This document contains formulas and guidelines for various clinical calculations and procedures including:
1. ABG formulas for calculating PaO2, target FiO2, and anion gap. It also provides normal ranges and targets for oxygenation.
2. Formulas for calculating fluid and electrolyte deficits and replacements in conditions like hypernatremia, hyponatremia, and HCO3 deficit.
3. Formulas for calculating creatinine clearance, BUN/creatinine ratio, and stages of chronic kidney disease.
4. Guidelines for calculating caloric and macronutrient requirements for enteral and parenteral nutrition.
5. Formulas for calculating mean arterial pressure,
This document contains formulas and guidelines for various clinical calculations and procedures including:
1. ABG formulas for calculating PaO2, target FiO2, and anion gap. It also provides normal ranges and targets for oxygenation.
2. Formulas for calculating fluid and electrolyte deficits and replacements in conditions like hypernatremia, hyponatremia, and HCO3 deficit.
3. Formulas for calculating creatinine clearance, BUN/creatinine ratio, and stages of chronic kidney disease.
4. Guidelines for calculating caloric and macronutrient requirements for enteral and parenteral nutrition.
5. Formulas for calculating mean arterial pressure,
This document contains formulas and guidelines for various clinical calculations and procedures including:
1. ABG formulas for calculating PaO2, target FiO2, and anion gap. It also provides normal ranges and targets for oxygenation.
2. Formulas for calculating fluid and electrolyte deficits and replacements in conditions like hypernatremia, hyponatremia, and HCO3 deficit.
3. Formulas for calculating creatinine clearance, BUN/creatinine ratio, and stages of chronic kidney disease.
4. Guidelines for calculating caloric and macronutrient requirements for enteral and parenteral nutrition.
5. Formulas for calculating mean arterial pressure,
This document contains formulas and guidelines for various clinical calculations and procedures including:
1. ABG formulas for calculating PaO2, target FiO2, and anion gap. It also provides normal ranges and targets for oxygenation.
2. Formulas for calculating fluid and electrolyte deficits and replacements in conditions like hypernatremia, hyponatremia, and HCO3 deficit.
3. Formulas for calculating creatinine clearance, BUN/creatinine ratio, and stages of chronic kidney disease.
4. Guidelines for calculating caloric and macronutrient requirements for enteral and parenteral nutrition.
5. Formulas for calculating mean arterial pressure,
ABG (FiO2 x 713) pCO2 0.8 II PaO2 I III Target FiO2 + pCO2 II 0.8 713 x100 FiO2: RA = 0.21 NP = Lpm x 4 + 20 FM = Lpm x 10 10 RB = Lpm x 10 VR = 100% AB = 80 CPAP = Lpm x 4 + 20 Delta H [H+] = 24 x pCO2 HCO3 H = [H+] 40 pCO2 - 40 HCO3 DEFICIT [Wt (kg) x 0.4] x [Desired - Actual]
