DRUG | SUPPLIED | DOSE | COMMENTS |
---|---|---|---|
ESMOLOL (Paeds) (Brevibloc) Mechanism of action: Class II antiarrythmic; Beta-adrenergic blocker Ref: 460, 461, 462 Last update: 2019-01-25 |
Injection: 10 mg/mL, 10 mL vial | Supraventricular Tachycardia Loading dose: 100-500 mcg/kg IV over 1 to 2 min. Infusion rate: 50-100 mcg/kg/min and titrate by 50 -100 mcg/kg/min every 5 to 10 min until a 10% reduction in heart rate or mean arterial pressure occurs. Post-op hypertension Loading dose: 100 - 500 mcg/kg IV over 1 to 2 min. Infusion rate: 50 - 150 mcg/kg/min and titrate by 50 100 mcg/kg/min every 5 to 10 min. Maximum infusion rate: 1000 mcg/kg/min |
For use in Critical Care areas only. Monitor heart rate, blood pressure, ECG, respiratory rate continuously A 10% reduction in heat rate or blood pressure signifies beta blockade Onset of beta blockade occurs within 2 to 10 min. Duration of action 10-30 min. Standard Prescription: esmolol__ mcg IV x 1 loading dose esmolol__mcg/kg/min continuous IV infusion |