DETERMINE Weight and multiply by factor shown:

Pounds multiplied by 0.085 ( max 0.3% error differential )

OR

Kilograms multiplied by 0.19 (exact is 0.1875) ( max 1.3% error diff. )

THEN

MULTIPLY BY….. For IV Bag….. (Actual Concentration)

0.44 ………………….110 ml……………. 3636 mcg / ml

1.04 ………………….260 ………………..1538

2 ………………………500 ………………….800 (exact: 784)

4 ……………………..1000 …………………400

After ml / hr is calculated, to increase from 5 mcg / kg / min, to

10 mcg / kg / min, multiply by 2.

15 mcg / kg / min, multiply by 3

20 mcg / kg / min, multiply by 4.

_______________________________________________

OR, OPTIONAL CONDENSED VERSION

IV bag ……………Pounds x …………Kilos x

100 ml (110) …….0.0374 ……………0.0836

250 ml (260) …….0.0884 ……………0.1976

500 …………………..0.17 ……………….0.38

1000 …………………0.34 ……………….0.76

For 10 mcg dose, multiply by 2, 15 mcg, by 3, 20 mcg, by 4.

_______________________________________________

Convert: 5 mcg / kg / min, to ML/HR pump setting.

Standard 400 mg Dopamine (10 ml vial) is mixed in IV bag

(10 ml vial added to 100 & 250 ml bag, others are negligible)

Results are ML/HR ONLY for a med pump or a dial-a-flow / hour set,

NOT drops per minute. Ensure IV bag is 3 feet above patient to facilitate flow of infusion.

DETERMINE Weight and multiply by factor shown:

Pounds multiplied by 0.085 ( max 0.3% error differential )

OR

Kilograms multiplied by 0.19 (exact is 0.1875) ( max 1.3% error diff. )

THEN

MULTIPLY BY For IV Bag (Actual Concentration)

0.44 110 ml 3636 mcg / ml

1.04 260 1538

2 500 800 (exact: 784)

4 1000 400

After ml / hr is calculated, to increase from 5 mcg / kg / min, to

10 mcg / kg / min, multiply by 2.

15 mcg / kg / min, multiply by 3

20 mcg / kg / min, multiply by 4.

_______________________________________________

OR, OPTIONAL CONDENSED VERSION

IV bag Pounds x Kilos x

100 ml (110) 0.0374 0.0836

250 ml (260) 0.0884 0.1976

500 0.17 0.38

1000 0.34 0.76

For 10 mcg dose, multiply by 2, 15 mcg, by 3, 20 mcg, by 4.

_______________________________________________

ALways….. Fluids BEFORE Pressors… with consideration for Pulmonary Edema, Aneurism, CVA bleed, Cardiac Dysrhythmia, Pulmonary artery pressure (rare), angina, rebound hypertension from aggressive fluids/pressors/other meds, respiratory depression, tachycardia, reflex bradycardia, and vomiting among other things. Substituting Dopamine in place of Norepinephrine for septic shock is suspect to increased mortality. Low dose Dopamine should never be used in a field setting for increasing function of renal failure. Interactions with EMS meds: albuterol, oxytocin, promethazine, digoxin, xopenex, isoproterenol, and lowers the effects of diabetic medications. Over 300 medications will interact poorly with Dopamine.

Please check with your medical direction before changing, adding to, or subtracting from your system’s protocols.

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