HYPERNATREMIA
Na Deficit = 10/12 x TBW
Water Deficit = [Actual Na-140] x TBW 140
TBW = wt (kg) x 0.6
HYPONATREMIA
Desired HCO3: Normal = 20 CRF = 15 Give only of the computed deficit 1 amp = 44 meqs NaHCO3
Example: Total Cal Reqt. = 2000 kcal/day 60% CHO = 2000 x 0.60 = 1200/4 = 300 g 20% CHON = 2000 x 0.20 = 400/4 = 100 g 20% Fats = 2000 x 0.20 = 400/9 = 45 g
Corrected Na = Actual Na + 1.6 [RBS (mg/dL) 100]
100
Normal 280-300 mOsm/L
DKA 300-320 HHS 330-380
Hemolysis Hypoproliferative Anemia or Maturation Disorder
Diabetic Diet Ideal Body Weight (IBW) x 35 cal/kg = Total cal/day
Serum Osmolality (mOsm/L)
RBS (mmol/L) x 18 = ___ mg/dL
Reticulocyte count x [Hgb x 15]
2 or Reticulocyte count x [Hct abn] x [Hct N] > 2.5 < 2.0
Corrected Ca (mg/dL)
Reticulocyte Index
OTF Feeding Weight (kg) x 35 kcal = ___ kcal/day x 60% CHO/4 x 20% CHON/4 x20% Fats/9
Urine Osmolality Specific Gravity 1 x 40,000
D5W
Gluc 50g/L
Mean Arterial Pressure (MAP; mmHg)
Systolic BP + 2Diastolic BP 3 Body Mass Index (BMI) weight (kg) height (m)2
Coverage no coverage 3 units 5 7 8 9 11 12 & refer
Calcium-Glucose Drip Ca gluconate 4 amps in 500cc D5W x 24hr see to it that the patient has no beta-blocker
Cordarone Drip Cordarone 4 amps + 500cc PNSS x 60 cc/hr x 1st 6 hours Subsequently 25 cc/hr Cordarone 150 mg IV now Cordarone 4 amps + 500cc D5W x 24H Cordarone 4 amps + 500cc D5W x 25 gtts/min x 6H, then 12 cc/hr
Diazepam Drip Diazepam 10 mg/100cc D5W Diazepam 20 mg/100cc D5W Initial: 50-100 mg IV Max: 60 mg/day Diazepam 50 mg in 100cc PNSS x 6 cc/hr to titrate to control seizure, hold for BP < 90/60 mm Hg Dormicum Drip Dormicum 3 amps (1.5 mg/amp) + 500cc PNSS x 2 mg/hr
Epinephrine Drip Epinephrine 5 amps (5 mg) + 500cc D5W to run for 6 cc/hr
Glucose-Insulin-HCO3 Drip D5W 150cc + D50W 1 vial + NaHCO3 1 amp + Actrapid 8 units to run for 6 or 8 or 12 hrs
Fraxiparine Drip Fraxiparine 2 amps in 1 L D5W or D5NSS 88 U/kg BW or 0.1 cc/kg x 24H Fraxiparine 85 cc/kg or 0.1 cc/10 kg Furosemide Drip (Dr. Caro) In a soluset: Furosemide 3 amps + 54cc PNSS x 10cc/hr Or D5W 250cc + Furosemide 250mg/amp x 5-30 gtts/min Conc: 1 mg/mL Or PLR 500cc + 18 amps Furosemide x 18-20 gtts/min
Rate (gtts/min): mg/kg/min x BW 13.3 or 26.6 Furosemide Drip Furosemide 3 amps + 54cc PNSS in a soluset x 10 cc/hr Furosemide 80 mg in 80cc PNSS via soluset x 10 cc/hr
Heparin Drip D5W 250cc + Heparin 10,000 units x 10-20 gtts/min via infusion pump Conc.: 50 U/mL Drip of 500-1000 U ~ 10-20 gtts/min OR In a soluset, Heparin 4cc in 36cc D5W (Heparin 1000 IU/cc) OR Heparin 5000 U IV initially, then 4000 U in 36cc PNSS via soluset x 1000 U/hr LD: 3000-5000 U slow IV
Furosemide-Albumin Drip 25% Albumin 50cc + Furosemide 20mg to run for 4hrs
