If HR 48 hours, not on vasopressor support, NPO or paralyzed, and use is expected to continue add scheduled oxycodone and consider alternative agents as outlined below:.Preferred agent for agitation related to alcohol withdrawal If emergence reactions develop treat with lorazepam 2 mg IVġ30 mg IV over 3 mins or 260 mg IV over 5 mins q4hr max daily dose 20mg/kg IBW) ADE: emergence reaction, hypersalavation, tachycardia.(Titrate up every 24 hrs to a max daily dose of 2.4 mg) (Increase each dose by 25 mg every 24 hrs to a max daily dose of 400 mg) ![]() If patient is receiving continuous IV sedation for > 48 hours, not on vasopressor support, NPO or paralyzed, and use is expected to continue consider scheduling one of the below agents. For conservation of continuous IV sedatives ![]() Refer to the tables below for alternative agents for both COVID +/PUI as well as for all critically ill patients. Main Content Recommendations for Conservation of Critical Medications - Pain and Sedation
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