Medications for Hypercyanotic Spells
Medication | Route | Initial Dose | Maximum Dose |
|---|---|---|---|
EsmololEsmolol | IV | 100–500 mcg/kg over 1 minute Follow with infusion 25–100 mcg/kg/minute | 500 mcg/kg/minute |
MorphineMorphine | IV, intramuscular, or subcutaneous | 0.1 mg/kg | 0.1 mg/kg |
PhenylephrinePhenylephrine | IV | 5–20 mcg/kg every 10 to 15 minutes as needed Follow with infusion 0.1–0.5 mcg/kg/minute | Max bolus 500 mcg Max infusion 5 mcg/kg/minute |
PropranololPropranolol | IV | 0.015–0.02 mg/kg, titrate to effect | 0.1–0.2 mg/kg |
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