labetalol should generally not be interrupted during procedures unless there is a specific physician order.
Per policy, these medications require cardiac and/or special monitoring. (KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes
labetalol (Normodyne, Trandate) IV Push, IV infusion
Y
Y (IV push only)
Y (IV push only)
N
Y (IV push only)
N
N
N
Iredell Memorial Hospital ICU Adult Infusion Guidelines
The following orders are intended to provide a specific, safe, and effective means of initiating and titrating medications for critically ill patients. Physicians may modify doses and/or parameters as necessary pending patients' status.For all medications listed below, the responsible LIP is to be notified if unable to titrate or the maximum dose is reached and goals of therapy are not met.
Drug Name
Onset
Preparation
Compatible fluids
labetalol (Trandate)
2-5 min
200 mg/160 ml fluid for total volume of 200 ml.
NS or D5W
Starting Dose for ICU Sedation
Titration Guidelines (for increasing and decreasing doses) with Maximum dose
Begin infusion at 1 mg/min.
titrate by 0.5 mg/min every 10 min to max rate of 3 mg/min to keep SBP ≤ 160. Max cumulative dose (including bolus doses) = 300 mg at which time it is recommendation to switch therapy or add additional agent.
(KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
IV Push, IV infusion
(IV push only)
(IV push only)
(IV push only)