Cardiovascular Medicine Book

http://www.fpnotebook.com/

Esmolol HydrochlorideAka: Brevibloc

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  1. Mechanism
    1. Selective Beta Blocker
  2. Indications
    1. Atrial Fibrillation Rate Control
    2. Emergent Hypertension Management
  3. Pharmacokinetics
    1. Half-life: 9 minutes
    2. Duration of action: 15-20 minutes
  4. Dosing: Intravenous
    1. Preparation: 2.5g (10 ml ampule) in 250 ml (10 mg/ml)
    2. Load: 250-500 ug/kg over 1 min (70 kg: 35 mg, 3.5 ml)
    3. Infusion:
      1. Start 25-50 ug/kg/min IV (70 kg: 10 ml/h)
      2. Titrate up 25-50 ug/kg q5 min to max 300 ug/kg/min

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