• Conversion of po to iv metoprolol calculator

    Metoprolol IV 5 mg over 2 mins, every 5 mins for up to total 15 mg Metoprolol IV Conversion to PO Can start 1storal dose within 20 mins of initial IV to estimate needs. Total 5 mg IV→ start mg PO Q6H Total 10 mg IV→ start 2 5mg PO Q6H Total 15 mg IV→ start mg PO . When administered acutely for cardiac treatment, monitor ECG and blood pressure. May administer by rapid infusion (I.V. push) over 1 minute or by slow infusion (ie, mg of metoprolol in 50 mL of fluid) over ~30 minutes. Supplied: Injection, solution, as tartrate (Lopressor®): 1 mg/mL (5 mL) Tablet, as tartrate 25 mg, 50 mg, mg. {{coffeeqaru.bizscription}}. The COMET trial evaluated carvedilol and metoprolol tartrate in patients with chronic heart failure (NYHA class II to IV) and demonstrated a significantly lower all-cause mortality for carvedilol compared to metoprolol tartrate (34% vs. 40%, HR , 95% CI to , p = ); however, COMET has been criticized for a lower. metoprolol should be used. -When between oral and intravenous dosage forms, equivalent effect is achieved when doses in a (Oral:I.V.) ratio is used. For example, if the patient is an oral dose of 25 mg twice daily (50 mg/day), this would translate to 5 mg I.V File Size: 81KB. Lopressor. 5 mg rapid IV q2min, up to 3 doses; then, 15 minutes after last IV, 50 mg PO q6hr for 48 hours; then mg PO q12hr; If full IV dose not tolerated: mg PO q6hr after last IV ; Congestive Heart Failure Toprol XL. 25 mg PO qDay initially; increased every 2 . Oral to IV conversion ( to 1): eg 50mg oral=20mg IV (equivalent beta-blockade). Lopressor may be given by IV bolus (HR, BP, and EKG should be carefully monitored). IV therapy permits rapid control of HR and contractility. Post MI (early tx): 5 mg IV bolus x 3 doses q2 minutes. In patients who tolerate full 15 mg dose, oral lopressor 50mg po. Aug 10,  · A) transition patient to metoprolol IV push 15 mg q6h. (metop PO to IV is ratio, therefore mg PO daily is equivalent to 60 mg IV daily, and then divided by 4 is 15 mg IV q6h) B) transition patient to metoprolol 5 mg IV push q6h C) discontinue metoprolol and just put in orders for PRN metop IV pushes 5 mg q6h. Metoprolol Protocol (IV) Goal HR maintained and patient hemodynamically normal at a stable Esmolol dose for 24 hours Patient is NOT enteral Administer 5mg Metoprolol PO/perNGT 30 minutes after PO Metprolol dose D/C Esmolol Administer 25mg Metoprolol PO/perNG YES NO NO Administer 50mg Metoprolol PO/perNG.
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