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Albumin. Ativan. Atropine. Benadryl (Diphenhydramine). Bretylium (Bretylol) .. premixed solution: 400mg in 250mL D5W or 1600mcg/mL (see drip chart)
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After determining that Ms. Arkady meets these criteria, at 9:15 AM the nurse turns off the lorazepam drip. By 9:30 AM Ms. Arkady is breathing faster than 35
Record doses of vasoactive drips and note all trends (dopamine and Lorazepam (Ativan) Compared with midazolam it has a much longer time to onset
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Lorazepam (Ativan) (0.03-0.09mg/kg/dose). Class: benzodiazepine will need prolonged sedation. Can also be used to help wean patients from Versed drips
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Calculation of drip rate: 1 gram/250 ml (ml/hr) = mg/min x 15. Decrease rate by LORAZEPAM (ATIVAN), Dilutions for 2 mg/ ml vials (1:1 Dilution): 20 mg/ 20 ml
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Lorazepam (Ativan (TM)) is the preferred medication since its anti-convulsant effect lasts 4-12 hours, versus only Benzodiazepam drips or general anesthesia.
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Ativan (Lorazepam) 0.5-1 mg PO/IM/IV Q8 prn insomnia; Restoril (Temazepam) (may repeat q1 hr/max 300 mg QD…watch HR); Consider Labetolol, NTG drip
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If adequate sedation (MRSS 2-3): continue Lorazepam 1-4 mg IV push q 1-2 hrs prn. - If inadequate sedation (MRSS < 2) after 4 boluses: start Lorazepam drip
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She was not put on life support..only comfort care of morphine and ativan. and put her on phenobarbital drip of along with the ativan drip.
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(Ativan). 40 mg / 500 mL D5W. 2 mg IV load over. 1 minute followed by. 1 mg/hr infusion. Adjust dose by 1 10 minutes. Then initiate drip at 0.375 mcg/kg/min
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