This topic contains 5 replies, has 1 voice, and was last updated by  Rogertok 3 weeks, 4 days ago.

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  • #641 Reply
     katie

    Hi all, I will be starting my clinical rotations in the ICU, which may be cardio, neuro, surgical, or medical. I was wondering about common drugs in the ICU. What are the most common icu drugs? Are there some that are used in all units or special ones for particular ICUs? Thanks so much! 🙂

    #644 Reply
     Jamiee RN

    “Hi all, I will be starting my clinical rotations in the ICU, which may be cardio, neuro, surgical, or medical. I was wondering about common drugs in the ICU. What are the most common icu drugs? Are there some that are used in all units or special ones for particular ICUs? Thanks so much! :)”

    So here are some common drugs/drips used in ICU settings that I can think of off the top of my head, hope this helps

    Vasopressors

    • Dopamine: an inotrope run at low doses to increase renal perfusion higher doses for increase in BP
    • Levophed: Alpha/Beta agonist increases blood pressure/heart rate
    • Neosynephrine:alpha-adrenergic increases blood pressure only not heart rate
    • Vasopressin: increases systemic vascular resistance and mean arterial blood pressure used as last choice for severe hypotension in sepsis or sometimes with diabetes insipidus which you could see in neuro or surgical icu

    Sedation

    • Versed:Benzo long acting sedation
    • Propofol:Hypnotic short acting sedation
    • Ativan:Benzo long acting sedation
    • Precedex:Selective alpha2-adrenoceptor agonist with anesthetic and sedative properties. My least favorite sedation drug

    Antiarrhythmics

    • Amiodarone: VF,VT,SVT, Afib conversion
    • Procainamide: VT
    • Adenosine: SVT
    • Cardizem: Afib RVR, pSVT
    • Lidocaine: VF,VT,pSVT

    Other Drugs

    • Nimbex: neuromuscular blocker paralytic
    • Cardene: CCB treats hypertensive crisis
    • Insulin: glucose control for HHS, DKA, or in severe sepsis
    • Primacor: treats CHF, cardiac vasodilator
    • Nitroglycerin: vasodilator for MI
    • Lasix: continual diuresis
    • Protonix: GIB
    • Octreotide: Varicies GIB, reduces portal hypertension
    #645 Reply
     Jay W. RN

    “Dopamine: an inotrope run at low doses to increase renal perfusion higher doses for increase in BP”
    Just an FYI Dopamine should no longer be used for renal perfusion
    see See study

    #647 Reply
     Renee Rn

    I work in SICU we also frequently use Fentanyl gtts as part of our sedation for analgesia since propofol and versed don’t control pain.

    #649 Reply
     Jake From state farm

    Precedex is a worthless drug!

    #908 Reply
     Rogertok

    I like to get my inspiration from really meaningful phrases said by truly great people like “Good and evil, reward and punishment, are the only motives to a rational creature”, do you know where I can find thematic compiltaions of those?

    http://www.ivauctions.com/you-are-likely-to-not-come-across-additional/

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