#ICUCard

RENAL

GFR

90-131

mL/min

((140-age)*Wt)/(72*Cr)

Glomerular Filtration Rate (Cockcroft)

CI Cr

90-131

mL/min

(CrU * volume)/CrS

Creatinine Clearance

FENa

0.0-1.0

%

((U/P Na)/(U/P Cr))*100

Fractional Excretion of Na+

Na req

mEq

(125-Na)*0.6*Wt

Required Sodium

FE Urea 20-70

%

((UUN/BUN)(U/P Cr))*100

Fractional Excretion of Urea

RFI

0.0-1.0

%

(Na U(U/P Cr)

Renal Failure Index

BUN:CrS 13-20

%

BUN/Cr S

BUN / Creatinine (S) ratio

TTKG

4.0-6.0

%

(U/P K)/(U/P Osm)

Trans Tubular Potassium Gradient

Osm c

275-295

mOsm/kg

Osmolality, calculated

2"(Na + K))+(glucose/18)+(BUN/2.8)

OsmGap 0.0-10.0

mOsm/kg (Osm m)-(Osm calc)

Osmolar Gap

ACID-BASE

AG S

8-16

mEq/L

Na - (Cl + НСО3)

Anion Gap (Serum)

H_def

0

mEq

Acid Deficit

HCO3def O

mEq

Bicarbonate Deficit

Wt*0.5(HCO3m-HCO3d)

(m=measured. d=desired)

Wt*0.5(HCO3d-HCO3m)

Metabolic Acidosis

ІнСО3 → /PCO2

pCO2 = 1.5 (HCO3)+8 (+-2)|

Metabolic Alkalosis

ТНСО3 → TPCO2

pCO2 = 0.9 (HCO3)+9

Respiratory Acidosis

ТРСО2 → Тнсоз

acute: HCO3 T 1mEq/L for each 10 T in pCO2

chronic: HCO3 T 3.5mEq/L for each 10 1 in pCO2

Respiratory Alkalosis

IPCO2 → ІнСО3

acute: HCO3 + 2mEq/L for each 10 - in pCO2

chronic: HCO3 L 5mEq/L for each 10 J in pCO2

HHE

pk + log (HCO3/(PCO2*0.03))

Henderson - Hasselbalch Equation

КВЕ

(24*PaCO2)/HCO3

Acid base Equation

NUTRITION

IBW

110-220

Ib

Ideal Body Weight

BMI

18.5-25

kg*m2

(Ht^2)*23 (men)

(Ht^2)*21.5 (women)

Wt/Ht^2

Body Mass Index

BSA

1.3-2.5

m2

Body Surface Area

(Wt^0.425)*(Ht^0.725)*(0.007184)

NB

0

9

Nitrogen Balance

NB = protein int g/6.25 - (24h UUN(g) + 2.5g) |

BEE

Harris Benedict Equation

M= 66+ (13.7 x Wt kg) + (5 x Ht cm) - (6.8 x age)

F= 655+(9.6 x Wt kg) +(1.8 x Ht cm) - (4.7 x age)

EE

1200-2500 kcal/d

Energy Expenditure

СО*Hb*(((SaO2-SvO2)/100)*95) |

Perform computations online with:

> MediCalc® 7

Medical Calculator System™

VENTILATOR

INTUBATION CRITERIA* RR > 35-40/min

PaCO2 > 50mmHg (acute I pH).

Pa02 < 70 mmHg on 100% mask

A-a Gradient > 400 (100% FiO)

MIP < -25 cmH20

A from normal, Bronchopulmonary toilet,

A. Arturo Rodriguez, MD

ICU-card is a trademark of ScyMed 6th Ed, 2007. All rights reserved.

©2007 ScyMed. Inc

PO Box 20367 Houston TX 77225

Airway Protection, Inhalation injury (endoscopy/stridor). Head or spinal cord injury. Adult Resp. Distress Syndrome.

EXTUBATION CRITERIA*

Printed in USA

RR < 30/min

PaCO2 < 50 mmHg

Pa02 > 60mmHg on FIO2 < 50% pH normal (for the patient)

MIP > - 25 cm H20

PEEP < 5 cm H20

VT > 5mL/kg, VC > 10mL/kg

MV < 10L/min, Shunt < 20%

VD/VT < 0.6,

Patient awake, alert, cooperative

*Individual Patient assessment required

DRUGS

Adenosine: IVP: 6mg (1-3 sec) then 12mg

Aminophylline:

IV Infusion: 0.3-0.5mg/kg/h (500mg/500mL NS)

IV Infusion (smokers): 0.7 - 0.9mg/kg/h

Amrinone: IV: 0.75mg/kg (over 2 - 3 min) then, IV Inf: 5.0-15.0ug/kg/min (500mg/500mL NS)

Atenolol: IV: 5-10mg over 5 min.