Actrapid 8-10 units x 1hr x 3 cycles CBG monitoring qHourly while on drip Repeat K 1 hr after the last cycle Heparin for Flushing > 500 U Heparin in 100 mL PNSS Hepamerz Drip < 4 amps in 500cc D5W x 12hrs BID IVIG LD: 2 g/kg given in 5-6hrs in 3-5 days MD: 400 mg/kg or 0.4g/kg Insulin Drip PNSS 250cc + Humulin R 50 u Conc.: 0.2 U/mL Drip of 5-50 gtts/min ~ 110 u Humulin
Albumin 100cc + Furosemide
40mg to run for 4-6hrs Dr. Caro: Furosemide 60mg + PNSS 54cc x 10cc/hr SD: Plasbumin 25% 100cc to run for 6 hrs
Glucose-Insulin Drip (Hyperkalemia 6)
Isoket Drip Isoket 10mg/amp (1amp) + PNSS 90cc x 10 gtts/min (1 mg/hr) Miacalcic Drip Miacalcic 2 amps (200 IU) + D5W 250 cc x 15H
NaHCO3 Drip NaHCO3 2 amps (50cc/amp) in D5W x 24H or NaHCO3 3 amps in 100cc D5W x 24H
Nicardipine Drip - 5mg/10ml - Nicardipine 10mg in 90cc PNSS or D5W in a soluset to run for 10cc/hr, titrate by increments of 5 gtts/min to maintain BP at ____ mmHg - Max of 150 cc/hr at 15mg/hr (0.5 mk/BW), give initial bolus of 2mg IVTT, titrate to BP ___ Lidocaine Drip -give 50 as blous, then start drip as follows: 1 g in 250cc D5W at 15cc/hr (1mg/h) increase by increments of 15
Levophed 2 amps (2 mg/mL/amp) in D5W 250cc x 10 gtts/min
Levophed 4 amps in D5W 500cc x ___ gtts/min Pantoloc Drip - maintain GI acidity to stabilize clot - Pantoloc 80mg IV bolus then 5 amps in PNSS 1L x 24H for 3 days
LD: 1mg/H Conc: 4mg/cc Drip: 1-4mg/min Mannitol (prep 20%) Dose: Amt given (cc)x0.2/kBW LD: 1-2 g/kg MD: 0.5-1 g/kg
Noradrenaline (Levophed) Drip
- 2mg Noradrenaline/2ml amp - D5W 250cc + Levophed 1amp x 15-60 gtts/min - conc: 8mcg Noradrenaline/ml - drip of 2-8 mcg Noradrenaline ~ 15-60 gtts/min
Mannitol-Furosemide Drip: Mannitol 250cc + Furo 100mg x 10 gtts/min OR Mannitol 36cc + Furo 240mg (24mL) x 6H MgSO4 Drip D5W 250cc + MgSO4 2g x 20 cc/H Conc: 250mg/mL x 10 amps (2.5 g/amp)
Morphine Drip MoSO4 10 mg/amp (1 amp) + PNSS 60cc in a soluset x 10 gtts/min
Octreotide (Sandostatin) Drip
- prep: 0.5 mg/mL - 0.2 mg/mL IV bolus, give for 1 min, then start drip as ff: 4 amps + remaining 0.03 mg in 500cc PNSS x 24H Sandostatin Drip - sandostatin 0.5mg/amp 0.2mL now then drip as ff: 0.8mL in D5W 500cc x 8H - ff by 2 amps sandostatin 0.5mg/amp + D5W or D5NSS 1L x 24H Solumedrol Drip Solumedrol 2g + D5W 500cc x 20 gtts/min Somatostatin Drip Somatostatin 250mcg IV bolus then 2amps (3mg/amp) + PNSS 1L x 24H for 5 days w/o interruption Streptokinase Drip Streptokinase 1.5M units + D5W 90cc x 100cc/H (1H running rate) via soluset
Nimotop Drip Nimotop vial + D5W 500cc x 24H Nootropil Drip Nootropil 12g in 60cc x 24H
Terbutaline (Bicanyl) Drip
D5W 250cc + Bricanyl 5amps x 10-30 gtts/min Thiamine Drip: 50-100mg IV (for 40-50 y.o.)
Toradol Drip Toradol 30mg + PNSS 80cc via soluset x 8H Toradol 100mg + PNSS 80cc x 10cc/H Tramadol Drip Tramadol 100mg + PNSS 80cc x 10 gtts/min Trental Drip Trental 4amps in PNSS 500cc x 24H Zantac Drip Zantac 5amps in D5W 500cc x 16H Zithromax Drip Zithromax 500mg in 90cc IVF via soluset to run for 5H
