ClinicalKey has reported that a dosage error has been located in the ICU Manual (Lanken, 2nd ed) which is available online in ClinicalKey. The error is located on page 81. In table 8-2, Drug Therapy for Cardiogenic Shock, the recommended dosages for Isoproterenol, Epinephrine, Norepinephrine, and Nitroglycerin are incorrect.
The correct drug recommendation should read:
Drug |
Usual Adult Dose Range |
|
Predominant Action |
Isoproterenol |
1-10 mcg/min |
|
Chronotropy > inotropy |
Epinephrine |
1-20 mcg/min >20 mcg/min |
|
Inotrope, Vasodilator Vasoconstrictor |
Norepinephrine |
1-2 mcg/min >2 mcg/min |
|
Inotrope Vasoconstrictor |
Nitroglycerin |
10-50 mcg/min 50-200 mcg/min |
|
Venodilator Vasodilator |
The ICU Manual has been temporarily removed from ClinicalKey and a corrected version will become available on February 5, 2014. If you have downloaded or printed a copy of this chapter prior to January 31st, please deleted or destroy all copies. If you have any questions, please call ClinicalKey's Customer Service team at 1 (888) 615-4500 or email them at usinfo@elsevier.com.