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And why is that stupid? Every pump we have is programmed to have phenylephrine, norepinephrine, and epinephrine infusions in mcg/min...and literally every professor I had in residency dosed it that way as well (in adults). So why is it wrong to do this again? Sounds similar to insisting on a certain type of tape for the tube or something...where multiple methods can accomplish the same goal but one is clearly "more better" and the other methods are idiotic.![]()
It is stupid, but mostly because of the nursing issues it creates if mcg/min is implemented hospital-wide. ICU nurses won't think twice about cranking up the neo drip to 200 mcg/min if some 80yo 45kg lady in rapid fib has some asymptomatic but persistent hypotension. If the guideline is set to max 1.2 mcg/kg/min or something like that it gives me some peace of mind because I know the nurse will escalate the situation to me before the patient is on elephant doses.