Atropine SO4: IVP: 1.0mg (asystole, total 3mg)

IVP: 0.5-1.0mg (bradycardia, total 3mg)

Bicarbonate, Sodium:

IVP: 1.0mEq/kg then 0.5mEq/kg q10min

Bretylium Tosylate:

IVP: 5.0mg/kg in 1 min (total: 30-35mg/kg)

IV Infusion: 1.0-2.0mg/min (2g/500mL D5W)

Bumetanide: IV or IM: 0.5-1.0mg over 1-2min

Calcium chloride (10%):

IV: 2.0 - 4.0mg/kg q10min (as needed)

Digoxin:

IV/PO loading: 10-15ug/kg over 12-24hours (0.5mg IV over 5min -> 0.25mg q6h x2-4)

Diazepam: IV: 2-10mg (not to exceed 5mg/min)

Diltiazem:

IV: 20mg or 0.25mg/kg (then 0.35mg/kg)

IV Infusion: 5 - 15mg/h (250mg/500mL D5W-NS)

Dobutamine:

IV: 2 - 20ug/kg/min (250mg/500mL D5W-NS)

Dopamine: (400mg/250mL D5W= 1600ug/mL) dopaminergic: 1 - 3ug/kg/min IV b-adrenergic: 3 - 10ug/kg/min IV a-adrenergic: > 10ug/kg/min IV

Epinephrine: (1:1000) (1mg/250mL NS = 4ug/mL)

IVP: 1.0 mg q3-5min (then 5mg or 0.1mg/kg)

IV Infusion: 2 - 10ug/min

Flumazenil: IV: 0.2mg over 30 sec (max 3.0mg/h)

Furosemide: IV: 20-80mg over 1-2min

Heparin: (25,000units/500mL= 50u/mL) NS-D5W

IV Bolus: 5,000 units x1; IV Inf; 1000-1300 units/h

Insulin: 100units/250mL NS = 0.4 units/mL )

IVP: 0.1 units/kg

Isoproterenol: (1mg/250mL= 4ug/mL) NS-DsW

IV Infusion: 2 - 10ug/min

Labetalol: (200mg/200mL = 1 mg/mL) D5W-NS-RL

IV: 20mg over 2min, -->40-80mg (max 300mg)

Lidocaine: (2g/500mL = 4mg/mL) NS-D5W

IVP: 1.0 - 1.5mg/kg (x2 q5-10min)

IV Infusion: 2 - 4mg/min

Magnesium: IV Infusion: 1-2g/100mL D5W (2min)

Mannitol (20%): IV: 1.5 - 2.0g/kg over 30-60min

Metoprolol: IV: 5mg q5min x 3 (slow push)

Morphine SO4: IV: 1-3mg q5min (until response)

Naloxone: IV: 0.4 - 2.0mg q2min pr (up to 10mg)

Nifedipine: SL: 10mg (chew and swallow)

Nitroglycerin: (200mg/500mL) NS-DSW

IV Infusion: 10 - 300ug/min

Nitroprusside Na+: (100mg/500mL= 200ug/mL)

IV Infusion: 0.1 - 5.0ug/kg/min (use D5W only)

Norepinephrine: (4mg/250mL= 16ug/mL) D5W

IV Infusion: 0.5 - 1.0ug/min (up to 30ug/min)

Procainamide: (1g/250mL = 4mg/mL) D5W only

IV Infusion: 20mg/min (total: 17 mg/kg)

IV maintenance Infusion: 1 - 4mg/min

Streptokinase: IV: 1.5million units over 1h

TPA: IV: 100mg (15mg bolus, then 50mg in 1h, then 35mg in 1h)

IV: 2.5-5.0mg over 2 min (x4 q15-30min)

*IM=intramuscular. IV=intravenous.PO=oral. SL=sublingual.

DsW = dextrose 5% in water. NS = normal saline.

*Check drug packet inserts for doses & info.

ISBN 968-5325-27-8

50395

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9789685 325271

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