phenylephrine 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
phenylephrine (Neo-Synephrine) IV Infusion vasopressor
Y
N
N
N
Y (IV Push by Anes)
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 andgoals of therapy are not met.
Drug Name
Onset
Preparation
Compatible fluids
phenylephrine (Neo-Synephrine)
seconds
10 mg/100 ml
NS or D5W
Starting Dose for ICU Sedation
Titration Guidelines (for increasing and decreasing doses) with Maximum dose
Begin infusion at 50 mcg/min.
titrate by 5 mcg/min every 5 min to keep MAP ≥ 65. Max = 450 mcg/min.
(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 Infusion vasopressor
(IV Push by Anes)