Peripheral Pressors

Peripheral Pressors: 6 Pearls to Not F*#k Up the Arm

R.E.B.E.L.EM - June 4, 2020 - By Salim Rezaie

"Clinical Bottom Line:

1. Use an antecubital fossa or more proximal vein (Larger diameter)
2. Use an ultralong catheter (6.35cm or 2.5in — >2.5cm in the vein)
3. Do not run infusions for >2 – 4hrs
4. Use as dilute a concentration in as small a volume as possible (4mg/250mL)
5. Have an IV observation protocol (q15 – q30min)
6. Have an extravasation protocol (Phentolamine or Terbutaline + Topical NTG + Elevation + Warm Compress)"