💡 Nota Berguna: Untuk anggaran bila satu-satu syringe pump/infusion habis untuk standby -
contoh perjalanan refer jauh... begitulah deh! 🚑✨
📚 Formula: Masa (jam) = Volume (ml) ÷ Kadar (ml/jam)
💊
Drug Calculators
Select a drug to calculate infusion rate or dose
💊 Noradrenaline Calculator
Calculate infusion rate based on target dose
⚗️ Formula Noradrenaline: ml/jam = (dose × berat × 60) ÷ kepekatan
🧪 Preparation Notes: Single strength ≈4mg dalam 50ml → ±80mcg/ml. Double strength ≈ 8mg dalam 50ml → ±160mcg/ml. 4 x strength ≈16mg dalam 50ml → ±320mcg/ml.
⚠️ Important: Pastikan volume akhir 50ml untuk konsistensi kepekatan yang betul!
💊 Adrenaline Calculator
Calculate infusion rate based on target dose
⚗️ Formula Adrenaline: ml/jam = (dose × berat × 60) ÷ kepekatan
🧪 Preparation Notes (dilute in normal saline):
• Single strength: 3mg dalam 50ml → 60 mcg/ml
• Double strength: 6mg dalam 50ml → 120 mcg/ml
⚠️ Important: Pastikan volume akhir 50ml untuk konsistensi kepekatan yang betul!
200 mg → final volume 50 mL • 4 mg/mL (4000 mcg/mL)
🧪 Cara penyediaan (protokol rujukan):
• Dopamine 200 mg/5 mL = 1 ampoule.
• Masukkan 200 mg Dopamine dan tambah NS atau D5 sehingga final volume 50 mL.
• Final concentration = 4 mg/mL = 4000 mcg/mL.
• Stability pada suhu bilik: 24 jam.
⚠️ Pastikan final volume 50 mL, bukan tambah 50 mL diluent kepada 5 mL ubat.
⚠️ Dos & pemantauan:
• Rujukan bermula 2–5 mcg/kg/min dan titrate mengikut respons haemodynamic/tolerability.
• Jadual rujukan unit menggunakan 1–20 mcg/kg/min; protokol tempatan menyatakan titration sehingga 20–30 mcg/kg/min mengikut respons.
• Betulkan hypovolaemia, hypoxia dan acidosis sebelum memulakan Dopamine.
• Gunakan infusion pump dan akses vena besar; ikut polisi setempat mengenai central line.
• Pantau BP, HR/rhythm, perfusi, urine output dan tapak IV/extravasation.
🚫 Penting: Jangan campur dengan Sodium Bicarbonate atau larutan strongly alkaline; elakkan blood dan iron salts pada infusion set yang sama. Kurangkan infusion secara beransur apabila menghentikan rawatan. Semak protokol klinikal setempat sebelum pemberian.
📖 Drug Guide
Klik nama ubat untuk lihat dose, preparation & administration
💉 Vasopressin
⚡ Septic / Vasodilatory Shock
AdministrationContinuous IV infusion
Stock20 IU/mL
Preparation20 IU → final volume 20 mL NS/D5
Final concentration1 IU/mL
Dose0.01–0.04 IU/min
Infusion rate0.6–2.4 mL/hr
Other Regimen
Preparation20 IU → final volume 100 mL NS/D5
Final concentration0.2 IU/mL
AdministrationIV infusion over 15 minutes
📋 Local note: Septic / vasodilatory shock dipaparkan dahulu untuk rujukan pantas.
💧 Glyceryl Trinitrate (GTN)
💉 Dose & Titration
Initial dose5 mcg/min
TitrationIncrease by 5 mcg/min every 3–5 minutes to 20 mcg/min
If no responseIncrease by 10 mcg/min every 3–5 minutes up to 200 mcg/min
Preparation — Rujukan Farmasi
Option 150 mg → final volume 100 mL NS/D5 500 mcg/mL 0.6 mL/hr = 5 mcg/min
Option 250 mg → final volume 50 mL NS/D5 1000 mcg/mL (1 mg/mL) 0.3 mL/hr = 5 mcg/min
📋 Rujukan: Preparation berdasarkan nota Farmasi yang dibekalkan.
💓 Esmolol
Undiluted • Strength 10 mg/mL
💉 Maintenance Infusion
PreparationUndiluted
Concentration10 mg/mL (10,000 mcg/mL)
Printed table range50–300 mcg/kg/min
🧮 Esmolol Infusion Calculator
📋 Formula menggunakan concentration tetap 10 mg/mL: Dose × Weight × 60 ÷ 10,000 = mL/hr. Nilai sepadan dengan infusion table yang dibekalkan.
🫀 Labetalol
25 mg/5 mL (5 mg/mL) • Hypertension crisis
💉 Undiluted IV Infusion
PreparationUNDILUTED
Concentration5 mg/mL
Dose0.5–2 mg/min
Infusion rate6–24 mL/hr
Use Labetalol 25 mg/5 mL undiluted. At 5 mg/mL: 0.5 mg/min = 6 mL/hr and 2 mg/min = 24 mL/hr. Titrate according to response.
💉 IV Bolus — Printed Protocol
Dose50 mg IV
AdministrationOver at least 1 minute
RepeatEvery 5–10 min until desired BP
Maximum200 mg
IV bolus: use undiluted.
🧮 Undiluted Infusion Calculator
Formula: Dose (mg/min) × 60 ÷ 5 mg/mL = mL/hr.
⚠️ Important Notes
Printed protocol: maximum total IV infusion dose 300 mg; discard within 24 hours. Patient should remain supine for at least 3 hours after IV injection. Incompatible with sodium bicarbonate. Avoid an excessively rapid fall in severely elevated blood pressure.
🤰 IV Infusion in Pregnancy — Printed Protocol
20 mg/hr, then double every 30 minutes until satisfactory response. Maximum 160 mg/hr.
💗 Amiodarone IV
150 mg/3 mL • FAST AF
💉 IV Infusion
DiluentD5
Dose150–300 mg
Preparation150–300 mg in 50–100 mL
DurationOver 1 hour
⏱️ Maintenance
Dose900 mg
Preparation900 mg in 500 mL
DurationOver next 23 hours
IV Bolus
Protocol image states IV Bolus: 10–20 mL. Preparation/concentration for this line is not specified clearly in the supplied chart, so no dose conversion is calculated here.
💉 Heparin
5,000 U/mL • 5 mL vial
💧 IV Infusion Preparation
Stock5,000 U/mL
5 mL contains25,000 U
DiluentD5 / NS
Preparation25,000 U (5 mL) in 50 mL
Preparation is displayed exactly as stated in the supplied protocol. The chart does not specify whether “in 50 mL” means add to 50 mL diluent or make to a final volume of 50 mL, so no final concentration or infusion-rate calculation is assumed.
🎯 Target Dose Calculator
😅 Untuk yang malas kira manual: Atau pening dengan doses paed medication - boleh try kira sini!
💉 Sliding Scale Insulin Calculator
Gula (mmol/L)
A
B
C
D
0-3.9
0u
0u
0u
0u
4.0-6.9
1u
2u
3u
4u
7.0-8.9
2u
4u
6u
8u
9.0-10.9
3u
6u
9u
12u
11.0-12.9
4u
8u
12u
16u
>13
6u
12u
18u
24u
⚠️ Nota Penting: Untuk Regim A, jika bacaan >13 mmol/L berterusan 3 jam berturut-turut,
pertimbangkan tukar ke Regim B (ikut protokol klinikal setempat).
👨⚕️ Safety First: Apo apo tanyo dulu deh sebelum apply ke patient!