Procainamide CRI
Posted: Monday, January 16th, 2023 | Updated: Monday, January 16th, 2023
Posted: Monday, January 16th, 2023 | Updated: Monday, January 16th, 2023
Doctor's Order:
Start a Procainamide CRI at 20 mcg/kg/min
Patient Weight:
20 kg
Procainamide Concentration:
100 mg/ml
Convert the Procainamide from mg to mcg:
(100 mg/ml) x (1,000 mcg/mg) = 100,000 mcg/ml concentration of Procainamide
Standard Dilution Protocol (Varies By Hospital):
Dilute Procainamide with 0.9% NaCl where 10 mcg/kg/min = 1 ml/hr and create a 12 hour CRI at that rate
Complete the Math:
(10 mcg/kg/min) x (20 kg) = 200 mcg/min Procainamide
(200 mcg/min) x (60 min/hr) = 12,000 mcg/hr Procainamide
(12,000 mcg/hr) / (100,000 mcg/ml) = 0.12 ml/hr Procainamide
(0.12 ml/hr) x (12 hr) = 1.44 ml Procainamide
(12 ml Total Fluid Volume) - (1.44 ml Procainamide) = 10.56 ml 0.9% NaCl
The Result:
You will need 1.44 ml Procainamide to mix with 10.56 ml of 0.9% NaCl. This will result in 10 mcg/kg/min = 1 ml/hr. To run the Procainamide CRI at 20 mcg/kg/min, increase the fluid rate of your CRI to 2 ml/hr
Start a Procainamide CRI at 20 mcg/kg/min
Patient Weight:
20 kg
Procainamide Concentration:
100 mg/ml
Convert the Procainamide from mg to mcg:
(100 mg/ml) x (1,000 mcg/mg) = 100,000 mcg/ml concentration of Procainamide
Standard Dilution Protocol (Varies By Hospital):
Dilute Procainamide with 0.9% NaCl where 10 mcg/kg/min = 1 ml/hr and create a 12 hour CRI at that rate
Complete the Math:
(10 mcg/kg/min) x (20 kg) = 200 mcg/min Procainamide
(200 mcg/min) x (60 min/hr) = 12,000 mcg/hr Procainamide
(12,000 mcg/hr) / (100,000 mcg/ml) = 0.12 ml/hr Procainamide
(0.12 ml/hr) x (12 hr) = 1.44 ml Procainamide
(12 ml Total Fluid Volume) - (1.44 ml Procainamide) = 10.56 ml 0.9% NaCl
The Result:
You will need 1.44 ml Procainamide to mix with 10.56 ml of 0.9% NaCl. This will result in 10 mcg/kg/min = 1 ml/hr. To run the Procainamide CRI at 20 mcg/kg/min, increase the fluid rate of your CRI to 2 ml/hr