg/ml
0.8-15 mg/hr
Naloxone
(Narcan)
(NARCIV)
Nicardipine
(Cardene)
(CARD25IV)
Nitroglycerin
(Tridil)
(NITR50IV)
Nitroprusside
(Nipride)
(NIPR50IV)
Norepinephrine
(Levophed)
(LEVO4IV)
8 mg
(0.4 mg/ml-20 ml)
D5W or NS
(180 ml)
200 ml*
40 mcg/ml
2.5-160 mcg/kg/hr
25 mg
(2.5 mg/ml-10 ml)
D5W or NS
(240 ml)
250 ml*
0.1 mg/ml
Protect from light
3-7.5 mg/hr
15 mg/hr
50 mg
(5 mg/ml-10 ml)
D5W or NS
250 ml
200 mcg/ml
Braun bag &
non- sorbing tubing
5-20 mcg/min
200 mcg/min
50 mg
(dilute w/2ml)
D5W or NS
250 ml
200 mcg/ml
Protect from light
0.25-4 mcg/kg/min
10 mcg/kg/min
4 mg
(1 mg/ml-4 ml)
D5W
(246 ml)
250 ml*
16 mcg/ml
Protect from light
2-12 mcg/min
30 mcg/min
Octreotide
(Sandostatin)
(SAND50IV)
500 mcg
(500 mcg/ml-1 ml)
D5W or NS
(249 ml)
250 ml*
2 mcg/ml
Document created: 07/12.
Revised: 08/16.
Cross Reference: None.
0.1 units/kg/hr
275 mg/hr
25-50 mcg/hr
UP Health System - Marquette
Marquette, MI 49855
This is a confidential professional/peer review and quality assessment document of Marquette General Health System of Marquette, MI. It is protected from disclosure pursuant to the provisions of
MCL 333.20175, MCL 333.21513, MCL 21515, MCL 331.531, MCL 331.533, MCL 330.1143a, and other state and federal laws. Unauthorized disclosure or duplication is absolutely prohibited.
UP Health System - Marquette
Pharmacy and Therapeutics Committee
Medication Guideline
Intravenous Admixture Preparation – Standard Solutions (adult population)
Generic Name
(Trade Name)
Oxytocin
(Pitocin)
(OXYTGTT)
Pantoprazole
(Protonix)
(PROT80IV)
Pentobarbital
(Nembutal)
(NEMB10IV)
Phenylephrine
(Neo-Synephrine)
(NEOS10IV)
Procainamide
(Pronestyl)
(PRON2IV)
Propofol
(Diprivan)
(PROP10IV)
Sodium Bicarbonate
Vasopressin
(Pitressin)
(VASO60IV)
NOTE:
Quantity
Diluent
Total
Volume*
500 ml
Final
Concentration
0.02 units/ml
Special Instructions
Usual Dose
10 Units
(10 units/ml- 1ml)
D5W or NS
(500 ml)
40 mg
D5W or NS
(100 ml)
100 ml*
0.4 mg/ml
8 mg/hr
1000 mg
(50 mg/ml-20ml)
NS
(230 ml)
250 ml*
4 mg/ml
1-3 mg/kg/hr
10 mg
(10 mg/ml-1 ml)
D5W or NS
(249 ml)
250 ml*
40 mcg/ml
40-180 mcg/min
2 gm
(500 mg/ml-4 ml)
D5W or NS
500 ml
4 mg/ml
Double strength
expiration < 24hrs
1-6 mg/min
100 ml
premix
10 mg/ml
5-80 mcg/kg/min
1,150 ml
0.13 mEq/ml
Tubing & vial must be
discarded 12 hrs after
vial spiked
Can also be mixed in
D5W
60 ml*
1 unit/ml
1000 mg
(10 mg/ml-100 ml)
150 mEq
(1 mEq/ml-150 ml)
60 units
(20 units/ml-3 ml)
Sterile Water
(1,000 ml)
NS
(57 ml)
Maximum Dose
(if specified)
5 mg/kg/hr
0.01-0.04 units/min
SOLUTIONS THAT ARE NON-STANDARD MUST STATE “NON-STANDARD SOLUTION” WITH CONCENTRATION PER ML ON ADDITIVE LABEL
*denotes solutions which require removal or addition of sterile solution to reach a total volume as listed, label to indicate the volume of diluent and total volume of the solution, i.e. cardizem 25
mg, D5W 100 ml, total volume 125 ml
Document created: 07/12.
Revised: 08/16.
Cross Reference: None.
UP Health System - Marquette
Marquette, MI 49855
This is a confidential professional/peer review and quality assessment document of Marquette General Health System of Marquette, MI. It is protected from disclosure pursuant to the provisions of
MCL 333.20175, MCL 333.21513, MCL 21515, MCL 331.531, MCL 331.533, MCL 330.1143a, and other state and federal laws. Unauthorized disclosure or duplication is absolutely prohibited.