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A shortcut for preparing doses of positive inotropic drug infusions in emergency patient management—"fast inotrope bag (FiB) coefficient''

  • Suleyman Alpar1
  • Sarper Yilmaz2,*,
  • Rohat Ak2

1Faculty of Medicine, Beykent University, 34500 Istanbul, Turkey

2Department of Emergency Medicine, Kartal Dr. Lutfi Kirdar City Hospital, University of Health Sciences, 34865 Istanbul, Turkey

DOI: 10.22514/sv.2023.036 Vol.19,Issue 6,November 2023 pp.224-226

Submitted: 21 November 2022 Accepted: 24 February 2023

Published: 08 November 2023

*Corresponding Author(s): Sarper Yilmaz E-mail: sarperyilmaz08@gmail.com

Abstract

The most basic rule for the management of patients in the emergency departments (EDs) and critical & intensive units (ICUs) are quick decision and quick order medication. For this reason, calculator applications are a necessary part of EDs in order to calculate some drug doses quickly. With the simple formula we discovered, it will be much easier to place an order for the 4 most frequently used drugs of the EDs (dopamine, dobutamine, norepinephrine, epinephrine). We recommend this simple and fast calculation method to all EDs and ICUs with fast inotrope bag (FiB) coefficient. This coefficient has been developed especially for simple pump devices or dosing devices that do not use ready-made inotropic drug bags and that, if needed, first control the preparation of the solution and then the hourly infusion of the prepared solution. These devices are used only because the amount of solution to be given to the patient per hour can be monitored. Taking advantage of this coefficient, the inotrope needed by the patient can be administered easily and quickly with only the patient’s weight information, and the initial dose corresponds to the dose range recommended by the guidelines for inotropes.


Keywords

Inotrope bags; Dopamine; Dobutamine; Norepinephrine; Epinephrine; Coefficient


Cite and Share

Suleyman Alpar,Sarper Yilmaz,Rohat Ak. A shortcut for preparing doses of positive inotropic drug infusions in emergency patient management—"fast inotrope bag (FiB) coefficient''. Signa Vitae. 2023. 19(6);224-226.

References

[1] Magid DJ, Aziz K, Cheng A, Hazinski MF, Hoover AV, Mahgoub M, et al. Part 2: evidence evaluation and guidelines development: 2020 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2020; 142: S358–S365.

[2] UpToDate. Dopamine: drug information. 2021. Available at: https://www.uptodate.com/contents/dopamine-drug-information?search=dopamine&source=panel_search_ result&selectedTitle=1~148&usage_type=panel&kp_tab= drug_general&display_rank=1 (Accessed: 30 November 2021).

[3] Gupta P, Tuli V. Dopamine infusion: a simpler formula. Indian Pediatrics. 1994; 31: 868.

[4] UpToDate. Epinephrine (adrenaline) (systemic): drug information. 2021. Available at: https://www.uptodate.com/contents/epinephrine-adrenaline-systemic-drug-information?search=epinephrine&source=panel_search_result&selectedTitle=1~142&usage_type=panel&display_rank= 1&showDrugLabel=true (Accessed: 30 November 2021).

[5] UpToDate. Norepinephrine (noradrenaline): drug information. 2021. Available at: https://www.uptodate.com/contents/norepinephrine-noradrenaline-drug-information?search=norepinephrine&source=panel_search_result& selectedTitle=1~148&usage_type=panel&kp_tab=drug_ general&display_rank=1 (Accessed: 30 November 2021).


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